Investigation of the Relationship Between Suicidal Behavior and Anxiety Sensitivity and Somatosensory Amplification in Patients with Tinnitus Tinnitus Hastalarında İntihar Davranışı, Anksiyete Duyarlılığı ve Somatosensoriyal Amplifikasyon Arasındaki İlişkinin İncelenmesi

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Çolak G. V., Koç A. E., Demir E., HOCAOĞLU Ç., ÖZERGİN COŞKUN Z.

Medical Journal of Bakirkoy, cilt.22, sa.1, ss.25-32, 2026 (ESCI, Scopus, TRDizin)

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 22 Sayı: 1
  • Basım Tarihi: 2026
  • Doi Numarası: 10.4274/bmj.galenos.2025.2024.9-5
  • Dergi Adı: Medical Journal of Bakirkoy
  • Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus, CINAHL, EMBASE, TR DİZİN (ULAKBİM), Academic Search Ultimate (EBSCO), Biomedical Reference Collection: Corporate Edition (EBSCO), Health Research Premium Collection (ProQuest), Pharma Collection (ProQuest)
  • Sayfa Sayıları: ss.25-32
  • Anahtar Kelimeler: anxiety, somatosensory amplification, Subjective tinnitus, suicidal ideation
  • Açık Arşiv Koleksiyonu: AVESİS Açık Erişim Koleksiyonu
  • Ankara Yıldırım Beyazıt Üniversitesi Adresli: Evet

Özet

Objective: Some patients with tinnitus experience substantial psychosocial challenges. This study aimed to investigate the relationships among tinnitus severity, anxiety sensitivity, somatosensory amplification, and suicidal behavior. Additionally, the study examined whether tinnitus patients and healthy controls on these factors. Methods: The study consisted of 45 patients admitted to the otorhinolaryngology clinic with complaints of tinnitus; and 45 healthy individuals. We administered the sociodemographic and clinical data form, Tinnitus Handicap Inventory (THI), anxiety sensitivity index-3 (ASI-3), somatosensory amplification scale (SSAS), and suicidal behaviors questionnaire (SBQ) to the study participants. Results: No significant differences were found between the patient and control groups in ASI-3, SSAS, and SBQ scores (all p>0.05). However, in the tinnitus group, positive correlations were observed between THI total scores and ASI-3 (r=0.55; p<0.001), SSAS (r=0.47; p=0.001), and SBQ (r=0.72; p<0.001). According to the multiple regression analysis, 44% of the variance in SBQ scores was explained by THI (F=34.37; p<0.001). When ASI-3 was added to the model, the explained variance increased to 49% (F=20.22; p<0.001), and with the addition of SSAS, it increased further to 50% (F=13.55; p<0.001). However, in this model, only THI (p<0.001) and ASI-3 (p=0.043) made significant contributions, while the effect of SSAS was not statistically significant (p=0.443). Mediation analysis revealed that ASI-3 partially mediated the relationship between THI and SBQ, whereas SSAS had no significant mediating effect. Conclusion: Our findings suggest that tinnitus severity may be closely associated with suicidal tendency, particularly as anxiety sensitivity increases.