耳鸣与焦虑情绪及睡眠障碍相关性的研究进展
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摘要
耳鸣是耳部疾病中最常见的三大症状之一,在不同地区,有7%～35%的一般人群出现过耳鸣症状。焦虑情绪的出现会影响大脑识别有用信息的能力,从而使大脑向听觉神经系统发送不良信号导致听觉系统过敏甚至失认,睡眠的缺乏造成大脑中的代谢物无法清除并不断累积,增强了听觉系统的交感神经反应,这两种情况都可能导致并加重耳鸣的出现。笔者就耳鸣与焦虑情绪及睡眠障碍的相关性进行综述,研究结果提示,焦虑情绪和睡眠障碍与耳鸣密切相关,并且可能是耳鸣的重要影响因素。国内外有关耳鸣的多种评估方法较为成熟,可为临床上评估耳鸣的严重程度提供参考。
Tinnitus is one of the three most common symptoms in ear disease. In different regions,7% to 35% of the general population has tinnitus symptoms. Anxiety can affect the brain's ability to recognize useful information,lead brain to send bad signals to the auditory system and cause hyperacusis or auditory agnosia. The lack of sleeping causes the accumulation and inability to clean metabolites in the brain and,and enhancing of hearing sympathetic responses,both of which can cause and aggravate the appearance of tinnitus. This article reviews the relationship between tinnitus and anxiety and sleep disorders. The results suggest that anxiety and sleep disorders are closely related to tinnitus and may be an important factor in tinnitus. A variety of assessment methods for tinnitus at home and abroad are relatively mature,which can provide a reference for clinical evaluation of the severity of tinnitus.
Tinnitus is one of the three most common symptoms in ear disease. In different regions,7% to 35% of the general population has tinnitus symptoms. Anxiety can affect the brain's ability to recognize useful information,lead brain to send bad signals to the auditory system and cause hyperacusis or auditory agnosia. The lack of sleeping causes the accumulation and inability to clean metabolites in the brain and,and enhancing of hearing sympathetic responses,both of which can cause and aggravate the appearance of tinnitus. This article reviews the relationship between tinnitus and anxiety and sleep disorders. The results suggest that anxiety and sleep disorders are closely related to tinnitus and may be an important factor in tinnitus. A variety of assessment methods for tinnitus at home and abroad are relatively mature,which can provide a reference for clinical evaluation of the severity of tinnitus.
引文
[1]贾若,孙凤新,刘博.耳鸣和情绪认知的相关性研究[J].中华耳科学杂志,2016,14(2):158-162.
[2] TUNKEL DE,BAUER CA,SUN GH,et al. American academy of otolaryngology-head and neck foundation clinical practice guideline:tinnitus[J]. Otolaryngology Head and Neck Surgery,2014,151(4):533-541.
[3]李明,韩东一.共同促进我国耳鸣研究的健康发展[J].中华耳鼻咽喉头颈外科杂志,2012,47(9):705-708.
[4] NONDAHL DM,CRUICKSHANKS KJ,HUANG GH,et al. Tinnitus and its risk factors in the Beaver Dam Offspring Study[J]. International Audiol,2011,50(5):313-320.
[5] CIMA RF,VLAEYEN JW,MAES IH,et al. Tinnitus interferes with daily life activities:a psychometric examination of the tinnitus disability Index[J]. Ear and Hear,2011,32(5):623.
[6] DAWES P,FORTNUM H,MOORE DR,et al. Hearing in middle age:a population snapshot of 40-69 year olds in the UK[J]. Ear and Hear 2014,35(3):44-51.
[7] JASTREBOFF PJ,HAZELL JW. A neurophysiological approach to tinnitus:clinical implications[J]. British Journal of Audiology,1993,27(1):7-17.
[8] LONDERO A,LANGGUTH B,DE RD,et al. Repetitive transcranial magnetic stimulation:a new therapeutic approach in subjective tinnitus?[J]. Neurophysiologie Clinique,2006,36(3):145-155.
