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A survey of the psychological characteristics, sleep quality, and correlation with clinical outcomes in patients with chronic subjective tinnitus
- GUO Zhenping, LI Xuebing
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Journal of Otolaryngology and Ophthalmology of Shandong University. 2025, 39(1):
1-7.
doi:10.6040/j.issn.1673-3770.0.2023.384
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Abstract
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Objective This study aims to not only explore the psychological characteristics and sleep quality of patients with chronic subjective tinnitus(CST)but also analyze their correlation with clinical outcomes. Methods Eighty patients with CST were selected. The psychological characteristics and sleep quality of the patients were evaluated using the Self-Rating Depression Scale(SDS), Self-Rating Anxiety Scale(SAS), and pittsburgh sleep quality index(PSQI). Routine drug treatment was also given to analyze the correlation between clinical efficacy and psychological characteristics and sleep quality. Results As the degree of hearing loss worsens, the SDS, SAS, and PSQI scores of patients before treatment all significantly increase(F=28.255, P<0.001; F=31.613 9, P<0.001; F=204.933, P<0.001; F=220.602, P<0.001). There was no statistically significant differencein the scores of the Chinese version of the tinnitus handicap disability version(THI-C)between patients with normal hearing and mild hearing loss(P=0.186), as well as between patients with severe and extremely severe hearing loss(P=0.09). The THI-C, SDS, SAS, and PSQI scores of high-frequency tinnitus patients before treatment were significantly higher than those of low-frequency and intermediate frequency patients, while intermediate frequency patients were significantly higher than those of low-frequency patients(F=48.950, P<0.001; F=225.048, P<0.001; F=230.489, P<0.001; F=332.730, P<0.001). The SDS, SAS, and PSQI scores of patients with severe tinnitus before treatment were significantly higher than those of mild and moderate patients, while moderate patients were significantly higher than mild patients(P<0.001 for all). The THI-C score before treatment was significantly positively correlated with SDS, SAS, and PSQI scale scores(r=0.649, 0.681, and 0.657, respectively, P<0.001). The total effective rate of treatment for 80 patients was 63.75%, of which 21 were cured and 30 showed significant improvement. The THI-C, SDS, SAS, and PSQI scores of the patients after treatment were significantly lower than before treatment, and the differences were statistically significant(t=7.605, P<0.001; t=25.344, P<0.001; t=26.801, P<0.001; t=38.171, P<0.001). The SDS, SAS, and PSQI scores of cured patients were significantly lower than those of significantly improved and ineffective patients, while significantly improved patients were significantly lower than ineffective patients(F=374.158, P<0.001; F=577.547, P<0.001; F=570.382, P<0.001). Conclusion Patients with CST have common negative emotions such as depression and anxiety, and their sleep quality is poor. Their negative emotions and sleep quality are closely related to tinnitus and hearing levels, which can have adverse effects on the treatment effect.
