Psychological Aspects of Tinnitus: A Comparison With Hearing Loss and Ear,Nose and Throat Disorders

Abstract

It is well established that tinnitus is sometimes associated with marked psychological distress, including anxiety and depression. As yet, however, it is unclear whether the problems are specific to tinnitus or may occur in other hearing disorders too. A total of 95 patients with tinnitus were compared with 73 people with hearing loss but no tinnitus, and with a further 80 people attending an out-patient clinic for a variety of other ear, nose and throat (ENT) problems. The principal measures were the Hospital Anxiety and Depression Scale and the Eysenck Personality Questionnaire. The tinnitus patients were significantly more anxious, depressed, and neurotic than the hearing loss group, but were equivalent to the ENT group; and, like the hearing loss group, they were significantly less extraverted than the ENT controls. There were no differences between tinnitus patients with severe hearing loss, mild hearing loss, and no hearing loss. Results from Hallam's Short Tinnitus Questionnaire revealed that tinnitus patients without hearing loss reported significantly fewer difficulties with auditory perception than either of the other tinnitus groups, and significantly fewer irrational beliefs than the group with severe hearing loss. It is concluded that patients with tinnitus were more distressed than people with hearing loss, but that their distress was shared by patients with a variety of other ENT problems. People who reported the greatest problems with their tinnitus were generally those who also had severe hearing loss.     

Coping with human immunodeficiency virus: Do optimists fare better?

Individuals who test positive for human immunodeficiency virus (HIV) face a difficult adjustment task. It was hypothesized that those who were more optimistic would cope more effectively and experience less distress. Both general and health-specific measures of coping were used. Optimism and distraction were negatively related to state anxiety, whereas emotional preoccupation was positively related to state anxiety. Optimism was not a predictor of depression. Rather, distraction was negatively related to depression, whereas palliative coping, emotional preoccupation, and the interaction of palliative coping and optimism were positively related to depression. The mediation of optimism by coping variables indicated that emotion-oriented coping was a negative mediator of optimism on both state anxiety and depression. Distraction (which includes some social diversion content) was a mediator of the impact of optimism on depression.     

Coping with human immunodeficiency virus: Do optimists fare better?

Individuals who test positive for human immunodeficiency virus (HIV) face a difficult adjustment task. It was hypothesized that those who were more optimistic would cope more effectively and experience less distress. Both general and health-specific measures of coping were used. Optimism and distraction were negatively related to state anxiety, whereas emotional preoccupation was positively related to state anxiety. Optimism was not a predictor of depression. Rather, distraction was negatively related to depression, whereas palliative coping, emotional preoccupation, and the interaction of palliative coping and optimism were positively related to depression. The mediation of optimism by coping variables indicated that emotion-oriented coping was a negative mediator of optimism on both state anxiety and depression. Distraction (which includes some social diversion content) was a mediator of the impact of optimism on depression.     

Optimism, neuroticism, coping, and symptom reports: an alternative interpretation of the Life Orientation Test

Found in two studies that the Life Orientation Test (LOT) had limited discriminant validity relative to measures of neuroticism. Furthermore, although previous correlations of the LOT with measures of symptom reports and coping behaviors were replicated, these correlations were eliminated when neuroticism was controlled. In contrast, the correlations of symptoms and coping with neuroticism remained significant when LOT scores were controlled. Thus, the LOT is virtually indistinguishable from measures of neuroticism, and previously reported findings using this scale are perhaps more parsimoniously interpreted as reflecting neuroticism rather than optimism. These findings are discussed in terms of existing support for models of optimism and self-control and general methodological issues in studies of personality and health.     

Avoiding the effect of item wording by means of bipolar instead of unipolar items: An application to social optimism

Scales including positively and negatively worded items usually show an impaired degree of homogeneity. The transformation of unipolar positively and negatively worded items into bipolar items can avoid this disadvantageous effect. The precondition for this transformation is that each pair of items refers to the same topic. It is this topic that serves as the heading of the bipolar item. This scale construction method is demonstrated in the items of the social optimism scale (Schweizer & Schneider, 1997) that comprises unipolar items. The investigation of both the original and the transformed scales in a sample of 808 participants revealed equivalence and a high quality for both scales. Results of an additional sample confirmed the validity of both social optimism scales. Copyright © 2009 John Wiley & Sons, Ltd.     