[9] JASTREBOFF PJ,GRAY WC,GOLD SL. Neurophysiobgical approach to tinnitus patients[J]. Am J Otol,1996,17(2):236-240.
[10]孔维佳.耳鸣的诊断与治疗(一)[J].临床耳鼻咽喉头颈外科杂志,2010,24(1):35-40.
[11] TEGG-QUINN S,BENNETT RJ,EIKELBOOM RH,et al. The impact of tinnitus upon cognition in adults:a systematic review[J].International Audiology,2016,55(10):533-540.
[12]戴悦,张宝泉,李映兰,等.中国老年人睡眠质量与抑郁、焦虑相关性的Meta分析[J].中华护理杂志,2016,51(4):488-493.
[13] WALLHUSSER FE,SCHREDL M,DELB W. Tinnitus and insomnia:Is hyperarousal the common denominator?[J]. Sleep Medicine Reviews,2013,17(1):65-74.
[14]孟照莉,李刚,陶勇,等.耳鸣认知压力对耳鸣严重程度的影响[J].听力学及言语疾病杂志,2017,25(5):480-483.
[15]齐思涵,秦兆冰,陈秀兰,等.影响慢性主观性耳鸣严重程度的相关因素分析[J].听力学及言语疾病杂志,2014,22(4):367-370.
[16] WEIDT S,DELSIGNORE A,MEYER M,et al. Which tinnitus-related characteristics affect current health-related quality of life and depression? A cross-sectional cohort study[J]. Psychiatry Research,2016,237:114-121.
[17] PROBST T,PRYSS RC,LANGGUTH B,et al. Does tinnitus depend on time-of-day? An ecological momentary assessment study with the track your tinnitus application[J]. Frontiers In Aging Neuroscience,2017,9:253.
[18] OOMS E,VANHEULE S,MEGANCK R,et al. Tinnitus severity and its association with cognitive and somatic anxiety:a critical study[J]. European Archives of Oto-Rhino-Laryngology,2012,269(11):2327-2333.
[19] FERNANDES G,GONCALVES DA,DE SIQUEIRA JT,et al.Painful temporomandibular disorders,self reported tinnitus,and depression are highly associated[J]. Arquivos de Neuro-psiquiatria,2013,71(12):943-947.
[20] BHATT JM,BHATTACHARYYA N,LIN HW. Relationships between tinnitus and the prevalence of anxiety and depression[J].Laryngoscope,2017,127(2):466-469.
[21] MALCOLM KOO,JUEN-HAUR HWANG. Risk of tinnitus in patients with sleep apnea:a nationwide,population-based,case-control study[J]. Laryngoscope,2017,127:2171-2175.
[22] IZUHARA K,WADA K,NAKAMURA K,et al. Association between tinnitus and sleep disorders in the general Japanese population[J]. Annals of Otology Rhinology and Laryngology,2013,122(11):701-706.
[23] ASPLUND R. Sleepiness and sleep in elderly persons with tinnitus[J]. Archives of Gerontology and Geriatrics,2003,37(2):139-145.
[24] FERNANDES G,SIQUEIRA JT,CAMPARIS CM. Association between painful temporomandibular disorders,sleep bruxism and tinnitus[J]. Brazilian Oral Research,2014,28(1):1-7.
[25] KIM SY,JEON YJ,LEE J,et al. Characteristics of tinnitus in adolescents and association with psychoemotional factors[J]. Laryngoscope,2016,127(9):2113.
[26] BIRGIT M,HEIDEMARIE H,HEIDI O,et al. Stress and tinnitusfrom bedside to bench and back[J]. Frontiers in Systems Neuroscience,2012,6(6):47.
[27]孟照莉,郑芸,王恺.推荐一种耳鸣主观评估表[J].听力学及言语疾病杂志,2007,15(4):325-327.
