Associação das medidas audiológicas e psicoacústicas do zumbido com sintomas de ansiedade

• Ano de defesa: 2023
• Autor(a) principal: Pereira, Rayane Medeiros
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso embargado
• Idioma: por
• Instituição de defesa: Universidade Federal do Rio Grande do Norte; Brasil; UFRN; PROGRAMA DE PÓS-GRADUAÇÃO EM FONOAUDIOLOGIA
• Palavras-chave em Português: Zumbido; Ansiedade; Perda auditiva; Audiologia; CNPQ::CIENCIAS DA SAUDE::FONOAUDIOLOGIA
• Link de acesso: https://repositorio.ufrn.br/handle/123456789/54834

Introduction: Tinnitus is the perception of a sound generated in the auditory pathways in the absence of an external sound source and can cause different emotional reactions. Objective: (1) Identify risk factors associated with chronic tinnitus and characterize the degree of discomfort reported by the individuals in this sample. (2) To verify the relationship and compare the psychoacoustic characteristics, the impact and level of discomfort of tinnitus with symptoms associated with anxiety, in patients with and without hearing loss. Method: Study approved by the Research Ethics Committee, nº 4,880,618. Dissertation structured in two articles. (1) Observational, analytical case-control study, with a sample of 100 participants divided into the research group (RG) with chronic tinnitus and the control group (CG) without tinnitus. (2) Cross-sectional and analytical study, with a sample of 50 participants divided into two groups, group 1 (G1) without hearing loss and group 2 (G2) with hearing loss. The responses obtained by the visual analogue scale (VAS), Tinnitus Handicap Inventory (THI), acuphenometry and State-Trait Anxiety Inventory (STAI) were analysed. Results: (1) There was influence of diabetes mellitus and hearing loss associated with tinnitus and predominance of the THI total score between moderate and severe degree and, for VAS, severe degree of discomfort, in the evaluated participants (2) A significant difference was observed for the variables pitch in the right ear (RE) and total VAS score between the groups. There was a correlation between VAS and loudness and THI with VAS and IDATE-T, in G1. Conclusion: (1) There was an association between the comorbidities diabetes mellitus and hearing loss as risk factors for the presence of tinnitus, in addition to the predominance of levels of discomfort between moderate and severe degrees in the studied sample. (2) There was no difference in the impact of tinnitus on quality of life, the feeling of symptom intensity and signs of anxiety between patients with and without hearing loss. However, there was a difference in the sensation of the frequency of tinnitus in the right ear and the level of discomfort of the symptom, which was greater among patients with hearing loss. It was also identified a relationship between the level of annoyance and the greater sensation of tinnitus intensity, in both ears, in the normal hearing group.