Anxiety Sensitivity in Patients with Chronic Tinnitus

Tinnitus is the perception of sounds (often ringing or buzzing) in the absence of any external auditory stimulation, hence sometimes called a ''phantom auditory perception''. Although most people tend to ignore their tinnitus, a significant proportion will show marked annoyance and reduced quality of life as a result of this complaint. It is difficult to predict those who are likely to develop severe problems with tinnitus, but psychosocial aspects such as anxiety and depression have been proposed as mediators. In this study we investigated the role of anxiety sensitivity defined as a trait tendency to fear anxietyrelated sensations. The study sample included 146 tinnitus patients with moderate to severe tinnitus. Results showed that anxiety sensitivity correlated significantly with tinnitus distress, but the association was significantly stronger in female participants who also displayed more signs of anxiety sensitivity. A multiple regression analysis revealed that anxiety sensitivity contributed to explained variance in tinnitus distress beyond audiological measures of tinnitus maskability and hearing thresholds. These results are discussed in light of related investigations on the role of anxiety sensitivity in somatic conditions.     

Dimensionality and Validity of the Serbian Version of the Life Orientation Test-Revised in a Sample of Youths

The main aim of this research was to evaluate psychometric properties and dimensionality of the Serbian version of the Life Orientation Test-Revised (LOT-R). The sample consisted of 744 youths, with a mean age 18.68 years. Psychometric properties of the Serbian version of the LOT-R were found to be satisfactory. The total scale and both subscales (Optimism and Pessimism) had adequate internal consistency. Convergent validity was demonstrated by moderate correlations with well-being measures (positive and negative affect, life satisfaction, hope, self-efficacy, loneliness and general distress). The results of confirmatory factor analyses yielded two correlated dimensions reflecting optimism and pessimism, and provided support for the two-factor model of optimism. The results of simultaneous multiple regression analyses demonstrated that both optimism and pessimism contributed uniquely to various indicators of well-being. Implications and directions for future research were discussed.     

Finding benefit in breast cancer: Relations with personality,coping, and concurrent well-being

Cancer patients experience positive as well as adverse consequences from cancer diagnosis and treatment. The work reported here was part of an effort to characterize the experiences of benefit finding in breast cancer patients. A sample of 230 early-stage breast cancer patients completed a set of benefit finding items in the year post-surgery. This measure was then related to measures of concurrent coping, several aspects of psychosocial well-being, demographic variables, and several other personality traits. Benefit finding related positively to trait optimism, and to positive reframing and religious activity as coping reactions. Benefit finding related inversely to emotional distress, but was relatively unrelated to other measures of well-being.     

人格测验中题目正反向陈述的效应

研究中将EPQ和NEO-FFI中的一半题目进行语义反转（肯定陈述的改为否定陈述,否定陈述的改为肯定陈述）,而另一半的题目陈述方向不变,形成的量表用于初测。重测时则把初测问卷中的题目全部进行语义反转。测试后得到363名大学生的正反EPQ和412名大学生的正反NEO-FFI数据。对比发现两套量表在使用正向题时信度略高,而使用反向陈述题目时效度略好;验证性因素分析发现正反向题能测量同一特质。正向题可能更易受反应偏差影响     

Optimism, perceived risk of breast cancer, and cancer worry among a community-based sample of women.

Optimism is frequently inversely associated with distress; however, less is known about the mechanisms underlying this relationship. Optimism can be defined as having a generalized positive expectancy about the future. The authors hypothesized that a specific expectancy might mediate the relationship between optimism and distress. That model was tested using perceived risk of breast cancer as a specific measure of expectancy and cancer worry as a measure of distress in a community-based sample of 1,366 women. It was hypothesized that optimism would be inversely associated with cancer worry and that perceived risk of breast cancer would mediate the relationship between optimism and cancer worry. Multiple regression analyses revealed that perceived risk partially mediated the relationship between optimism and cancer worry.     

