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Tinnitus-related distress and pain perceptions in patients with chronic tinnitus – Do psychological factors constitute a link?

机译:患有慢性耳鸣患者的耳鸣相关的痛苦和疼痛感知 - 做心理因素构成一个环节吗?

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摘要

ObjectiveTo investigate the co-occurrence of tinnitus-related distress and pain experiences alongside psychological factors that may underlie their association.MethodPatients with chronic tinnitus (N = 1238) completed a questionnaire battery examining tinnitus-related distress and affective and sensory pain perceptions. A series of simple, parallel- and serial multiple mediator models examined indirect effects of psychological comorbidities as well as -process variables including depressivity, perceived stress and coping attitudes. Moderator and moderated mediation analyses examined differential relational patterns in patients with decompensated vs. compensated tinnitus.ResultsThere were significant associations between tinnitus-related distress and pain perceptions. These were partially mediated by most specified variables. Psychological comorbidities appeared to influence tinnitus-pain associations through their impact on depressivity, perceived stress, and coping attitudes. Some specific differences in affective vs. sensory pain perception pathways emerged. Patients with decompensated tinnitus yielded significantly higher symptom burden across all measured indices. Tinnitus decompensation was associated with heightened associations between [1] tinnitus-related distress and pain perceptions, depressivity and negative coping attitudes; and [2] most psychological comorbidities and sensory, but not affective pain perception. Moderated mediation analyses revealed stronger indirect effects of depressivity and anxiety in mediating affective-, and anxiety in mediating sensory pain perception in patients with decompensated tinnitus.ConclusionPsychological constructs mediate the co-occurrence of tinnitus- and pain-related symptoms across different levels of tinnitus-related distress. Psychological treatment approaches should conceptualize and address individualised interactions of common cognitive-emotional processes in addressing psychosomatic symptom clusters across syndromatic patients with varying distress levels.
机译:目的探讨的耳鸣相关的苦恼和痛苦的经历同现旁边那可依据其association.MethodPatients慢性耳鸣的心理因素(N = 1238)完成了问卷电池研究耳鸣相关的痛苦和情感和感觉疼痛知觉。一系列简单的,平行和串行多重中介模型检验心理合并症的间接影响以及进程外变量,包括depressivity,心理压力和应对的态度。主持人,并主持调解的分析研究微分关系模式在失代偿与补偿tinnitus.ResultsThere是耳鸣相关的苦恼和痛苦的看法之间显著关联。这些部分被大多数指定的变量介导的。心理合并症通过其对depressivity的影响,心理压力,以及应对的态度出现了耳鸣影响疼痛协会。在情感与感官疼痛感觉通路一些具体的差异出现了。失代偿性耳鸣产生所有测量指标显著高症状负担。耳鸣失代偿用[1]耳鸣相关的痛苦和疼痛知觉,以及depressivity消极应对态度之间加高关联相关联; [2]大多数心理合并症和感觉,而不是情感疼痛感。主持调解的分析,在失代偿tinnitus.ConclusionPsychological构建调解的不同层级tinnitus-的tinnitus-与疼痛相关的症状共生调解感觉疼痛知觉透露depressivity和调解affective-焦虑和焦虑更强间接影响相关的苦恼。心理治疗方法应该概念化和地址个性化解决跨syndromatic患者心身症状群有不同窘迫水平普遍认知,情感过程的相互作用。

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