中青年突发性耳聋患者的心理社会影响因素研究

杨俊; 刘梦婕; 林钰莲; 何云华

doi:10.3969/j.issn.1672-4933.2025.06.007

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中青年突发性耳聋患者的心理社会影响因素研究

临床研究 | 更新时间：2026-07-11

- 中青年突发性耳聋患者的心理社会影响因素研究
- The Psychosocial Impact Factors of Sudden Sensorineural Hearing Loss in Middle-aged and Young Adults: in Sleep Quality, Emotional State, and Hearing Impairment
- 中国听力语言康复科学杂志 2025年23卷第6期页码：586-589
- 作者机构：
  
  成都市中西医结合医院耳鼻喉科成都 610017
- 作者简介：
  
  杨俊硕士在读副主任护师；研究方向：耳鼻喉疾病治疗护理及科研
  刘梦婕，E-mail：liumengjie80@163.com
- 基金信息：
  
  教育部人文社科规划基金项目“积极老龄化视域下社区老人安宁疗护知信行测量及干预策略研究”(23YJA840013)
- DOI：10.3969/j.issn.1672-4933.2025.06.007
  中图分类号： R764.43
- 收稿：2025-03-18，
  
  纸质出版：2025-11-15
- 稿件说明：
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杨俊,刘梦婕,林钰莲等.中青年突发性耳聋患者的心理社会影响因素研究[J].中国听力语言康复科学杂志,2025,23(06):586-589.

YANG Jun,LIU Meng-jie,LIN Yu-lian,et al.The Psychosocial Impact Factors of Sudden Sensorineural Hearing Loss in Middle-aged and Young Adults: in Sleep Quality, Emotional State, and Hearing Impairment[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2025,23(06):586-589.
杨俊,刘梦婕,林钰莲等.中青年突发性耳聋患者的心理社会影响因素研究[J].中国听力语言康复科学杂志,2025,23(06):586-589. DOI： 10.3969/j.issn.1672-4933.2025.06.007.

YANG Jun,LIU Meng-jie,LIN Yu-lian,et al.The Psychosocial Impact Factors of Sudden Sensorineural Hearing Loss in Middle-aged and Young Adults: in Sleep Quality, Emotional State, and Hearing Impairment[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2025,23(06):586-589. DOI： 10.3969/j.issn.1672-4933.2025.06.007.

摘要

目的

调查中青年突发性耳聋（sudden sensorineural hearing loss

SSNHL）患者心理社会因素（睡眠质量、情绪状态等）现状及与听力受损的相关性，构建心理－听力交互模型。

方法

基于2024年1月～12月四川省212例SSNHL患者的横断面调查数据，采用匹兹堡睡眠质量指数（pittsburgh sleep quality index，PSQI）和华西心晴指数（huaxi emotional-distress index，HEI）评估睡眠质量和情绪状态，分析其与听力受损程度的关联。

结果

睡眠质量、焦虑情绪和工作压力均与听力损伤呈正相关（

0.05），焦虑情绪影响最大（OR=1.36）。工作压力与焦虑的交互项显著（OR=1.07，

=0.018）。年龄与听力受损程度呈正相关（OR=1.20，

0.001），居住环境无显著影响。

结论

心理社会因素（尤其是焦虑和工作压力）对SSNHL患者听力损伤显著，临床需加强心理评估与干预。

Abstract

Objective

To investigate the association between psychosocial factors (e.g.

sleep quality and emotional state) and hearing impairment in young and middle-aged patients with sudden sensorineural hearing loss (SSNHL)

and to construct a psycho-auditory interaction model.

Methods

Based on cross-sectional data from 212 SSNHL patients in Sichuan Province (January—December 2024)

sleep quality and emotional state were assessed using the Pittsburgh Sleep Quality Index (PSQI) and the Huaxi Emotional-distress Index (HEI)

respectively. Their correlations with the degree of hearing impairment were analyzed.

Results

Sleep quality

anxiety

and occupational stress were positively correlated with hearing impairment (all

0.05)

with anxiety having the strongest effect (OR = 1.36). The interaction between occupational stress and anxiety was significant (OR=1.07

=0.018). Age was positively associated with hearing impairment (OR = 1.20

0.001)

while residential environment showed no significant impact.

Conclusion

Psychosocial factors—particularly anxiety and occupational stress—significantly influence hearing impairment in SSNHL patients

underscoring the need for integrated psychological assessment and intervention in clinical practice.

关键词

Keywords

references

Chandrasekhar SS , Tsai Do BS , Schwartz SR , et al . Clinical Practice Guideline: Sudden Hearing Loss (Update) [J ] . Otolaryngol Head Neck Surg , 2019 , 161 (suppl 1 ), S1 - S45 .

Kitoh R , Nishio SY , Sato H , et al . Clinical practice guidelines for the diagnosis and management of acute sensorineural hearing loss [J ] . Auris Nasus Larynx , 2024 , 51 ( 4 ): 811 - 821 .

Mehrotra A , Shukla SP , Shukla AK , et al . A Comprehensive Review of Auditory and Non-Auditory Effects of Noise on Human Health [J ] . Noise Health[ J ] . 2024 , 26 ( 121 ): 59 - 69 .

Wu C , Yu Y , Zhao T , et al . Bidirectional causality between idiopathic sudden sensorineural hearing loss and depression: a Mendelian randomization study [J ] . Sci Rep , 2024 , 14 ( 1 ): 14932 .

Lin HC , Wang CH , Chou YC , et al . The correlation between lipoprotein ratios and hearing outcome in idiopathic sudden sensorineural hearing loss patients [J ] . Clin Otolaryngol , 2015 , 40 ( 4 ): 355 - 362 .

Jung SY , Shim HS , Hah YM , et al , Yeo SG . Association of Metabolic Syndrome With Sudden Sensorineural Hearing Loss [J ] . JAMA Otolaryngol Head Neck Surg , 2018 , 144 ( 4 ): 308 - 314 .

Lee HA , Chung JH . Contemporary Review of Idiopathic Sudden Sensorineural Hearing Loss: Management and Prognosis [J ] . J Audiol Otol , 2024 , 28 ( 1 ): 10 - 17 .

刘贤臣 , 唐茂芹 , 胡蕾 , 等 . 匹兹堡睡眠质量指数的信度和效度研究 [J ] . 中华精神科杂志 , 1996 , 29 ( 2 ): 103 - 107 .

Wang J , Guo WJ , Zhang L , et al . The development and validation of Huaxi emotional-distress index (HEI): A Chinese questionnaire for screening depression and anxiety in non-psychiatric clinical settings [J ] . Compr Psychiatry , 2017 , 76 : 87 - 97 .

Mazurek B , Haupt H , Olze H , et al .. Stress and tinnitus-from bedside to bench and back [J ] . Front Syst Neurosci , 2012 , 6 : 47 - 47 .

Zhang ZQ , Li JY , Ge ST , et al . Bidirectional associations between sensorineural hearing loss and depression and anxiety: a meta-analysis [J ] . Front Public Health , 2024 , 11 : 1281689 .

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