双侧听力损失成人的耳鸣与抑制控制：一项助听器使用者的Stroop研究。

文献信息

中文摘要

本横断面研究考察了耳鸣是否与双侧听力损失成人的言语信息处理速度和抑制控制相关。研究纳入132名双侧助听器使用者，均为中度重度或重度听力损失：66名伴耳鸣，66名不伴耳鸣。使用Stroop测验TBAG（Temel Bilimler Araştırma Grubu）表评估信息处理速度、选择性注意和抑制控制，并使用耳鸣残疾量表评估耳鸣相关残疾。Stroop评估者对耳鸣状态和问卷得分设盲。采用基于秩的协方差分析，并针对听力损失病程和严重程度进行调整，在结局家族内使用Benjamini-Hochberg错误发现率校正。调整后，耳鸣组在五个Stroop分段的完成时间平均秩更高（所有q ≤ .048）。他们在第4段中进行了更多自我纠正（q = .039），并在高干扰的第5段中出现了更多错误和自我纠正（两者q < .001）。在针对20次比较进行调整后，Stroop完成时间与耳鸣残疾量表得分无显著关联（所有q ≥ .505）。这些发现表明，耳鸣与更长的Stroop完成时间以及在高度干扰条件下反应抑制和监测方面的额外困难相关，而耳鸣相关残疾与表现无关。

英文摘要

This cross-sectional study examined whether tinnitus was associated with verbal information-processing speed and inhibitory control in adults with bilateral hearing loss. It included 132 bilateral hearing aid users with moderately severe or severe hearing loss: 66 with tinnitus and 66 without tinnitus. Information-processing speed, selective attention, and inhibitory control were assessed using the Stroop Test TBAG (Temel Bilimler Araştırma Grubu) Form, and tinnitus-related handicap was evaluated using the Tinnitus Handicap Inventory. The Stroop assessor was blinded to tinnitus status and questionnaire scores. Rank-based analyses of covariance adjusted for hearing-loss duration and severity, with Benjamini-Hochberg false discovery rate correction within outcome families. After adjustment, the tinnitus group had higher mean ranks for completion times across five Stroop sections (all q ≤ .048). They made more self-corrections in Section 4 (q = .039) and more errors and self-corrections in the high-interference Section 5 (both q < .001). Stroop completion times were not significantly associated with Tinnitus Handicap Inventory scores after adjustment for 20 comparisons (all q ≥ .505). These findings suggest that tinnitus is associated with longer Stroop completion times and additional difficulty with response inhibition and monitoring under high-interference conditions, whereas tinnitus-related handicap was not associated with performance.