[28] NEWMAN CW,JACOBSON GP,SPITZER JB. Development of the tinnitus handicap inventory[J]. Arch Otolaryngol Head Neck Surg,1996,122(2):143-148.
[29] BERRY JA,GOLD SL,FREDERICK EA,et al. Patient-based outcomes in patients with primary tinnitus undergoing tinnitus retraining therapy[J]. Archives of Otolaryngology—Head and Neck Surgery,2002,128(10):1153.
[30]王培,邱泽恒,陈玲,等.耳鸣残疾量表和视觉模拟量表在突发性聋伴耳鸣患者中的应用[J].临床耳鼻咽喉头颈外科杂志,2014(22):1777-1779.
[31]刘蓬,徐桂丽,曹祖威,等.耳鸣评价量表的信度与效度研究[J].中华耳鼻咽喉头颈外科杂志,2012,47(9):716-719.
[32]刘蓬,龚慧涵,阮紫娟.耳鸣严重程度评估方法的研究[J].中华耳科学杂志,2009,7(3):186-190.
[33]陈知己,郑芸,钟萍,等.耳鸣评价量表的临床应用价值研究[J].听力学及言语疾病杂志,2017,25(3):242-246.
[34]徐建乐,郑芸,孟昭莉,等.耳鸣严重程度与焦虑的相关性研究[J].临床耳鼻咽喉头颈外科杂志,2012,26(16):729-732.
[35]段泉泉,胜利.焦虑及抑郁自评量表的临床效度[J].中国心理卫生杂志,2012,26(9):676-679.
[36]张伟,王维利,洪静芳,等.医院焦虑抑郁量表在住院癌症患者焦虑抑郁筛查中临界值的研究[J].护理学报,2012(19):1-4.
[37]王道阳,戴丽华,殷欣.大学生的睡眠质量与抑郁、焦虑的关系[J].中国心理卫生杂志,2016,30(3):226-230.
[38]王文菁,许明智.焦虑自评量表在精神疾病患者中的因子结构研究[J].广东医学,2009,30(10):1416-1418.
[39] ZEMAN F,KOLLER M,LANGGUTH B,et al. Which tinnitus-related aspects are relevant for quality of life and depression:results from a large international multicentre sample[J]. Health and Quality of Life Outcomes,2014,12(1):7.
[40]闫波.突发性耳聋患者耳鸣状况的危险因素研究[J].安徽医药,2014,18(8):1496-1498.
[41] VOGEL I,PM LJ,MIELOO CL,et al. Risky music listening,permanent tinnitus and depression,anxiety,thoughts about suicide and adverse general health[J]. Plos One,2014,9(6):e98912. DOI:10. 1371/journal. pone. 0098912.
[42]黎志成,古若雷,戚敏,等.耳鸣患者负性情绪水平分析[J].中山大学学报(医学科学版),2013,34(3):485-490.
[43]陈丹萍,王晓茜,黄宏明,等.轻度及中重度非急性主观性耳鸣严重程度与焦虑和抑郁的相关性研究[J].临床耳鼻咽喉头颈外科杂志,2015,21(22):1995-1998.
[44]黎志成,古若雷,曾祥丽.耳鸣的心理机制[J].心理科学进展,2011,19(8):1179-1185.
[2] TUNKEL DE,BAUER CA,SUN GH,et al. American academy of otolaryngology-head and neck foundation clinical practice guideline:tinnitus[J]. Otolaryngology Head and Neck Surgery,2014,151(4):533-541.
[3]李明,韩东一.共同促进我国耳鸣研究的健康发展[J].中华耳鼻咽喉头颈外科杂志,2012,47(9):705-708.
[4] NONDAHL DM,CRUICKSHANKS KJ,HUANG GH,et al. Tinnitus and its risk factors in the Beaver Dam Offspring Study[J]. International Audiol,2011,50(5):313-320.
