[Focus on the effects of psychological problems and sleep disorders on tinnitus]

Zhonghua Yi Xue Za Zhi. 2024 Sep 24;104(36):3367-3370. doi: 10.3760/cma.j.cn112137-20240401-00756.
[Article in Chinese]

Abstract

The effects of tinnitus on human health are receiving increasing attention, and it is currently believed that the central compensatory response caused by peripheral hearing loss is the main pathogenesis of chronic tinnitus. Tinnitus, psychological problems and sleep disorders affect and worsen each other, and should be taken seriously in treatment strategies. Chronic tinnitus treatment strategy advocates comprehensive treatment based on sound therapy, including reducing tinnitus sound perception and improving patients' negative mood and poor sleep. Whether treating tinnitus alone or treating relevant psychological problems and sleep disorders can break the vicious circle of tinnitus, psychological problems and sleep disorders. Therefore, balancing both psychological and sleep problems, is the direction of tinnitus treatment and research. The clinical study of the treatment of tinnitus should shift from the previous single tinnitus treatment mode and a single tinnitus evaluation index to the comprehensive treatment and comprehensive evaluation indicators that balance both psychotherapy and sleep improvement.

耳鸣对人体健康的影响日益受到关注,目前认为外周听力损失引起的中枢代偿反应是慢性耳鸣的主要发病机制。耳鸣、心理问题和睡眠障碍三者之间彼此影响,互相恶化,在治疗策略中应予以重视。慢性耳鸣治疗策略提倡以声治疗为主的综合治疗,包括降低耳鸣声音感知、改善患者负面情绪和睡眠不良。无论单纯治疗耳鸣还是治疗相关的心理问题和睡眠障碍,均可打断三者之间的恶性循环。因此,兼顾心理问题和睡眠问题,是耳鸣治疗和研究的方向。耳鸣治疗的临床研究,要从既往单一的耳鸣治疗模式和评价指标,转向兼顾心理治疗和改善睡眠的综合治疗和综合评价指标。.

Publication types

  • English Abstract

MeSH terms

  • Humans
  • Psychotherapy
  • Sleep Wake Disorders* / therapy
  • Tinnitus* / psychology
  • Tinnitus* / therapy