Morse Kenneth, Vander Werff Kathy R
West Virginia University, Division of Communication Sciences and Disorders, USA.
Syracuse University, Department of Communication Sciences and Disorders, USA.
Clin Neurophysiol. 2023 May;149:223-233. doi: 10.1016/j.clinph.2023.02.164. Epub 2023 Feb 23.
OBJECTIVE: The current study investigates evidence of hypothesized reduced central inhibition and/or increased excitation in individuals with tinnitus by evaluating cortical auditory onset versus offset responses. METHODS: Cortical auditory evoked potentials (CAEPs) were recorded to the onset and offset of 3-second white noise stimuli in tinnitus and control groups matched in pairs by age, hearing, and sex (n = 26 total). Independent t-tests and 2-way mixed model ANOVA were used to evaluate onset-offset differences in amplitude, area, and latency of CAEP components by group. The predictive influence of tinnitus presence and associated participant characteristics on CAEP outcomes was assessed by multiple regression proportional reduction in error. RESULTS: The tinnitus group had significantly larger onset minus offset P2 amplitudes (ΔP2 amplitudes) than control group participants. No other component variables differed significantly. ΔP2 amplitude was best predicted by tinnitus status and not significantly influenced by other variables such as hearing loss or age. CONCLUSIONS: Hypothesized reduced central inhibition and/or increased excitation in tinnitus participants was partially supported by a group difference in ΔP2 amplitude. SIGNIFICANCE: This was the first study to evaluate CAEP onset minus offset differences to investigate changes in central excitation/inhibition in individuals with tinnitus versus controls in matched groups.
目的:本研究通过评估皮层听觉起始与终止反应,调查耳鸣患者中枢抑制降低和/或兴奋增加这一假设的证据。 方法:在耳鸣组和按年龄、听力和性别配对的对照组(共n = 26)中,记录对3秒白噪声刺激起始和终止的皮层听觉诱发电位(CAEP)。采用独立样本t检验和双向混合模型方差分析,按组评估CAEP各成分在幅度、面积和潜伏期方面的起始 - 终止差异。通过多元回归误差比例减少法,评估耳鸣的存在及相关参与者特征对CAEP结果的预测影响。 结果:耳鸣组的起始减去终止P2波幅(ΔP2波幅)显著大于对照组参与者。其他成分变量无显著差异。ΔP2波幅最佳预测因素为耳鸣状态,且不受听力损失或年龄等其他变量的显著影响。 结论:耳鸣参与者中枢抑制降低和/或兴奋增加这一假设部分得到ΔP2波幅组间差异的支持。 意义:这是第一项评估CAEP起始减去终止差异,以调查耳鸣患者与匹配组对照组中枢兴奋/抑制变化的研究。
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