The Association Between Tinnitus Sensation--Level Loudness and Sleep Quality in Patients With Subjective Consecutive Tinnitus: A Mediation Analysis.

Purpose: So far, there have been no in-depth analyses of the connection between tinnitus sensation--level loudness and sleep quality. Accordingly, the present study was formulated as a mediation analysis focused on exploring this relationship. Method: Overall, 1,255 adults with consecutive subjectiv...

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Publicado en:American Journal of Audiology Vol. 33; no. 2; pp. 433 - 442
Autores principales: Zhiwei Ding, Chi Zhang, Fangyuan Wang, Xiedong Wu, Tingting Chen, Li Wang, Yuke Jiang, Dongyi Han, Weidong Shen
Formato: research tables/charts Journal Article
Publicado: American Speech-Language-Hearing Association Jun2024
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jun2024
      vid: 33
      iid: 2
      pid: 42
      pub: American Speech-Language-Hearing Association
      place: Rockville, Maryland
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        10.1044/2024_AJA-23-00063
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        atl: The Association Between Tinnitus Sensation--Level Loudness and Sleep Quality in Patients With Subjective Consecutive Tinnitus: A Mediation Analysis.
      aug:
        au:
          Zhiwei Ding
          Chi Zhang
          Fangyuan Wang
          Xiedong Wu
          Tingting Chen
          Li Wang
          Yuke Jiang
          Dongyi Han
          Weidong Shen
        affil: Senior Department of Otolaryngology Head and Neck Surgery, the 6th Medical Center of Chinese PLA General Hospital, Chinese PLA Medical School, Beijing, China
      sug:
        subj:
          Tinnitus Physiopathology
          Severity of Disability
          Loudness Perception Evaluation
          Sensation Evaluation
          Sleep Quality Evaluation
          Human
          Mediation Analysis
          Male
          Female
          Adolescence
          Adult
          Middle Age
          Correlational Studies
          Tinnitus Therapy
          Ambulatory Care
          Confidence Intervals
          Scales
          Anxiety
          Depression
          Self Report
          Comorbidity
          Psychiatric Care
          Hospitals, Public
          China
          Audiometry, Pure-Tone
          Questionnaires
          Quality of Life
          Data Analysis Software
          Descriptive Statistics
          Multiple Linear Regression
          Spearman's Rank Correlation Coefficient
          Funding Source
          Adolescent: 13-18 years
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Male
          Female
      ab: Purpose: So far, there have been no in-depth analyses of the connection between tinnitus sensation--level loudness and sleep quality. Accordingly, the present study was formulated as a mediation analysis focused on exploring this relationship. Method: Overall, 1,255 adults with consecutive subjective tinnitus who had sought outpatient treatment were enrolled in the present study. Results: Direct effects of tinnitus sensation--level loudness on sleep quality were not statistically significant (95% confidence intervals [CI] include zero), as measured by the point estimate, -0.016. However, the 95% CI for indirect effects did not include zero when assessing the Self-Rating Anxiety Scale (SAS) scores, the Self-Rating Depression Scale (SDS) scores, the visual analogue scale (VAS) scores, and self-reported tinnitus annoyance. Conclusions: These results suggest that tinnitus sensation--level loudness does not directly have an effect on sleep quality. However, it indirectly impacts sleep quality, mediated by SAS scores, SDS scores, the impact of tinnitus on life measured using the VAS, and self-reported tinnitus annoyance. As such, alleviating anxiety and depression in patients with tinnitus may result in reductions in their insomnia even if there is no reduction in tinnitus loudness. Importantly, otolaryngologists and other clinicians treating tinnitus should refer patients with tinnitus suffering from insomnia with comorbid depression or anxiety for appropriate psychological and/or psychiatric treatment.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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