{"title":"耳鸣患者精神疲劳的调查。","authors":"Özlem Icoz, Eser Sendesen","doi":"10.1002/lary.70198","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>Mental fatigue is a common but understudied symptom in individuals with tinnitus. This study aimed to examine the relationship between tinnitus-related distress, anxiety symptoms, and mental fatigue.</p><p><strong>Methods: </strong>A total of 119 participants (52 with tinnitus, 67 healthy controls) were included. All participants completed the Mental Fatigue Scale (MFS) and Generalized Anxiety Disorder-7 (GAD-7). The tinnitus group also completed the Tinnitus Handicap Inventory (THI), Visual Analog Scales (VAS), and psychoacoustic assessments (pitch matching, loudness level, minimum masking level). Group comparisons and correlation analyses were conducted.</p><p><strong>Results: </strong>MFS scores were significantly higher in the tinnitus group than in controls (11.74 ± 5.51 vs. 8.13 ± 4.34, p = 0.015, d = 0.45). A moderate positive correlation was found between mental fatigue and anxiety symptoms (r = 0.44, p = 0.001). Within the tinnitus group, mental fatigue was weakly associated with THI and VAS attention deficit scores (r = 0.31, p = 0.022 and r = 0.30, p = 0.033, respectively), though these did not survive correction for multiple comparisons, nor with tinnitus loudness, masking levels, sleep disturbance, or hearing loss.</p><p><strong>Conclusion: </strong>Mental fatigue in tinnitus appears more closely related to psychological and attentional factors than to auditory variables. Routine screening for fatigue and cognitive complaints may support more comprehensive tinnitus management and improve patient outcomes.</p><p><strong>Level of evidence: 3: </strong></p>","PeriodicalId":49921,"journal":{"name":"Laryngoscope","volume":" ","pages":""},"PeriodicalIF":2.0000,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Investigation of Mental Fatigue in Individuals With Tinnitus.\",\"authors\":\"Özlem Icoz, Eser Sendesen\",\"doi\":\"10.1002/lary.70198\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>Mental fatigue is a common but understudied symptom in individuals with tinnitus. This study aimed to examine the relationship between tinnitus-related distress, anxiety symptoms, and mental fatigue.</p><p><strong>Methods: </strong>A total of 119 participants (52 with tinnitus, 67 healthy controls) were included. All participants completed the Mental Fatigue Scale (MFS) and Generalized Anxiety Disorder-7 (GAD-7). The tinnitus group also completed the Tinnitus Handicap Inventory (THI), Visual Analog Scales (VAS), and psychoacoustic assessments (pitch matching, loudness level, minimum masking level). Group comparisons and correlation analyses were conducted.</p><p><strong>Results: </strong>MFS scores were significantly higher in the tinnitus group than in controls (11.74 ± 5.51 vs. 8.13 ± 4.34, p = 0.015, d = 0.45). A moderate positive correlation was found between mental fatigue and anxiety symptoms (r = 0.44, p = 0.001). Within the tinnitus group, mental fatigue was weakly associated with THI and VAS attention deficit scores (r = 0.31, p = 0.022 and r = 0.30, p = 0.033, respectively), though these did not survive correction for multiple comparisons, nor with tinnitus loudness, masking levels, sleep disturbance, or hearing loss.</p><p><strong>Conclusion: </strong>Mental fatigue in tinnitus appears more closely related to psychological and attentional factors than to auditory variables. Routine screening for fatigue and cognitive complaints may support more comprehensive tinnitus management and improve patient outcomes.</p><p><strong>Level of evidence: 3: </strong></p>\",\"PeriodicalId\":49921,\"journal\":{\"name\":\"Laryngoscope\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":2.0000,\"publicationDate\":\"2025-10-08\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Laryngoscope\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1002/lary.70198\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"MEDICINE, RESEARCH & EXPERIMENTAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Laryngoscope","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1002/lary.70198","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"MEDICINE, RESEARCH & EXPERIMENTAL","Score":null,"Total":0}
