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논문 기본 정보

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학술저널
저자정보
Alberto Bernal-Robledano (Division of Otolaryngology, Department of Surgery, University of Granada) Patricia Perez-Carpena (Department of Otolaryngology, Hospital Universitario Virgen de las Nieves) Jose Antonio Lopez-Escamez (Department of Surgery, Division of Otolaryngology, Universidad de Granada, Granada, Spain) Dimitris Kikidis (Department of Otolaryngology-Head and Neck Surgery, Hippocrateion General Hospital) Birgit Mazurek (Charité‒Universitätsmedizin Berlin, Tinnitus Center) Stefan Schoisswohl (Department of Psychiatry and Psychotherapy, University of Regensburg) Susanne Staudinger (Department of Psychiatry and Psychotherapy, University of Regensburg) Berthold Langguth (Department of Psychiatry and Psychotherapy, University of Regensburg) Winfried Schlee (Department of Psychiatry and Psychotherapy, University of Regensburg)
저널정보
대한이비인후과학회 Clinical and Experimental Otorhinolaryngology Clinical and Experimental Otorhinolaryngology Vol.17 No.1
발행연도
2024.2
수록면
15 - 25 (11page)
DOI
https://doi.org/10.21053/ceo.2023.00808

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Objectives. The study aimed to assess the relationship of tinnitus with hyperacusis with cognitive impairment as indicatedby the Montreal Cognitive Assessment (MoCA) tool. Methods. This multicenter cross-sectional study included individuals with chronic tinnitus from the “Unification of Treat-ments and Interventions for Tinnitus Patients” (UNITI) database. Participants were recruited from four different ter-tiary clinical centers located in Athens and Granada (Mediterranean group), as well as Berlin and Regensburg (Ger-man group). In total, 380 individuals with a diagnosis of non-pulsatile chronic tinnitus (permanent and constant tin-nitus lasting more than 6 months) and no evidence of severe cognitive impairment (MoCA score >22) were enrolled. The evaluation utilized the following tools: MoCA, Tinnitus Handicap Inventory (THI), Hyperacusis Questionnaire(GÜF), Patient Health Questionnaire (PHQ-9), and the European School for Interdisciplinary Tinnitus ResearchScreening Questionnaire. Results. MoCA scores differed between German and Mediterranean individuals (P <0.01), necessitating separate analysesfor each group. In both cohorts, MoCA scores were significantly associated with education level, age, hearing thresh-old at 8 kHz, and THI. Furthermore, a significant correlation was observed between PHQ-9 scores and both THI andGÜF (P <0.01 for both Germans and those from the Mediterranean). Conclusion. Our data suggest an association between tinnitus handicap, high-frequency hearing loss, and mild cognitiveimpairment. Additionally, PHQ-9 scores were associated with tinnitus and hyperacusis scores, independent of hear-ing loss thresholds.

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