Subjektif tinnitusun depresyon, anksiyete ve vücut kitle indeksi ile ilişkisi

Yıl 2018, Cilt: 9 Sayı: 4, 303 - 306, 28.12.2018

Türkan Acar

https://doi.org/10.18663/tjcl.413912

Öz

Amaç: Subjektif
tinnitus, yaşam kalitesini bozabilen ve birtakım psikiyatrik-somatoform
hastalıklarla birlikte görülebilen bir klinik durumdur. Bu psikiyatrik
bozukluklar arasında depresyon, anksiyete ve insomnia yer alır. Vücut kitle
indeksi (VKİ) yüksek olan hastalarda da tinnitus sıklığının daha fazla olduğunu
gösteren çalışmalar mevcuttur. Bu çalışmada tinnitusun depresyon, anksiyete ve
VKİ arasındaki ilişkiyi incelemek istedik.

Gereç ve Yöntemler: Bu
çalışmaya Ocak 2016-Temmuz 2017 tarihleri arasında  nöroloji polikliniğimize yönlendirilen tüm
subjektif tinnituslu hastalar ile yaş ve cinsiyetleri eşleştirilmiş sağlıklı
gönüllüler dahil edildi. Tüm katılımcıların VKİ hesaplandı, Beck Depresyon
Ölçeği (BDÖ), Hamilton Anksiyete Değerlendirme Ölçeği (HADÖ) anketleri de
yapılarak sonuçlar istatistiksel olarak karşılaştırıldı.

Bulgular: Subjektif
tinnitus tanılı 40 hastanın (17'si erkek) yaş ortalaması 39.6 idi. 50 sağlıklı
kontrol  grubunun (18'i erkek) yaş
ortalaması 37 idi. Her iki grupta da yaş ve cinsiyet açısından anlamlı fark
saptanmadı. VKİ ortalaması hasta grubunda 31.7±7.0, kontrol grubunda 27.4±4.4
idi ve her iki grup arasında istatistiksel olarak anlamlı derecede fark vardı (p=0.005).
BDÖ ortalama skoru hasta grubunda 24.2±12.4 olup kontrol grubunda 8.3±6.9 idi
ve her iki grup arasında istatistiksel olarak anlamlı derecede fark saptandı
(p<0.001). HADÖ ortalama skoru hasta grubunda 7.0±5.3 olup kontrol grubunda
1.8±2.2 idi ve her iki grup arasında istatistiksel olarak anlamlı derecede fark
saptandı (p<0.001).

Sonuç: Çalışmamızda,
depresyon ve anksiyete varlığı ile artmış VKİ'nin, subjektif tinnitus ile
anlamlı olarak ilişkili olduğu saptanmıştır. 
Bu parametrelerin, henüz tam olarak aydınlatılamamış olan hastalık
etyopatogenezindeki rolünü inceleyecek ve ayrıca tedavideki etkisini
değerlendirilebilecek ileri çalışmalara ihtiyaç vardır.

Anahtar Kelimeler

Tinnitus, vücut kitle indeksi, depresyon

Relationship between subjective tinnitus, depression, anxiety and body mass index

Öz

Aim: Subjective
tinnitus is a clinical condition that can disrupt the quality of life and be
seen with some psychiatric-somatoform diseases. These psychiatric disorders
include depression, anxiety and insomnia. There are also studies showing that
the frequency of tinnitus is higher in patients with high body mass index
(BMI). The aim of this study is to investigate the relationship between
tinnitus depression, anxiety and BMI.

Material and Methods: All
subjective tinnitus patients who were referred to our neurology outpatient
clinic between January 2016 and July 2017 and age and sex matched healthy
volunteers were involved to this study. BMI of all participants was
calculated; Beck Depression Scale (BDS), Hamilton Anxiety Rating Scale
(HARS) questionnaires were also performed and the results were compared statistically.

Results: The
mean age of 40 patients (17 men) with subjective tinnitus was 39.6. The mean
age of 50 healthy control subjects (18 males) was 37. There was no significant
difference in age and gender in both groups. The mean BDS score was 24.2 ± 12.4
in the patient group and 8.3 ± 6.9 in the control group and there was a
statistically significant difference between the two groups (p<0.001). In
the case group, the mean BMI was 31.7 ± 7.0 and in the control group it was
27.4 ± 4.4 and there was a statistically significant difference between the two
groups (p=0.005). The HARS mean score was 7.0 ± 5.3 in the patient group and
1.8 ± 2.2 in the control group and there was a statistically significant
difference between the two groups (p<0.001).

Conclusion: In
our study, increased VKI with depression and anxiety was found to be
significantly associated with subjective tinnitus. These parameters need
further work to examine the role of the disease in the etiopathogenesis of the
illness that has not yet been fully elucidated and also to assess the effect of
treatment.

Anahtar Kelimeler

tinnitus, body mass index, depression, anxiety

Kaynakça

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