Factors Related to Insomnia in Adult Patients with Tinnitus and/or Hyperacusis: An Exploratory Analysis

被引:16
|
作者
Aazh, Hashir [1 ]
Baguley, David M. [2 ,3 ]
Moore, Brian C. J. [4 ]
机构
[1] Royal Surrey Cty Hosp NHS Fdn Trust, Audiol Dept, Guildford, Surrey, England
[2] NIHR Nottingham Biomed Res Ctr, Nottingham, England
[3] Univ Nottingham, Sch Med, Div Clin Neurosci, Otol & Hearing, Nottingham, England
[4] Univ Cambridge, Dept Expt Psychol, Cambridge, England
关键词
anxiety; depression; hyperacusis; insomnia; tinnitus; SLEEP COMPLAINTS; QUALITY; ASSOCIATION; VALIDATION; INSTRUMENT; DISORDERS; SEVERITY; HANDICAP; DISTRESS; ANXIETY;
D O I
10.3766/jaaa.18020
中图分类号
R36 [病理学]; R76 [耳鼻咽喉科学];
学科分类号
100104 ; 100213 ;
摘要
Background: People with tinnitus and/or hyperacusis often experience insomnia. However, it is unclear what factors are most strongly associated with insomnia. Purpose: To explore factors related to insomnia in patients with tinnitus and/or hyperacusis. Research Design: This was a retrospective study using multiple-regression analysis. Study Sample: Data were assessed for 444 consecutive patients who sought help concerning their tinnitus and/or hyperacusis from a specialist audiology center in the UK National Health Service. The average age of the patients was 54 years (standard deviation = 15 years). Data Collection and Analysis: The results of audiological tests and self-report questionnaires were gathered retrospectively from the records of the patients. Multiple-regression analysis was used to assess the relationship between insomnia and other variables. Results: Sixty-nine percent of patients with tinnitus experienced some form of insomnia as measured via the Insomnia Severity Index (ISI). A multiple-regression model showed that ISI scores were significantly associated with depression scores measured via the depression subscale of the Hospital Anxiety and Depression Scale (HADS) (regression coefficient [b] = 0.44, p < 0.001), tinnitus annoyance measured via the visual analog scale (VAS) (b = 0.49, p = 0.001), anxiety measured via the anxiety subscale of the HADS (b = 0.21, p = 0.012), and tinnitus handicap measured via the Tinnitus Handicap Inventory (b = 0.07, p < 0.001). The model explained 45% of the variance in ISI scores. VAS scores for tinnitus loudness, hyperacusis-related measures, hearing thresholds, age, and gender were not significantly related to insomnia. Conclusions: The prevalence of insomnia in patients with tinnitus is high. Both tinnitus-related factors and psychological factors are related to the severity of insomnia. Hyperacusis is not significantly associated with insomnia.
引用
收藏
页码:802 / 809
页数:8
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