1. 广州中医药大学第一临床医学院,广州,510499
2. 广州中医药大学第一附属医院耳鼻喉科,广州,510405
纸质出版:2021
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陈跃凤, 刘蓬, 洪伟哲, 等. 声敏感患者的焦虑抑郁状况调查[J]. 中国听力语言康复科学杂志, 2021,19(6):420-423.
陈跃凤, 刘蓬, 洪伟哲, et al. Investigation of Anxiety and Depression in Patients with Acoustic Hypersensitivity[J]. 2021, 19(6): 420-423.
目的调查声敏感患者的焦虑抑郁状况。方法收集2016年1月~2021年5月于广州中医药大学第一附属医院耳鼻喉门诊及病房诊治的声敏感患者302例
选取同期诊治的耳鸣患者302例作为对照组。采用声敏感严重程度评估指标(indicatorsofacoustichypersensitivityseverity
IAHS)对声敏感严重程度进行评估
采用焦虑自评量表(self-rating anxietyscale
SAS)、抑郁自评量表(self-ratingdepressionscale
SDS)对患者进行心理测评
比较声敏感组及单纯耳鸣组焦虑抑郁情况
分析声敏感严重程度与焦虑抑郁程度的相关性。结果声敏感组SAS、SDS评分均值高于耳鸣对照组(P<0.05)。302例声敏感患者中
达到焦虑或抑郁状态标准者128例(42.4%)
其中焦虑状态97例(32.1%)
抑郁状态99例(32.8%)
同时符合焦虑状态及抑郁状态标准者68例(22.5%)
以上4项指标声敏感组均极显著高于耳鸣对照组(P<0.01)。Pearson相关分析显示
IAHS评分与SAS、SDS评分成正相关
相关系数分别为0.359(P<0.001)与0.318(P<0.001)。声敏感越严重
SAS与SDS平均分值越高(P<0.05)
且焦虑状态及抑郁状态的患病率越高(P<0.05)。结论声敏感较耳鸣患者更容易出现焦虑、抑郁
声敏感严重程度与焦虑、抑郁程度存在正相关的关系。
Objective To investigate the anxiety and depression of patients with acoustic hypersensitivity. Methods A total of 302 patients with acoustic hypersensitivity diagnosed and treated in the otolaryngology outpatient and inpatient department of the First Affiliated Hospital of Guangzhou University of Chinese Medicine from January 2016 to May 2021 were collected
and 302 tinnitus patients diagnosed and treated in the same period were selected as the control group. The indicators of acoustic hypersensitivity severity(IAHS) were used to assess the severity of acoustic hypersensitivity
and the self-rating anxiety scale(SAS) and self-rating depression scale(SDS) were used to conduct psychological assessments on all patients. The prevalence of anxiety and depression in the acoustic hypersensitivity group and the tinnitus group was compared
and the correlation between the severity of acoustic hypersensitivity and the degree of anxiety and depression was analyzed. Results The mean scores of SAS and SDS in acoustic hypersensitivity group were higher than those in the tinnitus control group(P<0.05).Among the 302 patients with acoustic hypersensitivity
128(42.4%) met the criteria for anxiety or depression
of which 97(32.1%) were anxious
99(32.8%) were depressive
and 68(22.5%) were those who met the criteria for both anxiety and depression. The above 4 indexes in the acoustic hypersensitivity group were higher than those in the tinnitus control group(P<0.01). Pearson correlation analysis showed that IAHS scores were positively correlated with SAS and SDS scores
and the correlation coefficients were 0.359(P<0.001) and 0.318(P<0.001)
respectively. The more severe the acoustic hypersensitivity
the higher the average score of SAS and SDS(P<0.05)
and the higher the prevalence of anxiety and depression(P<0.05). Conclusion Acoustic hypersensitivity patients are more likely to have anxiety and depression than tinnitus patients
and the severity of acoustic hypersensitivity is positively correlated with the degree of anxiety and depression.
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