[5] CIMA RF,VLAEYEN JW,MAES IH,et al. Tinnitus interferes with daily life activities:a psychometric examination of the tinnitus disability Index[J]. Ear and Hear,2011,32(5):623.
[6] DAWES P,FORTNUM H,MOORE DR,et al. Hearing in middle age:a population snapshot of 40-69 year olds in the UK[J]. Ear and Hear 2014,35(3):44-51.
[7] JASTREBOFF PJ,HAZELL JW. A neurophysiological approach to tinnitus:clinical implications[J]. British Journal of Audiology,1993,27(1):7-17.
[8] LONDERO A,LANGGUTH B,DE RD,et al. Repetitive transcranial magnetic stimulation:a new therapeutic approach in subjective tinnitus?[J]. Neurophysiologie Clinique,2006,36(3):145-155.
[9] JASTREBOFF PJ,GRAY WC,GOLD SL. Neurophysiobgical approach to tinnitus patients[J]. Am J Otol,1996,17(2):236-240.
[10]孔维佳.耳鸣的诊断与治疗(一)[J].临床耳鼻咽喉头颈外科杂志,2010,24(1):35-40.
[11] TEGG-QUINN S,BENNETT RJ,EIKELBOOM RH,et al. The impact of tinnitus upon cognition in adults:a systematic review[J].International Audiology,2016,55(10):533-540.
[12]戴悦,张宝泉,李映兰,等.中国老年人睡眠质量与抑郁、焦虑相关性的Meta分析[J].中华护理杂志,2016,51(4):488-493.
[13] WALLHUSSER FE,SCHREDL M,DELB W. Tinnitus and insomnia:Is hyperarousal the common denominator?[J]. Sleep Medicine Reviews,2013,17(1):65-74.
[14]孟照莉,李刚,陶勇,等.耳鸣认知压力对耳鸣严重程度的影响[J].听力学及言语疾病杂志,2017,25(5):480-483.
[15]齐思涵,秦兆冰,陈秀兰,等.影响慢性主观性耳鸣严重程度的相关因素分析[J].听力学及言语疾病杂志,2014,22(4):367-370.
[16] WEIDT S,DELSIGNORE A,MEYER M,et al. Which tinnitus-related characteristics affect current health-related quality of life and depression? A cross-sectional cohort study[J]. Psychiatry Research,2016,237:114-121.
[17] PROBST T,PRYSS RC,LANGGUTH B,et al. Does tinnitus depend on time-of-day? An ecological momentary assessment study with the track your tinnitus application[J]. Frontiers In Aging Neuroscience,2017,9:253.
[18] OOMS E,VANHEULE S,MEGANCK R,et al. Tinnitus severity and its association with cognitive and somatic anxiety:a critical study[J]. European Archives of Oto-Rhino-Laryngology,2012,269(11):2327-2333.
[19] FERNANDES G,GONCALVES DA,DE SIQUEIRA JT,et al.Painful temporomandibular disorders,self reported tinnitus,and depression are highly associated[J]. Arquivos de Neuro-psiquiatria,2013,71(12):943-947.
[20] BHATT JM,BHATTACHARYYA N,LIN HW. Relationships between tinnitus and the prevalence of anxiety and depression[J].Laryngoscope,2017,127(2):466-469.
[21] MALCOLM KOO,JUEN-HAUR HWANG. Risk of tinnitus in patients with sleep apnea:a nationwide,population-based,case-control study[J]. Laryngoscope,2017,127:2171-2175.
[22] IZUHARA K,WADA K,NAKAMURA K,et al. Association between tinnitus and sleep disorders in the general Japanese population[J]. Annals of Otology Rhinology and Laryngology,2013,122(11):701-706.
[23] ASPLUND R. Sleepiness and sleep in elderly persons with tinnitus[J]. Archives of Gerontology and Geriatrics,2003,37(2):139-145.
