Depresyon ve anksiyete düzeylerinin idiyopatik ani sensorinöral işitme kaybı olan hastaların iyileşme durumlarına etkileri

Abstract

Objective: To compare the severity of anxiety and depression symptoms in idiopathic sudden sensorineural hearing loss (ISSHL) patients with (n=33) and without (n=17) recovery, and healthy control group.
Methods: This study was conducted on ISSHL inpatients (n=50) and a healthy control group (n=52). Severity of the anxiety and depression symptoms was assessed using the State-Trait Anxiety Inventory (STAI) and Beck Depression Inventory (BDI) during admission. Hearing data of all 50 cases obtained at baseline and after the treatment (at the end of the 4th week) were gathered from the audiological evaluation form of each patient.
Results: The rates of ISSHL patients with and without recovery were 66% and 34%, respectively. The mean BDI and STAI-II scores of the patients with ISSHL were significantly higher than those of the control group (11.4±8.6 vs. 6.8±4.3 and 41.6±7.3 vs. 36.7±8.4, respectively; p<0.05). Among the ISSHL patients, there was a moderate and significant positive correlation between the BDI and STSI-II scores (r=0.617, p<0.05). The mean BDI, STAI-I, and STAI-II scores of the control group were significantly lower than those of the recovery and no recovery groups (p<0.05). However, the recovery and no-recovery groups did not show any difference in terms of mean BDI, STAI-I and STAI-II scores (p>0.05).
Conclusion: ISSHL patients had a more depressive and anxious mood compared to the healthy controls. However, anxiety and depressive mood had no effect on the recovery status of the ISSHL patients. Physicians also need to pay attention to the status of anxiety and depressive symptoms in patients with ISSHL.

Keywords

• anksiyete,depresyon,idiyopatik ani sensorinöral işitme kaybı,Idiopathic sudden sensorineural hearing loss,anxiety,depression

References

1. 1. Schreiber BE, Agrup C, Haskard DO Luxon LM. Sudden sensorineural hearing loss. Lancet 2010;375:1203–11.
2. 2. Lawrence R, Thevasagayam R. Controversies in the management of sudden sensorineural hearing loss: an evidence-based review. Clin Otolaryngol 2015;40:176–82.
3. 3. Stachler RJ, Chandrasekhar SS, Archer SM, et al.; American Academy of Otolaryngology-Head and Neck Surgery. Clinical practice guideline: sudden hearing loss. Otolaryngol Head Neck Surg 2012;146(3 Suppl):S1–35.
4. 4. Chau JK, Cho JJ, Fritz DK. Evidence-based practice: management of adult sensorineural hearing loss. Otolaryngol Clin North Am 2012;45:941–58.
5. 5. Chen J, Liang J, Ou J, Cai W. Mental health in adults with sudden sensorineural hearing loss: an assessment of depressive symptoms and its correlates. J Psychosom Res 2013;75:72–4.
6. 6. Xenellis J, Karapatsas I, Papadimitriou N, et al. Idiopathic sudden sensorineural hearing loss: prognostic factors. J Laryngol Otol 2006;120:718–24.
7. 7. Balon R. Mood, anxiety, and physical illness: body and mind, or mind and body? Depress Anxiety 2006;23:377–87.
8. 8. Katon W, Sullivan MD. Depression and chronic medical illness. J Clin Psychiatry 1990;51 Suppl:3–11.

