KBB-Forum 2015 , Cilt 14, Sayı 4

PSYCHOTIC MEASUREMENTS OF PATIENTS WHO PRESENTED TO OUR CLINIC WITH SUBJECTIVE TINNITUS SYMPTOMS

Ayca OZBAL KOC1, MD; Cigdem KALAYCIK ERTUGAY2, MD; Sermin SAYAN KİBAR3, MD; Seyra ERBEK4, MD
1Başkent Üniversitesi İstanbul Hastanesi, Kulak Burun Boğaz ve Baş&Boyun Cerrahisi Kliniği, İstanbul, Turkey
2Haydarpaşa Numune Eğitim ve Araştırma Hastanesi, Kulak Burun Boğaz ve Baş&Boyun Cerrahisi Kliniği, İstanbul, Turkey
3Başkent Üniversitesi İstanbul Hastanesi, Kulak Burun Boğaz ve Baş&Boyun Cerrahisi Kliniği, İstanbul, Turkey
4Başkent Üniversitesi Ankara Hastanesi, Kulak Burun Boğaz ve Baş&Boyun Cerrahisi Kliniği, Ankara, Turkey Aim: The objective of this study is to evaluate the relation of between age, gender, hearing loss, depression and anxiety scores with tinnitus.

Materials and Methods: Patients having tinnitus complaint were evaluated at our otorhinolaryngology clinic, from June 2014 to December 2014, through a detailed interview complete otorhinolaryngological examination, the Turkish version of the Tinnitus Handicap Inventory (THI) and pure-tone audiometry (PTA), Beck Anxiety and Depression Scales, visual analog scale (VAS) (annoyance, ignorability, unpleasantness). The relation of between age, gender, hearing loss, depression and anxiety scores with tinnitus was analyzed. THI was classified in terms of: light, mild, moderate, severe and catastrophic on a scale of 0–16, 18–36, 38–56, 58–76 and 78–100, respectively. Two groups were created focusing on speech discrimination as over 88% and under 88%.

Results: 100 patients with subjective tinnitus symptom were enrolled in this study. Age varied from 19 to 81 (mean 52.2±14.9). Females with tinnitus had more anxiety than males (p=0.06). Tinnitus patients with normal hearing had higher ignorability scores compared to tinnitus patients with hearing loss (p=0.027). There was a significant difference in the fifth group of THI ( catastrophic ) regarding the anxiety and depression scores. There was no correlation between speech discrimination scores and THI, VAS scores, and Beck Anxiety and Depression scores.

Conclusion: We noted that findings in several studies vary widely, reflecting the idea that tinnitus patients are a heterogeneous group and that many factors determine the impact of tinnitus on the lives of patients. Keywords : Tinnitus, hearing loss, anxiety, depression