Optimism for the World’s Future versus the Personal Future: Application to Environmental Attitudes

Optimism and pessimism for the future have been widely studied, but little is known about distinctions among types of optimism. In the present work optimism for the personal future and optimism for a more global world’s future were shown to be related yet distinct variables among responses from 156 undergraduate students. Furthermore, World Optimism predicted lower levels of pro-environmental attitudes (the New Ecological Paradigm) whereas Personal Optimism did not after its shared variance with World Optimism was removed. Personal Optimism (but not World Optimism) was associated with Consideration of Future Consequences, a measure of locus of control, and other measures of optimism and pessimism. Discussion addresses this distinction and its implications for understanding environmental attitudes and other individual differences.     

Autobiographical Memory Specificity in Patients with Tinnitus Versus Patients with Depression and Normal Controls

Several studies show that patients with depression and post-traumatic stress disorder respond with fewer specific autobiographical memories in a cued memory task (i.e. the autobiographical memory test; AMT) compared to healthy controls. One previous study found this phenomenon among tinnitus patients as well (Andersson, Ingerholt, & Jansson, 2003). The aim of this study was to replicate the previous study with an additional control group of depressed patients and memory errors as measured with the AMT as an additional outcome. We included 20 normal hearing tinnitus patients, 20 healthy controls and 20 persons diagnosed with clinical depression. The AMT was administered together with self-report measures of depression, anxiety and tinnitus distress. Both the tinnitus and depression groups differed from the healthy control group in that they reported fewer specific autobiographical memories. There were, however, differences between the tinnitus and depression groups in terms of the errors made on the AMT. The depression group had more overgeneral memories than the normal control group, whereas the tinnitus group did not differ from the control group on this memory error. The tinnitus group had more semantic associations and non-memories than the other two groups, suggesting that executive functioning may play a role for the tinnitus group when completing the AMT. Clinical and theoretical implications of the findings are discussed.     

The relationship between dispositional optimism, dispositional pessimism, repressive coping and trait anxiety

The purpose of this study was to investigate the relationship between dispositional optimism, dispositional pessimism, repressive coping and trait anxiety. The Marlowe-Crowne scale (MC) and the Bendig version of the Taylor Manifest Anxiety Scale (MAS) were used to select repressor and control groups (N=143, aged between 18 and 47 years), who subsequently completed a measure of dispositional optimism, the Life Orientation Test (LOT), which consists of two sets of items: optimism and pessimism. Repressors (high MC, low MAS) reported significantly lower pessimism than all other participants. When the pessimism scale was divided into high and low categories, there were significantly more repressors in the low pessimism group than the other low trait anxiety group, low anxious (low MC, low MAS). However, for the optimism scale the opposite pattern of results was found, with significantly more low anxious in the high optimism group than repressors. These results support the assertion that the pessimism and optimism scales of the LOT are not the same construct and should be measured separately.     

项目表述效应的统计控制：以中文版生活定向测验为例

本研究以中文版生活定向测验（LOT-R）为例,使用CTCM和CTCU方法进行建模,旨在探讨中文表述的量表中是否存在项目表述效应以及影响项目表述效应的特质因素。采用中文版生活定向测验等量表组成的问卷对334名大学生进行测试。结果表明,中文版LOT-R存在项目表述效应,是一种反向题的项目表述效应,也可称为语言标签效应;在分离了反向题项目表述效应后,发现中文版LOT-R只存在乐观因子,而不再有悲观因子。这表明乐观-悲观同属于一种人格特质,而非两种不同的人格特质;反向题项目表述效应是一种结构性误差,会导致量表结构的扭曲。研究还发现担心错误和父母期望与反向题项目表述效应存在显著的负相关,表明越是担心错误或父母期望水平越高的被试,他们对反向题的项目表述效应（语言标签效应）越小。社会赞许性对反向题项目表述效应没有影响。     

The impact of job demands,climate, and optimism on well-being and distress at work: What are the mediating effects of basic psychological need satisfaction?

