Subjektif Tinnitus Algısının COVID-19’a İlişkin Psikolojik Faktörler ile İlişkisinin Değerlendirilmesi
Abstract
Amaç: Bu çalışmanın amacı, pandemi sürecinde kronik subjektif tinnitus hastalarında tinnitus gürlüğü, tinnitusun yarattığı sıkıntı ve engellilik algısının koronavirüse ilişkin anksiyete, psikolojik sıkıntı ve korku düzeyi ile ilişkisini incelemek ve bu süreçte uykusuzluk şiddeti, sosyal ve duygusal yalnızlık algısı değişkenlerinin tinnitusa etkisini değerlendirmektir.
Gereç ve Yöntem: Kronik tinnitus tanısıyla İki merkezde takip edilen 18 yaş üstü toplam 112 hastaya pandemi sürecinde Google Forms aracılığıyla demografik bilgi formu, Vizüel Analog Skala (VAS) for tinnitus loudness and annoyance, Tinnitus Engellilik Envanteri (THI), Koronovirüs Anksiyete Ölçeği (CAS), Koronavirüs Korku Ölçeği (FCVS-T), COVID-19 Psikolojik Sıkıntı Ölçeği (CORPD), Uykusuzluk Şiddeti İndeksi (ISI) ve SELSA-S Sosyal ve Duygusal Yalnızlık Ölçeği uygulanmıştır.
Bulgular: CAS puanı ile VAS for tinnitus loudness and annoyance, FCVS-T, ISI, Selsa-S toplam puanları arasında; FCVS-T puanı ile VAS for annoyance, CORPD ve ISI puanları arasında; CORPD puanı ile THI ve ISI puanları arasında pozitif yönde düşük düzeyde anlamlı korelasyon saptanmıştır (p<0,05). VAS ile Selsa-S sosyal yalnızlık alt boyut ölçek ve THI puanları arasında pozitif yönde anlamlı ilişki vardır (p<0,05).
Sonuç: Pandemide psikolojik faktörlerde ve algılanan yalnızlık düzeyi ile uykusuzluk şiddetindeki artış tinnitus algısında kötüleşme yarattığı için, bu süreçte hastaların yönetiminde psikolojik destek ihmal edilmemeli ve hastalar yakın takipte olmalıdır.
Keywords
Tinnitus psikolojik faktörler insomnia yalnızlık pandemi psychological factors loneliness pandemic
References
- . Shrivastava SR, Shrivastava PS. COVID-19 and impairment of mental health: public health perspective. Afr Health Sci. 2021;21(4):1527-32.
- Beukes EW, Baguley DM, Jacquemin L, et al. Changes in Tinnitus Experiences During the COVID-19 Pandemic. Front Public Health. 2020; 8:592878.
- Schlee W, Hølleland S, Bulla J, et al. The Effect of Environmental Stressors on Tinnitus: A Prospective Longitudinal Study on the Impact of the COVID-19 Pandemic. J Clin Med. 2020;9(9):2756.
- Vindegaard N, Benros ME. COVID-19 pandemic and mental health consequences: Systematic review of the current evidence. Brain Behav Immun. 2020; 89:531-42.
- Bhatt JM, Bhattacharyya N, Lin HW. Relationships between tinnitus and the prevalence of anxiety and depression. Laryngoscope. 2017;127(2):466-9.
- Baguley D, McFerran D, Hall D. Tinnitus. Lancet. 2013;382(9904):1600-7.
- Shore SE, Roberts LE, Langguth B. Maladaptive plasticity in tinnitus--triggers, mechanisms and treatment. Nat Rev Neurol. 2016;12(3):150-60.
- Henry JA. "Measurement" of Tinnitus. Otol Neurotol. 2016;37(8): e276-e285.
- Aydoğan Z, Çinar Satekin M, Ocak E, Tokgoz Yilmaz S. Effects of the coronavirus disease 2019 pandemic on subjective tinnitus perception. J Laryngol Otol. 2022;136(5):410-3.
- Fioretti A, Natalini E, Triggianese G, et al. Impact of the COVID-19 Lockdown on Patients with Chronic Tinnitus-Preliminary Results. Audiol Res. 2022;12(3):327-36.
- Xia L, He G, Feng Y, et al. COVID-19 associated anxiety enhances tinnitus. PLoS One Published online Feb 5, 2021. doi:10.1371/journal.pone.0246328
- Erinc M, Mutlu A, Celik S, Kalcioglu MT, Szczepek AJ. Long-Term Effects of COVID-19 and the Pandemic on Tinnitus Patients. Front Neurol. 2022;13:921173.
- Aksoy S, Firat Y, Alpar R. The Tinnitus Handicap Inventory: a study of validity and reliability. Int Tinnitus J. 2007;13(2):94-98.
- Evren C, Evren B, Dalbudak E, Topcu M, Kutlu N. Measuring anxiety related to COVID-19: A Turkish validation study of the Coronavirus Anxiety Scale. Death Stud. 2022;46(5):1052-8.