[24] FERNANDES G,SIQUEIRA JT,CAMPARIS CM. Association between painful temporomandibular disorders,sleep bruxism and tinnitus[J]. Brazilian Oral Research,2014,28(1):1-7.
[25] KIM SY,JEON YJ,LEE J,et al. Characteristics of tinnitus in adolescents and association with psychoemotional factors[J]. Laryngoscope,2016,127(9):2113.
[26] BIRGIT M,HEIDEMARIE H,HEIDI O,et al. Stress and tinnitusfrom bedside to bench and back[J]. Frontiers in Systems Neuroscience,2012,6(6):47.
[27]孟照莉,郑芸,王恺.推荐一种耳鸣主观评估表[J].听力学及言语疾病杂志,2007,15(4):325-327.
[28] NEWMAN CW,JACOBSON GP,SPITZER JB. Development of the tinnitus handicap inventory[J]. Arch Otolaryngol Head Neck Surg,1996,122(2):143-148.
[29] BERRY JA,GOLD SL,FREDERICK EA,et al. Patient-based outcomes in patients with primary tinnitus undergoing tinnitus retraining therapy[J]. Archives of Otolaryngology—Head and Neck Surgery,2002,128(10):1153.
[30]王培,邱泽恒,陈玲,等.耳鸣残疾量表和视觉模拟量表在突发性聋伴耳鸣患者中的应用[J].临床耳鼻咽喉头颈外科杂志,2014(22):1777-1779.
[31]刘蓬,徐桂丽,曹祖威,等.耳鸣评价量表的信度与效度研究[J].中华耳鼻咽喉头颈外科杂志,2012,47(9):716-719.
[32]刘蓬,龚慧涵,阮紫娟.耳鸣严重程度评估方法的研究[J].中华耳科学杂志,2009,7(3):186-190.
[33]陈知己,郑芸,钟萍,等.耳鸣评价量表的临床应用价值研究[J].听力学及言语疾病杂志,2017,25(3):242-246.
[34]徐建乐,郑芸,孟昭莉,等.耳鸣严重程度与焦虑的相关性研究[J].临床耳鼻咽喉头颈外科杂志,2012,26(16):729-732.
[35]段泉泉,胜利.焦虑及抑郁自评量表的临床效度[J].中国心理卫生杂志,2012,26(9):676-679.
[36]张伟,王维利,洪静芳,等.医院焦虑抑郁量表在住院癌症患者焦虑抑郁筛查中临界值的研究[J].护理学报,2012(19):1-4.
[37]王道阳,戴丽华,殷欣.大学生的睡眠质量与抑郁、焦虑的关系[J].中国心理卫生杂志,2016,30(3):226-230.
[38]王文菁,许明智.焦虑自评量表在精神疾病患者中的因子结构研究[J].广东医学,2009,30(10):1416-1418.
[39] ZEMAN F,KOLLER M,LANGGUTH B,et al. Which tinnitus-related aspects are relevant for quality of life and depression:results from a large international multicentre sample[J]. Health and Quality of Life Outcomes,2014,12(1):7.
[40]闫波.突发性耳聋患者耳鸣状况的危险因素研究[J].安徽医药,2014,18(8):1496-1498.
[41] VOGEL I,PM LJ,MIELOO CL,et al. Risky music listening,permanent tinnitus and depression,anxiety,thoughts about suicide and adverse general health[J]. Plos One,2014,9(6):e98912. DOI:10. 1371/journal. pone. 0098912.
[42]黎志成,古若雷,戚敏,等.耳鸣患者负性情绪水平分析[J].中山大学学报(医学科学版),2013,34(3):485-490.
[43]陈丹萍,王晓茜,黄宏明,等.轻度及中重度非急性主观性耳鸣严重程度与焦虑和抑郁的相关性研究[J].临床耳鼻咽喉头颈外科杂志,2015,21(22):1995-1998.
[44]黎志成,古若雷,曾祥丽.耳鸣的心理机制[J].心理科学进展,2011,19(8):1179-1185.