Gender Differences Affecting Psychiatric Distress and Tinnitus Severity
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Objective: This study evaluated gender differences in the relationship between psychiatric distress and subjective tinnitus severity. Methods: This cross-sectional study included 134 female and 114 male patients who visited the otology outpatient clinic at Seoul St. Mary’s Hospital for tinnitus from February to July 2015. Patients completed a series of instruments, including the Tinnitus Handicap Inventory, Beck Depression Inventory, Korean version of Brief Encounter Psychosocial Instrument (BEPSI-K), and visual analogue scales assessing various tinnitus characteristics (loudness, awareness, annoyance, and effect on life). Results: Tinnitus severity did not significantly differ between the gender groups (p =0.632), and it correlated significantly with tinnitus characteristics and psychiatric distress. Partial correlations between tinnitus severity and depressive symptoms were stronger in males (r=0.411, p<0.01) than in females (r=0.304, p<0.01) while controlling for duration of tinnitus and tinnitus characteristics. However, stress (BEPSI-K) was positively correlated with tinnitus severity in only males (r=0.463, p<0.01). A multiple regression analysis revealed that effect of tinnitus on life, depressive symptoms, and stress were significantly associated with tinnitus severity in males, whereas only tinnitus annoyance and depressive symptoms were associated with tinnitus severity in females. Conclusion: Tinnitus severity was significantly correlated with depressive symptoms and stress, and there were gender differences in the relationship between tinnitus severity and psychiatric components. It is necessary to be vigilant of psychiatric symptoms among patients with tinnitus who visit the otology outpatient clinic, especially for male patients.
Abstract
Objective: This study evaluated gender differences in the relationship between psychiatric distress and subjective tinnitus severity. Methods: This cross-sectional study included 134 female and 114 male patients who visited the otology outpatient clinic at Seoul St. Mary’s Hospital for tinnitus from February to July 2015. Patients completed a series of instruments, including the Tinnitus Handicap Inventory, Beck Depression Inventory, Korean version of Brief Encounter Psychosocial Instrument (BEPSI-K), and visual analogue scales assessing various tinnitus characteristics (loudness, awareness, annoyance, and effect on life). Results: Tinnitus severity did not significantly differ between the gender groups (p =0.632), and it correlated significantly with tinnitus characteristics and psychiatric distress. Partial correlations between tinnitus severity and depressive symptoms were stronger in males (r=0.411, p<0.01) than in females (r=0.304, p<0.01) while controlling for duration of tinnitus and tinnitus characteristics. However, stress (BEPSI-K) was positively correlated with tinnitus severity in only males (r=0.463, p<0.01). A multiple regression analysis revealed that effect of tinnitus on life, depressive symptoms, and stress were significantly associated with tinnitus severity in males, whereas only tinnitus annoyance and depressive symptoms were associated with tinnitus severity in females. Conclusion: Tinnitus severity was significantly correlated with depressive symptoms and stress, and there were gender differences in the relationship between tinnitus severity and psychiatric components. It is necessary to be vigilant of psychiatric symptoms among patients with tinnitus who visit the otology outpatient clinic, especially for male patients.
