Fuchten Denise, Smit Adriana L, Stegeman Inge
Department of Otorhinolaryngology, Head and Neck Surgery, University Medical Center Utrecht, Utrecht, Netherlands.
UMC Utrecht Brain Center, University Medical Center Utrecht, Utrecht, Netherlands.
Front Neurol. 2024 Sep 3;15:1376826. doi: 10.3389/fneur.2024.1376826. eCollection 2024.
Tinnitus is a common phenomenon with an estimated prevalence of 14.4% in the adult population. The experienced severity of tinnitus varies significantly among this population. Psychological factors have been identified as major contributors to this perceived severity, and numerous studies have demonstrated a correlation between symptoms of depression and tinnitus severity. However, the assessment of tinnitus severity and depressive symptoms often relies on self-report questionnaires, which show content overlap. This can pose challenges in distinguishing both conditions and interpreting their relationship. To address these challenges, the proposed study aims to examine the overlap between tinnitus and depressive symptom questionnaires by analyzing their content based on the International Classification of Functioning, Disability and Health (ICF) framework.
Six validated, multi-item, self-report questionnaires measuring perceived tinnitus severity (THI, TQ, mTQ, THQ, TRQ, TFI) and seven validated, multi-item, self-report, depressive symptom questionnaires (BDI-II, HADS-D, SDS, PHQ-9, CES-D, SCL-90-R depression subscale, DASS-42 depression subscale) will be included in the content analysis. The content of all items of these questionnaires will be linked to ICF categories and item overlap between the tinnitus and depressive symptom questionnaires will be analyzed.
By exploring the overlap between depression and tinnitus questionnaires, this study seeks to gain a better understanding of the relationship between tinnitus and depression, by distinguishing between shared content and independent constructs of symptom scores and shedding light on the factors influencing their measured severity.
Ethical approval is not required for this study, due to the characteristics of the study design. Findings will be disseminated through peer-reviewed open access publication and scientific conferences.
耳鸣是一种常见现象,在成年人群中的估计患病率为14.4%。在这一人群中,耳鸣的实际严重程度差异很大。心理因素已被确定为导致这种感知严重程度的主要因素,许多研究表明抑郁症状与耳鸣严重程度之间存在关联。然而,耳鸣严重程度和抑郁症状的评估通常依赖于自我报告问卷,而这些问卷存在内容重叠。这可能在区分这两种情况以及解释它们之间的关系方面带来挑战。为应对这些挑战,拟开展的研究旨在通过基于国际功能、残疾和健康分类(ICF)框架分析其内容,来检验耳鸣问卷和抑郁症状问卷之间的重叠情况。
六项经过验证的、多项目的、测量耳鸣感知严重程度的自我报告问卷(耳鸣 handicap 量表[THI]、耳鸣问卷[TQ]、改良耳鸣问卷[mTQ]、耳鸣障碍问卷[THQ]、耳鸣反应问卷[TRQ]、耳鸣功能指数[TFI])和七项经过验证的、多项目的、自我报告的抑郁症状问卷(贝克抑郁量表第二版[BDI-II]、医院焦虑抑郁量表抑郁分量表[HADS-D]、抑郁自评量表[SDS]、患者健康问卷-9[PHQ-9]、流调中心抑郁量表[CES-D]、症状自评量表[SCL-90-R]抑郁分量表、抑郁焦虑压力量表-42[DASS-42]抑郁分量表)将纳入内容分析。这些问卷所有项目的内容将与ICF类别相关联,并分析耳鸣问卷和抑郁症状问卷之间的项目重叠情况。
通过探索抑郁问卷和耳鸣问卷之间的重叠情况,本研究旨在通过区分症状评分的共享内容和独立结构,并阐明影响其测量严重程度的因素,更好地理解耳鸣与抑郁之间的关系。
由于本研究的设计特点,无需伦理批准。研究结果将通过同行评审的开放获取出版物和科学会议进行传播。