IntroductionPsychological health at work, a multidimensional concept grasped by the absence of negative states and by the presence of positive states, is here approximated in terms of distress and well-being.ObjectiveThis study was aimed at examining the extent to which job demands, individual resources (optimism), and organizational resources (climate) are linked to well-being and distress at work. We looked at whether these links are mediated in satisfaction of the three basic psychological needs posited in self-determination theory (competence, relatedness, and autonomy).MethodThe participants were 298 French elementary, middle, and high school teachers who were asked to answer a questionnaire. The data was analyzed using Hayes and Preacher's method for testing multiple mediations.ResultsSatisfaction of the psychological needs for competence and relatedness fully mediated the links between job climate and psychological health at work (well-being and distress). Optimism turned out to be an important factor of health, not only because it had a strong impact on well-being and distress, but also because its effects were partially mediated by satisfaction of the need for competence.ConclusionThe present results confirm the relevance of the variables used to predict psychological health (particularly optimism). Job demands directly affected well-being and distress levels. The climate — by way of satisfaction of the need for competence and for relatedness — plays a critical role in matters of occupational health.     

Predicting performance in ski and swim championships: effectiveness of mood, perceived exertion, and dispositional optimism

Two studies were performed with young athletes to investigate the utility of three psychological tests regarding the prediction of sport performance: the Profile of Mood States. Ratings of Perceived Exertion, and Dispositional Optimism. In Study 1, young male and female cross-country skiers and ski-marksmen in final preparation for the Junior National Swedish Championships were tested. Measured 5 wk. before both competitions, the higher the optimism (LOT), the better performance. In Study 2, which tested young swimmers in preparation for the Senior National Swedish Championships, competitors who had the highest scores on optimism performed less well during the competitions. The results are interpreted to indicate that optimism presents an important factor for predicting achievement in sports.     

Distress and emotional well-being in breast cancer patients prior to radiotherapy: an expectancy-based model

Understanding precursors to distress and emotional well-being (EWB) experienced in anticipation of radiotherapy would facilitate the ability to intervene with this emotional upset (i.e. higher distress, lower EWB). Thus, this study tested an expectancy-based model for explaining emotional upset in breast cancer patients prior to radiotherapy. Women affected by breast cancer (N?=?106) were recruited and participants completed questionnaires prior to commencing radiotherapy. Structural equation modelling was used to test a cross-sectional model, which assessed the ability of dispositional optimism (Life Orientation Test-Revised - two factors), response expectancies (Visual Analog Scale items), medical (type of surgery, cancer stage and chemotherapy history) and demographic (age, race, ethnicity, education and marital status) variables to predict both EWB (Functional Assessment of Chronic Illness Therapy - Emotional Well-being Subscale) and distress (Profile of Mood States - short version). The model represented a good fit to the data accounting for 65% of the variance in EWB and 69% in distress. Significant predictors of emotional upset were pessimism, response expectancies, Latina ethnicity, cancer stage and having had a mastectomy. These variables explained a large portion of emotional upset experienced prior to radiotherapy for breast cancer and are important to consider when aiming to reduce distress and improve EWB in this context.     

An investigation into the psychometric properties of the CORE‐OM in patients with eating disorders

Aim: The current study aimed to explore the psychometric properties of the CORE‐OM (Clinical Outcomes in Routine Evaluation – Outcome Measure) when used in an eating disorder sample. Method: The CORE‐OM was administered at assessment to 360 individuals referred to an eating disorders service. Principal component analysis was conducted to look at the psychometric structure of the CORE‐OM, and psychometric properties were investigated using analyses of reliability and validity. Results: Analyses of the psychometric structure suggested a three‐component solution reflecting negatively worded, positively worded and risk items. The CORE‐OM showed good acceptability, acceptable internal and test‐retest reliabilities, as well as good convergent and known groups validity. Conclusions: The results of the current study support the CORE‐OM as a reliable and valid measure for assessing psychological distress in eating disorders.