@article{oai:niigata-u.repo.nii.ac.jp:00016896, author = {稲月, 原 and 伊藤, 陽}, issue = {12}, journal = {新潟医学会雑誌, 新潟医学会雑誌}, month = {Dec}, note = {In Niigata University, 14 patients whose chief complaints were tinnitus were referred to the department of psychiatry during 7 years. All patients were referred from the department of oto-rhino-laryngology. Six were male and 8 were female patients, whose mean age was 48.2 years old. Seven patients have unilateral tinnitus and 7 have bilateral one. Psychosocial stress factors associated with their occupation, their family relationships and so on were found in 9 patients. ICD-10 criteria was used for their psychiatric diagnosis. Six patients were diagnosed as having the depressive episode and 8 patients as the somatoform disorder. Antidepressants and anxiolytics were used together for the patients with the depressive episode and the patients with somatoform disorders presenting mild depressive symptoms. Anxiolytics were used for the patients with somatoform disorder without depressive symptoms. Psychotheraputic approaches were also conducted in all patients. In 6 patients with the depressive episode, their depressive symptoms were completely disappeared, while their tinnitus were improved in 4 patients (66.7%). In 8 patients with the somatoform disorder, their tinnitus were improved in only 2 (25.0%). We conclude that the first pychiatric approach to patients suffering from tinnitus is the evaluation and the treatment of depressive symptom, and the second psychiatric approach was the advice in the view of the improvement of their quality of life.}, pages = {745--752}, title = {3)精神疾患と耳鳴 : 精神疾患による耳鳴と病態管理(シンポジウム 耳鳴りの臨床, 第521回新潟医学)}, volume = {111}, year = {1997} }