|Anna Pajor, Magdalena Józefowicz-Korczyńska, Tomasz Durko, Elżbieta A. Ormezowska |
Introduction. Clinical studies of patients with tinnitus point to the role of psychological factors in the development and perception of tinnitus.
Aim. Assess the incidence of emotional disturbances in patients with disabling tinnitus.
Material and methods. The study group included one hundred patients, 56 women and 44 men, from 21 to 76 years old, diagnosed with chronic idiopathic tinnitus. Audiological examination, including determination of tinnitus characteristics and neuropsychological evaluation conducted by means of Beck Depression Inventory (BDI) and Hospital Anxiety Depression Scale (HADS, part A – anxiety, part D – depression) were performed in all subjects. The results were analyzed according to age and sex of patients.
Results. Individual abnormal results were noted in all tests, predominantly in HADS-A (52%), followed by BDI (39%) and HADS-D (34%). Significant differences were noted between mean value and the cut-off score for HADS-A only (8.8 vs. 7, p<0.001). A comparison of mean value for BDI and HADS with cut-off score with regard to age and sex revealed significant differences only for HADS-A in both age groups (younger – 9.1 vs. 7, p<0.001; older – 8.6 vs. 7, p<0.05) and for women (9.7 vs. 7, p<0.001). The difference was also observed for HADS-A and HADS-D in younger group between women and men (10.9 vs. 7.2 and 7.3 vs. 4.2 respectively, p<0.05).
Conclusions. Patients with tinnitus differ in the psychological profile. Higher levels of anxiety were observed more frequently in women, especially in the younger age.
keywords: szumy uszne, stan emocjonalny, tinnitus, emotional status
pages: from 86 to 92
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