참고문헌 (54)
- Eggermont JJ, "The neuroscience of tinnitus", Trends Neurosci, 27, pp.676~682 (2004)
- Park KH, "Prevalence and associated factors of tinnitus : data from the Korean National Health and Nutrition Examination Survey 2009-2011", J Epidemiol, 24, pp.417~426 (2014)
- Shargorodsky J, "Prevalence and characteristics of tinnitus among US adults", Am J Med, 123, pp.711~718 (2010)
- Møller AR, "Textbook of tinnitus", pp.29~37 (2011), Springer
- Heller AJ, "Classification and epidemiology of tinnitus", Otolaryngol Clin N Am, 36, pp.239~248 (2003)
- Møller AR, "Tinnitus : presence and future", Prog Brain Res, 166, pp.3~16 (2007)
- Bhatt JM, "Relationships between tinnitus and the prevalence of anxiety and depression", Laryngoscope, 127, pp.466~469 (2017)
- Langguth B, "A review of tinnitus symptoms beyond 'ringing in the ears' : a call to action", Curr Med Res Opin, 27, pp.1635~1643 (2011)
- Andersson G, "Screening of psychiatric disorders via the internet. A pilot study with tinnitus patients", Nord J Psychiatry, 58, pp.287~291 (2004)
- Kennedy V, "Quality of life and tinnitus", Audiol Med, 2, pp.29~40 (2004)
- Scott B, "Psychological profile and somatic complaints between help-seeking and non-help-seeking tinnitus subjects", Psychosomatics, 41, pp.347~352 (2000)
- Stobik C, "Evidence of psychosomatic influences in compensated and decompensated tinnitus", Int J Audiol, 44, pp.370~378 (2005)
- Zöger S, "Psychiatric disorders in tinnitus patients without severe hearing impairment : 24 month follow-up of patients at an audiological clinic", Audiology, 40, pp.133~140 (2001)
- Vallianatou NG, "Audiologic and psychological profile of Greek patients with tinnitus : preliminary findings", Am J Otolaryngol, 22, pp.33~37 (2001)
- Salk RH, "Gender differences in depression in representative national samples : meta-analyses of diagnoses and symptoms", Psychol Bull, 143, pp.783~822 (2017)
- Pinto PC, "The impact of gender, age and hearing loss on tinnitus severity", Braz J Otorhinolaryngol, 76, pp.18~24 (2010)
- Meric C, "Psychopathological profile of tinnitus sufferers : evidence concerning the relationship between tinnitus features and impact on life", Audiol Neurootol, 3, pp.240~252 (1998)
- Erlandsson SI, "The impact of perceived tinnitus severity on health-related quality of life with aspects of gender", Noise Health, 3, pp.39~51 (2001)
- Seydel C, "Gender and chronic tinnitus : differences in tinnitus-related distress depend on age and duration of tinnitus", Ear Hear, 34, pp.661~672 (2013)
- Hiller W, "Factors influencing tinnitus loudness and annoyance", Arch Otolaryngol Head Neck Surg, 132, pp.1323~1330 (2006)
- Stouffer JL, "Characterization of tinnitus by tinnitus patients", J Speech Hear Disord, 55, pp.439~453 (1990)
- Gomaa MA, "Depression, anxiety and stress scale in patients with tinnitus and hearing loss", Eur Arch Otorhinolaryngol, 271, pp.2177~2184 (2014)
- Budd RJ, "Tinnitus coping style and its relationship to tinnitus severity and emotional distress", J Psychosom Res, 41, pp.327~335 (1996)
- D'Amelio R, "Psychological distress associated with acute tinnitus", HNO, 52, pp.599~603 (2004)[DOI]
- Härter M, "Psychological stress and impaired quality of life in patients with tinnitus", HNO, 52, pp.125~131 (2004)
- Olderog M, "Predictors and mechanisms of tinnitus distress - a longitudinal analysis", Laryngorhinootologie, 83, pp.5~13 (2004)
- Seydel C, "Long-term improvement in tinnitus after modified tinnitus retraining therapy enhanced by a variety of psychological approaches", Audiol Neurootol, 15, pp.69~80 (2010)
