[Tinnitus and depression after cochlear implantation in adult sensorineural deafness]

Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2022 Feb;36(2):86-89. doi: 10.13201/j.issn.2096-7993.2022.02.002.
[Article in Chinese]

Abstract
in English, Chinese

Objective:The aim of this study is to investigate the changes and correlation of tinnitus and depression in adult patients with severe deafness after cochlear implantation. Methods:A total of 166 adult patients who underwent cochlear implantation（CI） were retrospectively selected as the research objects. All patients were investigated by Chinese Version of the Tinnitus Handicap Inventory（THI-C） and Chinese Version of the Beck Depression Inventory-Ⅱ（BDI-Ⅱ-C） before and after operation, and the improvement of tinnitus after operation was observed THI-C and BDI-Ⅱ-C scores before and after operation and the correlation between them. Results:Re-examination at 6 months after CI showed that the evaluation grade of tinnitus disability before and after the operation decreased significantly（Z=-9.478, P<0.001）, and the THI-C score （t=69.128, P<0.001）, and BDI-Ⅱ-C score （t=58.531，P<0.01）were significantly reduced. Spearman correlation analysis showed that there was a significant positive correlation between THI-C and BDI-Ⅱ-C scores before and after operation, aswell as the improvement of THI-C score and BDI-Ⅱ-C score（rpreoperative=0.763, rpostoperative=0.741, rdifference=0.741, all P<0.001）. Conclusion:Cochlear implantation can significantly improve tinnitus and depression in adult patients with sensorineural hearing loss. With the improvement of tinnitus, the depressive state of patients can be alleviated accordingly.

目的：探讨成人重度、极重度耳聋患者耳蜗植入术（CI）后耳鸣和抑郁状态的变化及其相关性。 方法：回顾性选择166例行CI的成人患者作为研究对象，所有患者手术前后均接受中文版耳鸣残疾评估量表（THI-C）调查和贝克抑郁量表第2版中文版（BDI-Ⅱ-C）调查，观察患者术后耳鸣改善情况、手术前后THI-C和BDI-Ⅱ-C得分情况以及两者之间的相关性。 结果：CI术后6个月复查，患者手术前后耳鸣残疾评估等级显著下降（Z=-9.478，P<0.001），THI-C评分（t=69.128，P<0.001）、BDI-Ⅱ-C评分（t=58.531，P<0.01）均显著降低。Spearman相关性分析显示，手术前、后THI-C和BDI-Ⅱ-C评分之间以及THI-C评分改善程度和BDI-Ⅱ-C评分改善程度之间均具有显著正相关性（r术前=0.763、r术后=0.741、r差值=0.741，均P<0.001）。 结论：CI能显著改善成人感音神经性聋患者的耳鸣和抑郁程度。随着耳鸣程度的改善，患者抑郁状态也得以相应缓解。.

Keywords: cochlear implantation; depression; hearing loss, sensorineural; tinnitus.

MeSH terms

  • Adult
  • Cochlear Implantation*
  • Deafness* / surgery
  • Depression
  • Hearing Loss, Sensorineural* / complications
  • Hearing Loss, Sensorineural* / surgery
  • Humans
  • Retrospective Studies
  • Tinnitus* / surgery
  • Treatment Outcome