군 복무로 인한 이명자의 이명 특성과 이명장애의 우울증과의 관련성
The Characterisitics of Tinnitus and Its Relationship to Depression from Tinnitus Acquired from Military Service
1
조회
0
다운로드
8
인용
0
참고문헌
키워드
초록
Background and Objectives This study aimed to investigate the characteristics of tinnitus in patients who acquired the condition during military service. We also investigated the discomfort patients felt due to tinnitus and its relationship to depression. Subjects and Method Research participants included 295 victims of tinnitus, who acquired it during military service. The subjects completed a structured questionnaire designed to investigate socio-demographic characteristics, tinnitus characteristics, and health effects of the condition. The Tinnitus Handicap Inventory (THI) was used to evaluate the social and psychological discomfort caused by tinnitus. When the center for epidemiological studies-depression scale score was 25 or higher, the subjects were considered positive for depression. Results Severe tinnitus affected 76.6% of subjects, with THI scores of at least 58 indicating effects on everyday life, and 35.6% of subjects showing depression. Depression showed a significant relationship with past history of ear diseases, hearing loss, loudness of tinnitus, tinnitus handicap, and effects on health due to tinnitus. In the multiple logistic regression analysis, hearing loss, loudness of tinnitus, and tinnitus handicap significantly affected the occurrence of depression. The adjusted odds ratios were as follows: 2.39 (95% CI, 1.36-4.21) with hearing loss, 2.51 (95% CI, 1.14-5.54) for high loudness of tinnitus, and 5.04 (95% CI, 1.98-12.79) for high tinnitus handicap. Conclusion Relevant countermeasures are needed due to the high risk of depression observed among patients with high tinnitus handicap with hearing loss that affect everyday life. Korean J Otorhinolaryngol-Head Neck Surg 2012;55:757-63
Abstract
Background and Objectives This study aimed to investigate the characteristics of tinnitus in patients who acquired the condition during military service. We also investigated the discomfort patients felt due to tinnitus and its relationship to depression. Subjects and Method Research participants included 295 victims of tinnitus, who acquired it during military service. The subjects completed a structured questionnaire designed to investigate socio-demographic characteristics, tinnitus characteristics, and health effects of the condition. The Tinnitus Handicap Inventory (THI) was used to evaluate the social and psychological discomfort caused by tinnitus. When the center for epidemiological studies-depression scale score was 25 or higher, the subjects were considered positive for depression. Results Severe tinnitus affected 76.6% of subjects, with THI scores of at least 58 indicating effects on everyday life, and 35.6% of subjects showing depression. Depression showed a significant relationship with past history of ear diseases, hearing loss, loudness of tinnitus, tinnitus handicap, and effects on health due to tinnitus. In the multiple logistic regression analysis, hearing loss, loudness of tinnitus, and tinnitus handicap significantly affected the occurrence of depression. The adjusted odds ratios were as follows: 2.39 (95% CI, 1.36-4.21) with hearing loss, 2.51 (95% CI, 1.14-5.54) for high loudness of tinnitus, and 5.04 (95% CI, 1.98-12.79) for high tinnitus handicap. Conclusion Relevant countermeasures are needed due to the high risk of depression observed among patients with high tinnitus handicap with hearing loss that affect everyday life. Korean J Otorhinolaryngol-Head Neck Surg 2012;55:757-63
