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Background and Objectives:Psychological distres may develop from tinnitus, or that recognition of tinnitus may even be greater during exposure to environmental stress. So, patients with tinitus need to consider the psychologic aspect in their diagno-pati-ents undergoing tinitus retraining therapy. Materials and Method:19 patients with tinitus who received the Symptom Check List-90-Revision (SCL-90-R) and a control group without tinnitus were compared first; and then 92 out of 119 patients performed the follow up study after thre months of tinnitus retraining therapy. Results:The results were as follows. 1) The tinnitus group scored higher than the control group in somatization, anxiety, phobic anxiety (p<0.05). 2) The gender diference, age, duration, position, hearing, and Feldmann masking curve of tinnitus were not related to the psychologic status of patients with tinnitus (p>0.05). 3) The psychologic aspect of patients with tinitus were related to loudnes, pitch, anoyance (p<0.05). 4) The folow-up study of 3 months on patients who underwent tinnitus retraining therapy showed diminished score in all components of SCL-90-R, except phobic anxiety, and paranoid (p<0.05). Conclusion:This study indicated that the compliant behaviour of tinnitus is related closely with intrinsic psychodynamic mechanism. (Korean J Otolaryngol 203 ;46 :475-80)

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