title: Psychological condition in patients with an acoustic tumor.
abstract: CONCLUSIONS
  This study showed that patients with acoustic tumor (AT) with hearing loss in the contralateral side had severe mood disturbances. It is important for physicians to provide patients who have better hearing in the tumor side with adequate information regarding the possibility of profound bilateral hearing loss and how to communicate with others in such situations.
  
  
  OBJECTIVE
  We examined the pretreatment status as regards neurosis and/or depression of patients with an AT using the Cornell Medical Index (CMI) and Self-rating Depression Scale (SDS) and clarified the relationship with the patients' background.
  
  
  METHODS
  We enrolled 30 patients with unilateral AT between 1997 and 2010. At the time of diagnosis, we examined each patient's psychological condition, sex, age, laterality, tumor size, hearing level on bilateral side, facial paresis, headache, and canal paresis.
  
  
  RESULTS
  In all, 20.0% of AT patients were diagnosed with neurosis using the CMI and 26.7% had depression according to the SDS. χ(2) analysis showed that patients with AT with hearing deterioration on the contralateral side had mental illness significantly more often than those with normal hearing on the contralateral side. Multivariable regression analysis revealed that the pretreatment status of hearing level on the contralateral side significantly affected the patients' psychological condition.
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, Osaka University School of Medicine, Osaka, Japan.
authors.forename: Sachiko
authors.initials: S
authors.lastname: Hio
authors.forename: Tadashi
authors.initials: T
authors.lastname: Kitahara
authors.forename: Atsuhiko
authors.initials: A
authors.lastname: Uno
authors.forename: Takao
authors.initials: T
authors.lastname: Imai
authors.forename: Arata
authors.initials: A
authors.lastname: Horii
authors.forename: Hidenori
authors.initials: H
authors.lastname: Inohara
mesh_terms: D000328:Adult; D016022:Case-Control Studies; D003321:Cornell Medical Index; D003866:Depressive Disorder / Q000175:diagnosis / Q000209:etiology*; D005260:Female; D046088:Hearing Loss, Unilateral / Q000175:diagnosis / Q000209:etiology / Q000523:psychology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009464:Neuroma, Acoustic / Q000473:pathology / Q000523:psychology* / Q000601:surgery; D011581:Psychological Tests; D011788:Quality of Life; D012307:Risk Factors; D012647:Self-Assessment