The comparison of acoustic and psychic parameters of subjective tinnitus |
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Authors: | Email author" target="_blank">Erkan?KaratasEmail author Murat?Deniz |
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Institution: | (1) Medical Faculty, Otorhinolaryngology (KBB) Department, Turgut Ozal Medicine Center, Inonu University, Elazig Road, km. 11, 44280 Malatya, Turkey;(2) Medical Faculty, Otorhinolaryngology (KBB) Department, Gaziantep University, Gaziantep, Turkey |
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Abstract: | We aim to assess the correlation between audiometric data, and psychotic and acoustic measures associated with subjective
tinnitus (ST) and to clarify the importance of the psychological process in determining the degree of subjective annoyance
and disability due to tinnitus. Fifty-four patients experiencing unilateral ST were allocated for the study. Acoustic assessment
of patients including LDL (loudness discomfort levels), MML (minimum masking level) and RI (residual inhibition) was performed.
Tinnitus Handicap Inventory (THI), Beck Depression Inventory (BDI) and Visual Analog Scale (VAS) tests were performed for
the psychological aspects of subjective annoyance. RI was positive in 23 patients with 13 frequency-matched stimuli at 8,000 Hz.
Masking treatment response was successful in 16 RI-positive patients. Mean and standard deviation (SD) of THI scores were
38.77 ± 23.63. Ten patients (%18.51) with tinnitus had ≥17 points score, which was significant for BDI. Mean and SD were 5.01 ± 2.31
for VAS-1 scores (severity of tinnitus), 7.98 ± 2.79 for VAS-2 (frequency and duration of tinnitus), 5.77 ± 2.72 for VAS-3
(discomfort level), 3.56 ± 3.30 for VAS-4 (attention deficit) and 3.31 ± 3.31 for VAS-5 (sleep disorders). A significant correlation
was found between the tinnitus duration time, age, gender and THI scores (P < 0.05). There were statistically significant correlations between VAS 1, 2, 3 scores and LDL, MML and RI (P > 0.05). RI might be largely frequency dependent and was found as an indicator for the masking treatment response. We did
not notice statistically significant correlations between audiometric data and THI and BDI. There were correlations between
with VAS and LDL and with MML and RI. VAS was simpler and easier for the assessment of ST. We should consider the psychological
aspects of ST and assess it as a symptom separately with acoustic and psychotic tests. |
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