UNASSIGNED: N = 696 patients with chronic tinnitus completed the Tinnitus Questionnaire, Tinnitus Handicap Inventory, Hospital Anxiety and Depression Scale, Perceived Stress Questionnaire and ICD-10 Symptom Rating. As criterion, patients further completed the Schema Mode Inventory (SMI-r) - which assesses psychological constructs linked to negative self-beliefs (\"parent modes\"), primary emotions resulting from unmet psychological needs (\"child modes\"), and secondary emotional or behavioral attempts to reinstate or maintain psychological equilibrium (\"coping modes\"). A varimax-rotated principal axis factor analysis grouped the primary item pool. Factor scale scores were then correlated with the SMI-r.
UNASSIGNED: A three-factor solution explained 37.4% of variance and represented 78% of the included items. Following item content examination, the factors represented (1) General emotional distress, (2) Tinnitus-attributed emotional distress, and (3) Socio-audiological impairment. Factors 1|2 correlated highly (r = 0.70), Factors 2|3 moderately (r = 0.62). Linked to the schema mode model, Factor 1 correlated highly with the \"vulnerable child\" (r = 0.78), and moderately with the \"parent\", \"angry child\", and \"detached protector\" modes (0.53 < r < 0.65). Factor 2 correlated moderately with the \"vulnerable child\" (r = 0.53). Factor 3 was largely uncorrelated with SMI-r scores - although a low correlation with the \"detached protector\" warrants further examination.
UNASSIGNED: \"General\" and \"tinnitus-attributed\" emotional distress correlate highly - warranting holistic (not symptom-specific) psychological case conceptualization and treatment planning. Viewed from a schema mode perspective, the \"vulnerable child\" explains substantial variance across both dimensions. Consequently, autobiographically anchored, unmet emotional needs and emotional detachment constitute key treatment targets. Social-audiological impairment should be multimodally conceptualised and treated with hearing aids and psychological support measures, as applicable.
■N=696名慢性耳鸣患者完成了耳鸣问卷,耳鸣障碍库存,医院焦虑抑郁量表,感知压力问卷和ICD-10症状评分。作为标准,患者进一步完成了图式模式清单(SMI-r)-评估与消极自我信念(“父母模式”)相关的心理建构,由于未满足的心理需求而产生的主要情绪(“儿童模式”),和次要的情绪或行为尝试恢复或维持心理平衡(“应对方式”)。varimax旋转的主轴因子分析对主要项目池进行了分组。然后将因子量表得分与SMI-r相关联。
■三因素解决方案解释了37.4%的方差,代表了78%的包含项目。在项目内容检查之后,代表的因素(1)一般情绪困扰,(2)由耳鸣引起的情绪困扰,(3)社会听力学损害。因子1|2高度相关(r=0.70),因子2|3中等(r=0.62)。链接到架构模式模型,因素1与“弱势儿童”高度相关(r=0.78),并适度地使用“父”,“愤怒的孩子”,和“分离保护器”模式(0.53