Medicine
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This repository contains the published and unpublished research of the Faculty of Medicine by the staff members of the faculty
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Item Validation of the Sinhala version of tinnitus handicap inventory.(Korean Audiological Society, 2023) Rodrigo, A.; Abayabandara-Herath, T.BACKGROUND AND OBJECTIVES: Tinnitus is a common and disabling condition that largely remains undertreated in Sri Lanka. Currently, standardized tools that assess and monitor the treatment of tinnitus or the distress it causes are unavailable in either of the two main vernacular languages prevalent in Sri Lanka. The Tinnitus Handicap Inventory (THI) is used internationally to measure tinnitus-induced distress and to monitor treatment efficacy. In this study, we validated the Sinhala version of the THI (THI-Sin). SUBJECTS AND METHODS: The THI was translated into Sinhala and back translated into English and finalized by independent translators. The THI-Sin questionnaire and the 12-item General Health Questionnaire (GHQ-12) and Visual Analog Scale of tinnitus annoyance (VAS) were administered to 122 adults who visited the otolaryngology clinic of Colombo North Teaching Hospital, Ragama, Sri Lanka. RESULTS: THI-Sin scores showed satisfactory internal consistency (Cronbach's α=0.902) and were significantly correlated with the GHQ-12 and VAS scores. Factor analysis of the THI-Sin confirmed a three-factorial structure, which did not correspond to the original THI subscales. CONCLUSIONS: We observed significant reliability and validity of the THI-Sin tool for evaluation of tinnitus-induced handicaps among the Sinhalese-speaking population of Sri Lanka.Item Psychological morbidity and resilience associated with tinnitus in a Sri Lankan population(Sri Lanka Medical Association, 2017) Herath, T.C.K.A.; Chandrasekara, A.; Illeperuma, L.D.; Rodrigo, A.INTRODUCTION & OBJECTIVES: Tinnitus, the perception of noise or ringing in the ears, is a common and disabling condition. It often results in anxiety and depression. While it is believed to be common in Sri Lanka, no study has investigated this phenomena. This study aimed to describe the nature of tinnitus among patients attending the otorhinolaryngology (ENT) clinics in selected hospitals in Sri Lanka to determine the psychological morbidity associated with tinnitus and to investigate the factors influencing resilience among them. METHODS: This was a descriptive cross-sectional study. All the consenting adult patients with complaint of tinnitus who attended ENT clinics in Kandy, Kalubowila and Mathale hospitals were assessed using a self-administered questionnaire. Psychological morbidity was assessed using the validated GHQ-12 and Beck Depression Inventory (BDI). RESULTS: Of 93 patients included in the study, majority (56%) were females. Their average age was 55.1years and they have had tinnitus for 2.1years on average. While 63.5% reported tinnitus to be subjectively distressing, 63.4% noted it to be significantly interfering with daily activities. None of them had psychiatric illness prior to the onset of tinnitus. Yet, 62.4% reported psychiatric caseness and 47.3% had depression. Loudness of tinnitus, subjective distress, disturbance to sleep and daily activities due to tinnitus, had significant association with psychiatric caseness/depression. Constant pursuit of happiness was associated with resilience but religiosity and mindfulness were not. CONCLUSION: Tinnitus is a distressing illness associated with a significant functional impairment and psychiatric morbidity. Harnessing resilient factors would improve the quality of life for patients with tinnitus in Sri Lanka