耳鳴成人的健康相關生活品質剖面

// Health-Related Quality-of-Life Profiles in Adults With Tinnitus

428名成人以EQ-5D-5L（生活品質量表）評估耳鳴｜33%有疼痛、40%焦慮/憂鬱｜TFI每增10分，日常活動與焦慮/憂鬱惡化機率分別增53%與51%；健康組TFI39.0 vs 55.3；聚類顯示一小群高負擔者伴心理與睡眠困擾，支持生物心理社會整合治療需求。

// This study examined how tinnitus affects multiple health-related quality-of-life domains using the EQ-5D-5L in a cross-sectional sample of 428 adults from baseline data of internet-based CBT trials. Most participants reported no problems with mobility, self-care, or usual activities, but 33% reported pain/discomfort and 40% reported anxiety/depression. Higher tinnitus severity was linked to worse outcomes across all EQ-5D-5L dimensions — a 10-point rise in TFI score was associated with 53% and 51% greater odds of worse usual activities and anxiety/depression, respectively, and those with a fully healthy profile had substantially lower TFI scores (mean 39.0 vs 55.3). Cluster analysis identified a smaller high-burden subgroup with greater tinnitus severity, psychological and sleep distress, supporting the need for integrated biopsychosocial management.

Published 2026年9月3日