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听力损失与自杀念头之间的关联:纯音调听力测量与主观听力水平之间的差异
Jeong Hyun Ahn1, Ji Su Yang1, Jinsei Jung2
1Department of Public Health, Graduate School, Yonsei University, Seoul, Republic of Korea.
Journal of affective disorders
|October 14, 2023
概括
主观听力损失,患者对其听力的感知,与客观纯音声听力测量 (PTA) 测量相比,与自杀念头的联系更强. 这凸显了在心理健康评估中考虑患者报告的结果的重要性.
科学领域:
- 听力学 听力学是指听力学.
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
背景情况:
- 听力损失是一个重要的公共卫生问题.
- 心理健康状况,包括自杀念头,往往被诊断不足.
- 听力障碍与精神健康之间的关系需要进一步研究.
研究的目的:
- 调查客观 (纯音调听力测量) 与主观听力损失和自杀念头之间的关联.
- 为了确定哪种听力损失的指标,客观或主观,与自杀念头有更强的相关性.
主要方法:
- 利用了来自韩国国家健康和营养检查调查 (KNHANES) (2009-2013) 23,215名参与者的数据.
- 使用纯音声听力测量 (PTA) 值和自我报告的听力不适水平对听力损失进行分类.
- 采用千平方测试和多重逻辑回归来分析听力损失类别和自杀念头之间的关系.
主要成果:
- 通过PTA测量,中度至严重的听力损失与自杀念头的几率增加有关 (OR = 1.19).
- 主观听力损失与自杀念头的相关性更强 (轻微不适:OR = 1.41;相当不适:OR = 1.57).
- 观察到剂量反应关系,主观听力不适增加与更高的自杀念头相关,特别是在中度至重的PTA定义听力损失患者中.
结论:
- 主观性听力损失是自杀念头的更重要的预测因素,而不是通过PTA测量的客观性听力损失.
- 医疗保健提供者应该考虑评估主观听力水平,作为常规心理健康评估的一部分.
- 需要进一步的研究来探索主观听力障碍和自杀念头之间的联系的潜在机制.
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