ABSTRACT
The aim of this study was to gain a deeper understanding of the quality of daily living of persons with hyperacusis after a traumatic head injury 1 year after these persons had participated in a treatment programme at a Swedish hearing clinic. The study group consisted of 21 patients with a mean age of 36 years. In-depth interviews, conducted 1 year after the treatment programme, were analysed using the grounded theory method. Five emergent categories were labelled moderating vulnerability, awareness of restrictions, conditioned participation, structuring daily life and controlling mood changes. The core category, moderating vulnerability, describes the necessary balancing act between activity and recovery. The informants were aware of their new restrictions and managed daily life by structuring and planning each day in detail to minimize exposure to sensory stimuli. They had learned to prioritize their activities and, thereby, rationed their time. The evaluated programme appears to have positive effects and facilitates patients' adjustment process to hyperacusis with relatively restricted costs for the society.
Subject(s)
Adaptation, Psychological , Craniocerebral Trauma/complications , Hyperacusis/psychology , Hyperacusis/rehabilitation , Quality of Life , Adolescent , Adult , Female , Humans , Hyperacusis/etiology , Interviews as Topic , Male , Middle Aged , Program EvaluationABSTRACT
The aim of the study was to gain a better understanding of what suffering from hyperacusis means. Twenty-one out-patients referred to a hearing clinic due to persisting hypersensitivity to sounds after an acute head trauma were interviewed. Before the head trauma, they had lived an independent, active and externally oriented life. As a consequence of the trauma, the patients became psychosocially vulnerable and suffered from a variety of symptoms: hypersensitivity to sounds, difficulties with concentrating and remembering, increased anxiety and sensitivity to stress. Structuring everyday life and using a variety of coping strategies was necessary for reducing life stress and symptoms in the process of adjusting to the changed life situation.
Subject(s)
Craniocerebral Trauma/complications , Hyperacusis/etiology , Interviews as Topic , Self Concept , Acute Disease , Adolescent , Adult , Female , Humans , Hyperacusis/diagnosis , Male , Middle AgedABSTRACT
Nodular fasciitis (NF) appears typically as a rapidly growing solitary mass which is most commonly located on the extremities, followed by the trunk and then the head and neck. NF is often suitable for fine needle aspiration (FNA), but few reports of NF diagnosed cytologically have been published. The purpose of this paper is to describe FNA cytology in three cases of nodular fasciitis. All three cases were located on the face.