- Haktanir A, Seki T, Dilmaç B. Adaptation and evaluation of Turkish version of the fear of COVID-19 Scale. Death Stud. 2022;46(3):719-27.
- Ay T, Oruç D, Özdoğru AA. Adaptation and evaluation of COVID-19 related Psychological Distress Scale Turkish form. Death Stud. 2022;46(3):560-8.
- Boysan, M., Güleç, M., Beşiroǧlu, L., & Kalafat, T., (2010). Psychometric properties of the insomnia severity index in Turkish sample. Alpha Psychiatry 2010; 11: 248-52.
- Akgül, H. Adapting Social and Emotional Loneliness Scale(Selsa-S) to Turkish Culture: Relevance and Reliability. Yalova Sosyal Bilimler Dergisi 2020; 10(21): 54-69.
- Anzivino R, Sciancalepore PI, Petrone P, D'Elia A, Petrone D, Quaranta N. Tinnitus revival during COVID-19 lockdown: how to deal with it? Eur Arch Otorhinolaryngol. 2021;278(1):295-6.
- Figueiredo RR, Penido NO, de Azevedo AA, et al. Tinnitus emerging in the context of a COVID-19 infection seems not to differ in its characteristics from tinnitus unrelated to COVID-19. Front Neurol. 2022;13:974179.
- Abramovich S, Prasher DK. Electrocochleography and brain-stem potentials in Ramsay Hunt syndrome. Arch Otolaryngol Head Neck Surg. 1986;112(9):925-8.
- Merchant SN, Durand ML, Adams JC. Sudden deafness: is it viral?. ORL J Otorhinolaryngol Relat Spec. 2008;70(1):52-62.
- Gu H, Kong W, Yin H, Zheng Y. Prevalence of sleep impairment in patients with tinnitus: a systematic review and single-arm meta-analysis. Eur Arch Otorhinolaryngol. 2022;279(5):2211-21.
- Wang S, Cha X, Li F, et al. Associations between sleep disorders and anxiety in patients with tinnitus: A cross-sectional study. Front Psychol. 2022;13:963148.
- Bakul F, Heanoy EZ. Impact of COVID-19 anxiety on loneliness and sleep quality of students and professionals in Bangladesh. Acta Psychol (Amst). 2022;230:103759.
- Hom MA, Hames JL, Bodell LP, et al. Investigating insomnia as a cross-sectional and longitudinal predictor of loneliness: Findings from six samples. Psychiatry Res. 2017;253:116-28.
- Littlejohn J, Venneri A, Marsden A, Plack CJ. Self-reported hearing difficulties are associated with loneliness, depression and cognitive dysfunction during the COVID-19 pandemic. Int J Audiol. 2022;61(2):97-101.
An Evaluation of the Relationship between Subjective Tinnitus Perception and COVID-19-Related Psychological Factors
Abstract
Aim: This study aimed to examine the relationship of tinnitus loudness, annoyance and handicap in tinnitus patients with the level of coronavirus-related anxiety, psychological distress, and fear. It was also aimed to evaluate the effects of insomnia severity and social and emotional loneliness perception on tinnitus in the pandemic period.
Materials and Methods: A total of 112 patients over the age of 18 who were followed up in two centers with the diagnosis of chronic subjective tinnitus were included in the study. During the pandemic, the data were collected using the following tools via Google Forms: Demographic Information Form, Visual Analogue Scale (VAS) for tinnitus loudness and annoyance, the Tinnitus Handicap Inventory (THI), Coronavirus Anxiety Scale (CAS), Fear of COVID Scale (FCVS-T), COVID-19 related Psychological Distress Scale (CORPD), Insomnia Severity Index (ISI), and Social and Emotional Loneliness Scale (SELSA-S).
Results: A weak positive correlation was found between CAS score and VAS for tinnitus loudness and annoyance, FCVS-T, ISI, Selsa-S total scores; between FCVS-T score and VAS for annoyance, CORPD, ISI scores; and, between CORPD and THI, ISI scores (p<0.05). There was a significant positive correlation between VAS and Selsa-S "social loneliness" sub-dimension scale, THI scores (p<0.05).
Conclusion: Psychological support should not be neglected in the management of tinnitus patients in the pandemic period, and tinnitus patients should be followed closely, since the increase in psychological factors and the perceived loneliness level and the severity of insomnia in the pandemic cause a worsening in the perception of tinnitus.
References
- . Shrivastava SR, Shrivastava PS. COVID-19 and impairment of mental health: public health perspective. Afr Health Sci. 2021;21(4):1527-32.
- Beukes EW, Baguley DM, Jacquemin L, et al. Changes in Tinnitus Experiences During the COVID-19 Pandemic. Front Public Health. 2020; 8:592878.
- Schlee W, Hølleland S, Bulla J, et al. The Effect of Environmental Stressors on Tinnitus: A Prospective Longitudinal Study on the Impact of the COVID-19 Pandemic. J Clin Med. 2020;9(9):2756.
