McKenna Laurence, Vogt Florian
Ear Institute, University College London, 332 Gray's Inn Road, London, UK.
Royal National ENT and Eastman Dental Hospitals, University College London, London, UK.
HNO. 2025 Mar;73(3):182-188. doi: 10.1007/s00106-024-01501-3. Epub 2024 Aug 2.
The role of life events has not been extensively studied in the context of tinnitus. There is, however, evidence about the psychological impact of tinnitus and about the influence of psychological processes as mediators of the tinnitus experience. On the basis of this evidence, the possibility that stressful life events can act as a trigger for tinnitus is discussed; although the evidence is fragmentary and indirect, the possibility cannot be discounted. It is argued that the onset of tinnitus and the associated clinical encounters can constitute an acute stressful life event, and the ongoing experience of tinnitus can be regarded as a chronic stressful life event. Interactions between ongoing tinnitus and other life events are discussed. Possible mechanisms in terms of stress influencing predictive processing and signal detection judgments are considered.
生活事件在耳鸣背景下尚未得到广泛研究。然而，有证据表明耳鸣对心理有影响，且心理过程作为耳鸣体验的中介因素也有影响。基于这些证据，讨论了应激性生活事件可能引发耳鸣的可能性；尽管证据零散且间接，但这种可能性不能被排除。有人认为耳鸣的发作及相关临床遭遇可能构成急性应激性生活事件，而持续的耳鸣体验可被视为慢性应激性生活事件。文中还讨论了持续耳鸣与其他生活事件之间的相互作用。同时考虑了应激影响预测性加工和信号检测判断方面的可能机制。
