摘要
目的:研究特发性耳鸣患者的焦虑和抑郁状态,探讨其相关因素。方法:采用焦虑自评量表(SAS)、抑郁自评量表(SDS)及一般情况调查表,对167例特发性耳鸣患者进行调查评分,并对伴有焦虑、抑郁的部分患者予以相应治疗,治疗6周后进行二次评估。结果:共检出伴有焦虑状态患者55例(32.93%),伴有抑郁状态患者43例(25.75%),同时伴有焦虑和抑郁状态患者27例(16.17%)。多元逐步Logistic回归分析显示特发性耳鸣患者焦虑、抑郁水平与睡眠障碍、病程、THI评分有关(P<0.05)。治疗前后患者的SAS及SDS评分差异有统计学意义(P<0.01)。结论:特发性耳鸣患者常伴发焦虑和抑郁状态,而焦虑、抑郁水平与病程长短、耳鸣严重程度、睡眠障碍相关,在临床诊疗中面对特发性耳鸣患者应密切关注其焦虑、抑郁状态,及时予以心理干预。
Objective:To investigate the psychological status of anxiety and depression in patients with idiopathic tinnitus,and to analyze its relative factors.Method:One hundred and sixty-seven patients with idiopathic tinnitus were assessed by Self-Rating Anxiety Scale(SAS),Self-Rating Depression Scale(SDS)and general condition questionnaire.Patients with anxiety or depression were reassessed after corresponding treatment for 6 weeks.Result:Fifty-five patients(32.93%)were in anxiety state and 43 patients(25.75%)were in depression state.Twenty-seven patients(16.17%)were in both anxiety and depression state.The multivariate logistic regression analysis found that the incidence of anxiety and depression in patients with idiopathic tinnitus were related to sleep disorders,course of disease and THI score(P<0.05).Treatment scores(SAS and SDS)were statistically significantly different between pre-and post-treatment(P<0.01).Conclusion:The anxiety and depression state is highly prevalent in idiopathic tinnitus patients and is related to course of disease,severity of tinnitus and sleep disorders.In clinical practice,we should pay close attention to the psychological status of patients with idiopathic tinnitus,and take timely psychological intervention.
作者
李尧
王铭歆
周婧
周慧芳
LI Yao;WANG Mingxin;ZHOU Jing;ZHOU Huifang(Department of Otolaryngology,General Hospital of Tianjin Medical University,Tianjin,300052,China)
出处
《临床耳鼻咽喉头颈外科杂志》
CAS
北大核心
2019年第5期416-421,共6页
Journal of Clinical Otorhinolaryngology Head And Neck Surgery
关键词
耳鸣
焦虑
抑郁
量表
tinnitus
anxiety
depression
scale
作者简介
通信作者:周慧芳,E-mail:zyyzhf@163.com。
