RESUMO
Tinnitus is an auditory perception without adequate external acoustic sources. The incidence of tinnitus in the general population is high, and can lead to total decompensation in some of the affected patients. Tinnitus is a symptom of an unspecific lesion of the ear or the central auditory system. In many cases, the cause of tinnitus can be inferred from the medical history and from the results of specific medical examines. Nevertheless, in many cases there is still no causal therapy available. As a result, for most patients approaches such as proper counselling, the fitting of hearing aids or tinnitus retraining therapy are adopted.
Assuntos
Zumbido , Audiometria , Doença Crônica , Aconselhamento , Auxiliares de Audição , Humanos , Incidência , Emissões Otoacústicas Espontâneas , Fatores de Tempo , Zumbido/diagnóstico , Zumbido/epidemiologia , Zumbido/etiologia , Zumbido/psicologia , Zumbido/terapiaRESUMO
Interviews with 18 male patients with predominantly psychogenic pain (DSM-III and DSM-III-R) and with 18 male patients with pain of mainly physical origin, consecutively admitted to a medical department, were rated by blinded and independent raters with respect to "symptom description," "manner of speech," "personality characteristics," "interviewer reactions," "interpersonal relationships," and "relationships at work." Patients with predominantly organic pain significantly more often described a clear localization of the pain symptom, used more sensory words for the description of pain quality; more often described discrete changes of pain intensity and periodicity; more often showed pain-intensifying factors dependent on movement and pain-decreasing factors; more often believed pain to be a symptom versus as a disease itself, and tended to have fewer difficulties in their interpersonal relationships than those with predominantly psychogenic pain (p < 0.05 for all factors, two-tailed Fisher's Exact test).