- Vindegaard N, Benros ME. COVID-19 pandemic and mental health consequences: Systematic review of the current evidence. Brain Behav Immun. 2020; 89:531-42.
- Bhatt JM, Bhattacharyya N, Lin HW. Relationships between tinnitus and the prevalence of anxiety and depression. Laryngoscope. 2017;127(2):466-9.
- Baguley D, McFerran D, Hall D. Tinnitus. Lancet. 2013;382(9904):1600-7.
- Shore SE, Roberts LE, Langguth B. Maladaptive plasticity in tinnitus--triggers, mechanisms and treatment. Nat Rev Neurol. 2016;12(3):150-60.
- Henry JA. "Measurement" of Tinnitus. Otol Neurotol. 2016;37(8): e276-e285.
- Aydoğan Z, Çinar Satekin M, Ocak E, Tokgoz Yilmaz S. Effects of the coronavirus disease 2019 pandemic on subjective tinnitus perception. J Laryngol Otol. 2022;136(5):410-3.
- Fioretti A, Natalini E, Triggianese G, et al. Impact of the COVID-19 Lockdown on Patients with Chronic Tinnitus-Preliminary Results. Audiol Res. 2022;12(3):327-36.
- Xia L, He G, Feng Y, et al. COVID-19 associated anxiety enhances tinnitus. PLoS One Published online Feb 5, 2021. doi:10.1371/journal.pone.0246328
- Erinc M, Mutlu A, Celik S, Kalcioglu MT, Szczepek AJ. Long-Term Effects of COVID-19 and the Pandemic on Tinnitus Patients. Front Neurol. 2022;13:921173.
- Aksoy S, Firat Y, Alpar R. The Tinnitus Handicap Inventory: a study of validity and reliability. Int Tinnitus J. 2007;13(2):94-98.
- Evren C, Evren B, Dalbudak E, Topcu M, Kutlu N. Measuring anxiety related to COVID-19: A Turkish validation study of the Coronavirus Anxiety Scale. Death Stud. 2022;46(5):1052-8.
- Haktanir A, Seki T, Dilmaç B. Adaptation and evaluation of Turkish version of the fear of COVID-19 Scale. Death Stud. 2022;46(3):719-27.
- Ay T, Oruç D, Özdoğru AA. Adaptation and evaluation of COVID-19 related Psychological Distress Scale Turkish form. Death Stud. 2022;46(3):560-8.
- Boysan, M., Güleç, M., Beşiroǧlu, L., & Kalafat, T., (2010). Psychometric properties of the insomnia severity index in Turkish sample. Alpha Psychiatry 2010; 11: 248-52.
- Akgül, H. Adapting Social and Emotional Loneliness Scale(Selsa-S) to Turkish Culture: Relevance and Reliability. Yalova Sosyal Bilimler Dergisi 2020; 10(21): 54-69.
- Anzivino R, Sciancalepore PI, Petrone P, D'Elia A, Petrone D, Quaranta N. Tinnitus revival during COVID-19 lockdown: how to deal with it? Eur Arch Otorhinolaryngol. 2021;278(1):295-6.
- Figueiredo RR, Penido NO, de Azevedo AA, et al. Tinnitus emerging in the context of a COVID-19 infection seems not to differ in its characteristics from tinnitus unrelated to COVID-19. Front Neurol. 2022;13:974179.
- Abramovich S, Prasher DK. Electrocochleography and brain-stem potentials in Ramsay Hunt syndrome. Arch Otolaryngol Head Neck Surg. 1986;112(9):925-8.
- Merchant SN, Durand ML, Adams JC. Sudden deafness: is it viral?. ORL J Otorhinolaryngol Relat Spec. 2008;70(1):52-62.
- Gu H, Kong W, Yin H, Zheng Y. Prevalence of sleep impairment in patients with tinnitus: a systematic review and single-arm meta-analysis. Eur Arch Otorhinolaryngol. 2022;279(5):2211-21.
- Wang S, Cha X, Li F, et al. Associations between sleep disorders and anxiety in patients with tinnitus: A cross-sectional study. Front Psychol. 2022;13:963148.
- Bakul F, Heanoy EZ. Impact of COVID-19 anxiety on loneliness and sleep quality of students and professionals in Bangladesh. Acta Psychol (Amst). 2022;230:103759.
- Hom MA, Hames JL, Bodell LP, et al. Investigating insomnia as a cross-sectional and longitudinal predictor of loneliness: Findings from six samples. Psychiatry Res. 2017;253:116-28.
- Littlejohn J, Venneri A, Marsden A, Plack CJ. Self-reported hearing difficulties are associated with loneliness, depression and cognitive dysfunction during the COVID-19 pandemic. Int J Audiol. 2022;61(2):97-101.
Details
| Primary Language | English |
|---|---|
| Subjects | Otorhinolaryngology, Health Care Administration |
| Journal Section | Research Articles |
| Authors | |
| Publication Date | March 19, 2024 |
| Submission Date | February 15, 2023 |
| Published in Issue | Year 2024 |