참고문헌 (27)
- Mrena R, "Characteristics of acute acoustical trauma in the Finnish Defence Forces", Int J Audiol, 43(3), pp.177~181 (2004)
- Ylikoski ME, "Prolonged exposure to gunfire noise among professional soldiers", Scand J Work Environ Health, 20(2), pp.87~92 (1994)
- Chung DY, "Factors affecting the prevalence of tinnitus", Audiology, 23(5), pp.441~452 (1984)
- McShane DP, "Tinnitus prevalence in industrial hearing loss compensation claimants", Clin Otolaryngol Allied Sci, 13(5), pp.323~330 (1988)
- Alberti PW, "Tinnitus in occupational hearing loss: nosological aspects", J Otolaryngol, 16(1), pp.34~35 (1987)
- Sułkowski W, "Tinnitus and impulse noise-induced hearing loss in drop-forge operators", Int J Occup Med Environ Health, 12(2), pp.177~182 (1999)
- Park SN, "Measurement of stress, anxiety and depression in the patients with tinnitus and their clinical significance", Korean J Audiol, 11(1), pp.22~28 (2007)
- Hallberg LR, "Structure of perceived handicap in middle-aged males with noise-induced hearing loss, with and without tinnitus", Audiology, 32(2), pp.137~152 (1993)
- Vesterager V., "Tinnitus--investigation and management", BMJ, 314(7082), pp.728~731 (1997)
- Tyler RS, "Difficulties experienced by tinnitus sufferers", J Speech Hear Disord, 48(2), pp.150~154 (1983)
- Cho MJ, "Diagnostic validity of the CES-D (Korean version) in the assessment of DSM-III-R major depression", J Korean Neuropsychiatr Assoc, 32(3), pp.381~399 (1993)
- 김규상, "소음 노출 작업자의 이명의 특성과 이에 영향을 미치는 요인", Annals of Occupational and Environmental Medicine, 14(4), pp.436~447 (2002), 대한직업환경의학회
- Kim DY., "The influence of tinnitus handicap inventory on depression scale in discharged soldiers with tinnitus", 석사, pp.2011
- 김규상, "일반 질환과 난청", 청능재활, 7(1), pp.1~9 (2011), 한국청각언어재활학회
- 성기월, "고혈압을 가진 저소득층 여성노인의 자가간호 행위와 우울증상 -초기노인과 후기노인의 비교-", Journal of Korean Academy of Nursing, 38(4), pp.593~602 (2008), 한국간호과학회
- Hiller W, "Factors influencing tinnitus loudness and annoyance", Arch Otolaryngol Head Neck Surg, 132(12), pp.1323~1330 (2006)
- Scott B, "Psychological profile and somatic complaints between help-seeking and non-help-seeking tinnitus subjects", Psychosomatics, 41(4), pp.347~352 (2000)
- Scott B, "Predictors of tinnitus discomfort, adaptation and subjective loudness", Br J Audiol, 24(1), pp.51~62 (1990)
- 류소진, "이명장애지수에 영향을 주는 요인에 대한 분석", 청능재활, 7(2), pp.164~178 (2011), 한국청각언어재활학회
- 이소영, "우울을 호소하는 이명 환자들의 역기능적 신념", 한국심리학회지 임상, 22(4), pp.709~723 (2003), 한국임상심리학회
- Arlinger S, "Negative consequences of uncorrected hearing loss--a review", Int J Audiol, 42(Suppl 2), pp.2S17~2S20 (2003)
- Tambs K, "Moderate effects of hearing loss on mental health and subjective well-being: results from the Nord-Trøndelag Hearing Loss Study", Psychosom Med, 66(5), pp.776~782 (2004)
- Dye CJ, "Influence of amplification on the psychological functioning of older adults with neurosensory hearing loss", J Acad Rehab Audiol, 16, pp.210~220 (1983)
- Dias A, "Association between hearing loss level and degree of discomfort introduced by tinnitus in workers exposed to noise", Braz J Otorhinolaryngol, 74(6), pp.876~883 (2008)
- Pinto PC, "The impact of gender, age and hearing loss on tinnitus severity", Braz J Otorhinolaryngol, 76(1), pp.18~24 (2010)
- 정유림, "항공기 소음노출이 청력손실과 불안 및 우울에 미치는 영향 - 군용비행장 주변에서", Annals of Occupational and Environmental Medicine, 24(1), pp.40~51 (2012), 대한직업환경의학회
- Hazell JWP, "A cochlear model for tinnitus", Proceedings international Tinnitus seminar, pp.121~128 (1987)