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Original Article

Predictive factors for development of severe tinnitus suffering-further characterisation

Factores predictivos para el desarrollo de tinitus severo que sufren una caracterización adicional

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Pages 584-592 | Received 27 May 2004, Published online: 07 Jul 2009
 

Abstract

The purpose of this study was to identify risk factors for Severe Tinnitus Suffering (STS) and to describe the results from psychiatric diagnostic interviews of STS positive and STS negative patients. Consecutive tinnitus patients (n = 127) completed the Nottingham Health Profile (NHP) and the Tinnitus Severity Questionnaire (TSQ) and answered general health questions at the first visit to the clinic and at eighteen months follow-up. Twenty-four months after the first tinnitus consultation, standardized diagnostic interviews (SCID-P), according to DSM-IIIR, were performed by an experienced psychiatrist. The calculated probability for STS was 93%, if three items from the NHP (18,32,33) were positive. STS positive patients had more anxiety disorders with more psychosocial stress and lower global assessment of function scores. Results suggest that the NHP may be a useful tool in the clinical management of tinnitus patients and emphasises the importance of identifying depressive and anxiety disorders in this population.

Sumario

El propósito de este estudio fue identificar factores de riesgo de sufrimiento severo de tinitus (STS) y describir los resultados de entrevistas para diagnóstico psiquiátrico de pacientes STS positivos y STS negativos. Un número consecutivo de pacientes con tinitus (n = 127) inscritos en el Perfil de Salud de Nottingham (NHP) y en el Cuestionario de Severidad de Tinitus (TSQ) respondieron preguntas de salud general en su primera visita a la clínica y a los 18 meses de seguimiento. Veinticuatro meses después de la primera consulta por tinitus se realizaron entrevistas de diagnóstico estandarizadas (SCID-P), de acuerdo con DSM-IIIR, por un psiquiatra experimentado. La probabilidad calculada para STS fue del 93% si tres puntos del NHP (18,32,33) eran positivos. Los pacientes STS positivos tenían más trastornos de ansiedad asociados a mayor estrés psicosocial y evaluación global más baja en las puntuaciones de funciones., Los resultados sugieren que el NHP puede ser un instrumento útil en el manejo clínico de los pacientes con tinitus y enfatiza la importancia de identificar trastornos depresivos y de ansiedad en este grupo poblacional.

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