- Schmaus BJ, "Gender and stress : differential psychophysiological reactivity to stress reexposure in the laboratory", Int J Psychophysiol, 69, pp.101~106 (2008)
- Udupi VA, "The relationship of perceived severity of tinnitus with depression, anxiety, hearing status, age and gender in individuals with tinnitus", Int Tinnitus J, 18, pp.29~34 (2013)
- Newman CW, "Development of the Tinnitus Handicap Inventory", Arch Otolaryngol Head Neck Surg, 122, pp.143~148 (1996)
- Newman CW, "Psychometric adequacy of the Tinnitus Handicap Inventory(THI)for evaluating treatment outcome", J Am Acad Audiol, 9, pp.153~160 (1998)
- 김규상, "군 복무로 인한 이명자의 이명 특성과 이명장애의 우울증과의 관련성", 대한이비인후-두경부외과학회지, 55(12), pp.757~763 (2012), 대한이비인후과학회[DOI]
- 김재홍, "이명 심각도에 따른 정신의학적 특징", 생물정신의학, 22(1), pp.7~13 (2015), 대한생물정신의학회
- 김지혜, "한국어 번역판 Tinnitus Handicap Inventory의 신뢰도 및 타당도 연구", 대한이비인후-두경부외과학회지, 45(4), pp.328~334 (2002), 대한이비인후과학회
- Herraiz C, "Tinnitus and ménière's disease : characteristics and prognosis in a tinnitus clinic sample", Eur Arch Otorhinolaryngol, 263, pp.504~509 (2006)
- Crocetti A, "Questionnaires to evaluate anxiety and depressive levels in tinnitus patients", Otolaryngol Head Neck Surg, 140, pp.403~405 (2009)
- Herraiz C, "Long-term clinical trial of tinnitus retraining therapy", Otolaryngol Head Neck Surg, 133, pp.774~779 (2005)
- Beck AT, "An inventory for measuring depression", Arch Gen Psychiatry, 4, pp.561~571 (1961)
- Lee YH, "A study of the reliability and the validity of the BDI, SDS, and MMPI-D scales", Korean J Clin Psychol, 10, pp.98~113 (1991)
- Frank SH, "Stress in the clinical setting : the Brief Encounter Psychosocial Instrument", J Fam Pract, 26, pp.533~539 (1988)
- Huh BY, "The validity of modified Korean-translated BEPSI(Brief Encounter Psychosocial Instrument)as instrument of stress measurement in outpatient clinic", J Korean Acad Fam Med, 17, pp.42~53 (1996)
- Langguth B, "Consensus for tinnitus patient assessment and treatment outcome measurement : Tinnitus Research Initiative meeting, Regensburg, July 2006", Prog Brain Res, 166, pp.525~536 (2007)
- Robinson SK, "Relationship of tinnitus questionnaires to depressive symptoms, quality of well-being, and internal focus", Int Tinnitus J, 9, pp.97~103 (2003)
- Zöger S, "Relationship between tinnitus severity and psychiatric disorders", Psychosomatics, 47, pp.282~288 (2006)
- Andersson G, "Understanding tinnitus distress: introducing the concepts of moderators and mediators", Int J Audiol, 47(Suppl 2), pp.S106~S111 (2008)
- Davis AC, "Hearing science and hearing disorders", pp.35~60 (1983), Academic Press
- Matud MP, "Gender differences in stress and coping styles", Personal Individ Differ, 37, pp.1401~1415 (2004)
- Addis ME, "Men, masculinity, and the contexts of help seeking", Am Psychol, 58, pp.5~14 (2003)
- Brody LR, "Gender and emotion : beyond stereotypes", J Soc Issues, 53, pp.369~393 (1997)
- Mazurek B, "Stress and tinnitus", HNO, 63, pp.258~265 (2015)
- Kroenke K, "The PHQ-9 : validity of a brief depression severity measure", J Gen Intern Med, 16, pp.606~613 (2001)
- Sang Won Jeon, "Measurement-based Treatment of Residual Symptoms Using Clinically Useful Depression Outcome Scale: Korean Validation Study", Clinical Psychopharmacology and Neuroscience, 15(1), pp.28~34 (2017), 대한정신약물학회[DOI]
- Halford JB, "Anxiety and depression in tinnitus sufferers", J Psychosom Res, 35, pp.383~390 (1991)
- Marciano E, "Psychiatric comorbidity in a population of outpatients affected by tinntius", Int J Audiol, 42, pp.4~9 (2003)