引用次数: 0
摘要
目的：精神疲劳是耳鸣患者常见但研究不足的症状。本研究旨在探讨耳鸣相关的痛苦、焦虑症状和精神疲劳之间的关系。方法：共纳入119例受试者，其中耳鸣患者52例，健康对照67例。所有参与者完成精神疲劳量表（MFS）和广泛性焦虑障碍-7 （GAD-7）。耳鸣组还完成了耳鸣障碍量表（THI）、视觉模拟量表（VAS）和心理声学评估（音高匹配、响度水平、最小掩蔽水平）。进行组间比较及相关分析。结果：耳鸣组MFS评分显著高于对照组（11.74±5.51比8.13±4.34,p = 0.015, d = 0.45）。精神疲劳与焦虑症状之间存在中度正相关（r = 0.44, p = 0.001）。在耳鸣组中，精神疲劳与THI和VAS注意缺陷评分弱相关（分别为r = 0.31, p = 0.022和r = 0.30, p = 0.033），尽管这些不存在多重比较校正，也不存在耳鸣响度、掩蔽水平、睡眠障碍或听力损失。结论：耳鸣的精神疲劳与心理和注意力因素的关系比听觉因素的关系更密切。疲劳和认知疾病的常规筛查可能支持更全面的耳鸣管理，并改善患者的预后。证据等级：3；
Investigation of Mental Fatigue in Individuals With Tinnitus.
Objective: Mental fatigue is a common but understudied symptom in individuals with tinnitus. This study aimed to examine the relationship between tinnitus-related distress, anxiety symptoms, and mental fatigue.
Methods: A total of 119 participants (52 with tinnitus, 67 healthy controls) were included. All participants completed the Mental Fatigue Scale (MFS) and Generalized Anxiety Disorder-7 (GAD-7). The tinnitus group also completed the Tinnitus Handicap Inventory (THI), Visual Analog Scales (VAS), and psychoacoustic assessments (pitch matching, loudness level, minimum masking level). Group comparisons and correlation analyses were conducted.
Results: MFS scores were significantly higher in the tinnitus group than in controls (11.74 ± 5.51 vs. 8.13 ± 4.34, p = 0.015, d = 0.45). A moderate positive correlation was found between mental fatigue and anxiety symptoms (r = 0.44, p = 0.001). Within the tinnitus group, mental fatigue was weakly associated with THI and VAS attention deficit scores (r = 0.31, p = 0.022 and r = 0.30, p = 0.033, respectively), though these did not survive correction for multiple comparisons, nor with tinnitus loudness, masking levels, sleep disturbance, or hearing loss.
Conclusion: Mental fatigue in tinnitus appears more closely related to psychological and attentional factors than to auditory variables. Routine screening for fatigue and cognitive complaints may support more comprehensive tinnitus management and improve patient outcomes.
期刊介绍：
The Laryngoscope has been the leading source of information on advances in the diagnosis and treatment of head and neck disorders since 1890. The Laryngoscope is the first choice among otolaryngologists for publication of their important findings and techniques. Each monthly issue of The Laryngoscope features peer-reviewed medical, clinical, and research contributions in general otolaryngology, allergy/rhinology, otology/neurotology, laryngology/bronchoesophagology, head and neck surgery, sleep medicine, pediatric otolaryngology, facial plastics and reconstructive surgery, oncology, and communicative disorders. Contributions include papers and posters presented at the Annual and Section Meetings of the Triological Society, as well as independent papers, "How I Do It", "Triological Best Practice" articles, and contemporary reviews. Theses authored by the Triological Society’s new Fellows as well as papers presented at meetings of the American Laryngological Association are published in The Laryngoscope.
• Broncho-esophagology
• Communicative disorders
• Head and neck surgery
• Plastic and reconstructive facial surgery
• Oncology
• Speech and hearing defects
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