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A Preliminary Examination of the Roles of Contextual Stimuli and Personality Traits Under the Adaptation Level Theory Model of Tinnitus

机译:耳鸣适应水平理论模型下情境刺激和人格特质的作用初探

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Objective: This study empirically assessed the validity of a novel psychoacoustic ALT model of tinnitus proposed by Searchfield et al. [1]. Two components of the model were investigated: background noise (context) and personality traits (a single residual component), in an attempt to isolate their effects on tinnitus. Design: Loudness level matches, and rating scales for loudness and distress were obtained before and after 20 minutes of: quiet, Narrow Band Noise (NBN) at threshold level, 10 dB sensation level and 20 dB sensation level. Personality variables were assessed using the Multidimensional Personality Questionnaire Form NZ (MPQ-Form NZ). Study sample: Twenty participants with chronic tinnitus participated in the study. Results: Tinnitus distress interacted with contextual noise levels in a manner consistent with the ALT model; tinnitus loudness matches to sound did not change. The personality traits of social closeness, positive emotionality, stress reaction and negative emotionality were seen to influence contextual noise-tinnitus interactions. The emergence of 'adaptation-sensitive' and 'adaptation-insensitive' persons was observed. The 20 dB sensation level noise led to the most reduction in tinnitus overall among participants, however this was not statistically significantly greater than the other sound levels. Conclusions: Tinnitus loudness and distress might represent two separate underlying constructs with different adaptation levels. Also, underlying individual differences in adaptation sensitivity may be present.
机译:目的:本研究通过经验评估了Searchfield等人提出的新型耳鸣心理声学ALT模型的有效性。 [1]。对模型的两个组成部分进行了研究:背景噪声(背景)和人格特质(单个残余组成部分),以试图隔离它们对耳鸣的影响。设计:响度等级匹配,以及在20分钟以下之前和之后获得响度和困扰等级的等级:安静,阈值水平,10 dB感觉水平和20 dB感觉水平的窄带噪声(NBN)。使用NZ多维人格问卷(MPQ-Form NZ)评估人格变量。研究样本:20名慢性耳鸣参与者参加了研究。结果:耳鸣困扰与上下文噪声水平以符合ALT模型的方式相互作用;耳鸣响度与声音的匹配没有改变。社交亲密,积极情绪,压力反应和消极情绪的人格特征被认为会影响环境噪声-耳鸣的相互作用。观察到“适应敏感”和“适应不敏感”的人的出现。 20 dB的感觉水平噪声导致参与者整体耳鸣减少最多,但是从统计学上讲,这并不比其他声音水平大得多。结论:耳鸣响度和困扰可能代表具有不同适应水平的两个独立的基础结构。同样,可能会出现适应敏感性方面的潜在个体差异。

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