PSYCHOLOGICAL MORBIDITY IN PATIENTS WITH TINNITUS: A HOSPITAL BASED CROSS SECTIONAL STUDY
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2015, Vol 2, Issue 35
Abstract
Tinnitus is not a disease but a symptom of hearing sound when no external sound is present. Studies have shown that some people, the sound causes anxiety or interferes with concentration, increased awareness of depression and personality disorders. To this purpose we evaluated the prevalence of psychiatric morbidity in chronic tinnitus using MINI interview. METHODS: A sample of 53 male and female patients with tinnitus between the age of 13 and 50 years participated in the study. Patients with ear infections, disease of the heart or blood vessels , Meniere's disease, brain tumors, exposure to certain medications, a previous head injury and earwax were excluded. The subjects so chosen, were explained the nature of the study. Data was collected from outpatient ENT Clinics regarding demographic and clinical profiles from these patients. Each subject was then administered Mini International Neuropsychaitric Interview (M.I.N.I) RESULTS: More numbers of females were there than males and majority were in between 30-39 years. Both married and unmarried people were equally affected. Middle class and upper lower classes were most affected. The prevalence of psychiatric co morbidity in these tinnitus patients follows in descending order: Major depressive disorder>>Social Phobia > Suicide > Panic-disorder > Obsessive – compulsive – disorder > Agarophobia = Dysthymicdisorder=Generalized-anxiety. CONCLUSION: We observed that the prevalence of psychiatric morbidity in chronic tinnitus patients were as follows in descending order Major-depressivedisorder >> Social-Phobia > Suicide > Panic-disorder > Obsessive - compulsive –disorder > Agarophobia = Dysthymic disorder=Generalized-anxiety. Treatment of this psychiatric morbidity with medications and psychotherapy may likely reduce the severity of tinnitus in many of these patients.
Authors and Affiliations
Arti Pandey, Ashutosh Tiwari
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