9. 9. Sartorius N, Ustün TB, Lecrubier Y, Wittchen HU. Depression comorbid with anxiety: results from the WHO study on psychological disorders in primary health care. Br J Psychiatry Suppl 1996;(30):38–43.
10. 10. Hirschfeld RM. The comorbidity of major depression and anxiety disorders: recognition and management in primary care. Prim Care Companion J Clin Psychiatry 2001;3:244–54.
11. 11. Carlsson PI, Hall M, Lind KJ, Danermark B. Quality of life, psychosocial consequences, and audiological rehabilitation after sudden sensorineural hearing loss. Int J Audiol 2011;50:139–44.
12. 12. Kanzaki S, Sakagami M, Hosoi H, Murakami S, Ogawa K. High fibrinogen in peripheral blood correlates with poorer hearing recovery in idiopathic sudden sensorineural hearing loss. PLoS One 2014;9:e104680.
13. 13. Spielberger, CD, Gorsuch, RL, Lushene RE. Manual for the state–trait anxiety inventory. Palo Alto, CL: Consulting Psychologist Press; 1970.
14. 14. Öner N, Le Compte A. Durumluluk-sürekli kayg› envanteri elkitab›. Istanbul: Bo¤aziçi Üniversitesi Matbaas›; 1983.
15. 15. Beck AT, Ward CH, Mendelson M, Mock J, Erbaugh J. An inventory for measuring depression. Arch Gen Psychiatry 1961;4:561–71.
16. 16. Hisli N. Beck depresyon envanterinin üniversite ö¤rencileri için geçerli¤i ve güvenirli¤i. Psikoloji Dergisi 1989;7:3–13.
17. 17. Siegel LG. The treatment of idiopathic sudden sensorineural hearing loss. Otolaryngol Clin North Am 1975;8:467–73.
18. 18. Wilson WR, Byl FM, Laird N. The efficacy of steroids in the treatment of idiopathic sudden hearing loss. A double blind clinical study. Arch Otolaryngol 1980;106:772–6.
19. 19. Huang Q, Tang J. Age-related hearing loss or presbycusis. Eur Arch Otorhinolaryngol 2010;267:1179–91.
20. 20. Malhotra R, Chan A, Ostbye T. Prevalence and correlates of clinically significant depressive symptoms among elderly people in Sri-Lanka: findings a national survey. Int Psychogeriatr 2010;22:227–36.
21. 21. Roest AM, Heideveld A, Martens EJ, de Jonge P, Denollet J. Symptom dimensions of anxiety following myocardial infarction: associations with depressive symptoms and prognosis. Health Psychol 2014;33:1468–76.
22. 22. Kang HJ, Kim SY, Bae KY, et al. Comorbidity of depression with physical disorders: research and clinical implications. Chonnam Med J 2015;51:8–18.
23. 23. Chung SD, Hung SH, Lin HC, Sheu JJ. Association between sudden sensorineural hearing loss and anxiety disorder: a populationbased study. Eur Arch Otorhinolaryngol 2015;272:2673– 8.
24. 24. Schüssler G, Geishauser E, Rüger U. Psychosomatic factors in idiopathic sudden deafness. [Article in German] HNO 1992;40:4–9.
25. 25. Andrade L, Gorenstein C, Vieira Filho AH, Tung TC, Artes R. Psychometric properties of the Portuguese version of the State- Trait Anxiety Inventory applied to college students: factor analysis and relation to the Beck Depression Inventory. Braz J Med Biol Res 2001;34:367–74.
26. 26. Curtis GC, Magee WJ, Eaton WW, Wittchen HU, Kessler RC. Specific fears and phobias. Epidemiology and classification. Br J Psychiatry 1998;173:212–7.
27. 27. Nestadt G, Bienvenu OJ, Cai G, Samuels J, Eaton WW. Incidence of obsessive-compulsive disorder in adults. J Nerv Ment Dis 1998;186:401–6.
28. 28. Furtado M, Katzman MA. Examining the role of neuroinflammation in major depression. Psychiatry Res 2015;30;229:27–36.
29. 29. Abbott R, Whear R, Nikolaou V, et al. Tumour necrosis factor- α inhibitor therapy in chronic physical illness: a systematic review and meta-analysis of the effect on depression and anxiety. J Psychosom Res 2015;79:175–84.
30. 30. Ulu S, Ulu MS, Bucak A, Ahsen A, Yucedag F, Aycicek A. Neutrophil-to-lymphocyte ratio as a new, quick, and reliable indicator for predicting diagnosis and prognosis of idiopathic sudden sensorineural hearing loss. Otol Neurotol 2013;34: 1400–4.
31. 31. Demirhan E, Eskut NP, Zorlu Y, Cukurova I, Tuna G, Kirkali FG. Blood levels of TNF-α, IL-10, and IL-12 in idiopathic sudden sensorineural hearing loss. Laryngoscope 2013;123:1778– 81.