\documentclass[10pt]{article}

\usepackage{fullpage}
\usepackage{setspace}
\usepackage{parskip}
\usepackage{titlesec}
\usepackage[section]{placeins}
\usepackage{xcolor}
\usepackage{breakcites}
\usepackage{lineno}
\usepackage{hyphenat}





\PassOptionsToPackage{hyphens}{url}
\usepackage[colorlinks = true,
            linkcolor = blue,
            urlcolor  = blue,
            citecolor = blue,
            anchorcolor = blue]{hyperref}
\usepackage{etoolbox}
\makeatletter
\patchcmd\@combinedblfloats{\box\@outputbox}{\unvbox\@outputbox}{}{%
  \errmessage{\noexpand\@combinedblfloats could not be patched}%
}%
\makeatother


\usepackage{natbib}




\renewenvironment{abstract}
  {{\bfseries\noindent{\abstractname}\par\nobreak}\footnotesize}
  {\bigskip}

\titlespacing{\section}{0pt}{*3}{*1}
\titlespacing{\subsection}{0pt}{*2}{*0.5}
\titlespacing{\subsubsection}{0pt}{*1.5}{0pt}


\usepackage{authblk}


\usepackage{graphicx}
\usepackage[space]{grffile}
\usepackage{latexsym}
\usepackage{textcomp}
\usepackage{longtable}
\usepackage{tabulary}
\usepackage{booktabs,array,multirow}
\usepackage{amsfonts,amsmath,amssymb}
\providecommand\citet{\cite}
\providecommand\citep{\cite}
\providecommand\citealt{\cite}
% You can conditionalize code for latexml or normal latex using this.
\newif\iflatexml\latexmlfalse
\providecommand{\tightlist}{\setlength{\itemsep}{0pt}\setlength{\parskip}{0pt}}%

\AtBeginDocument{\DeclareGraphicsExtensions{.pdf,.PDF,.eps,.EPS,.png,.PNG,.tif,.TIF,.jpg,.JPG,.jpeg,.JPEG}}

\usepackage[utf8]{inputenc}
\usepackage[english]{babel}



\usepackage{float}








\begin{document}

\title{A Cross-sectional Study of Effect of Mental State on Sudden
Sensorineural Hearing Loss}



\author[1]{Liyu  Wang}%
\author[1]{Qizhen  Xiao}%
\author[1]{Shuyun Liu}%
\author[1]{Li Yang}%
\author[2]{Ye Yang}%
\author[1]{Zedeng Yin}%
\affil[1]{The Affiliated Hospital of Southwest Medical University}%
\affil[2]{Southwest Medical University}%


\vspace{-1em}



  
  \date{May 30, 2024}


\begingroup
\let\center\flushleft
\let\endcenter\endflushleft
\maketitle
\endgroup





\selectlanguage{english}
\begin{abstract}
Objective: To explore the effects and clinical significance of mental
state on SSNHL. Design: Cross-sectional study. Setting:
Teaching-hospital otolaryngology. Participants: Otolaryngology inpatient
with SSNHL. Main outcome measures: Mental state in pre- and
post-treatment was evaluated by SCL-90, and the severity of tinnitus was
acquired by THI. Moreover, the correlations between the mental state and
classification, prognosis, tinnitus degree, different occupation, and
age were analyzed. Results: 115 patients were analyzed. There were
significant differences in the depression(F=5.46, P=0.00), other
factor (F=3.38, P=0.02)and total mean score (TMS) (F=7.70, P=0.00)in
the different types, and changes in the phobic anxiety (F=2.95, P=0.03)
in different efficacy groups. Furthermore, there were statistic
differences in all factors (P<0.05) except other factors (F=0.75,
P=0.47) in different degrees of tinnitus. Additionally, anxiety (t=3.20,
P=0.00) and paranoia factor score (t=2.03, P=0.04) increased in
white-collar workers, but somatization factor (t=-2.21, P=0.03) in
blue-collar workers. Finally, 10 factors and TMS unchanged among
different age groups (P>0.05). Conclusion: Depression, insomnia and
other negative emotions occurred generally, and improved significantly
after treatment in all patients with SSNHL. Moreover, the mental state
is correlated with the type, prognosis and degree of tinnitus. There
were different mental symptoms in white and blue-collar workers. Key
word: Sudden sensorineural hearing loss; Mental; Tinnitus;
Classification; Prognosis; Occupation Key Points ?There are many problem
to be solved about the correlation between mental state and SSNHL. ?115
patients with SSNHL were analyzed in a cross-sectional study.
?Depression, insomnia and other negative emotions occurred generally in
patients with SSNHL. ?The mental state is correlated with the type,
prognosis and degree of tinnitus. ?There were different mental symptoms
in white and blue-collar workers.%
\end{abstract}%



\sloppy


\textbf{Hosted file}

\verb`Manuscript.docx`  available at \url{https://authorea.com/users/727074/articles/709148-a-cross-sectional-study-of-effect-of-mental-state-on-sudden-sensorineural-hearing-loss}\selectlanguage{english}
\begin{figure}[H]
\begin{center}
\includegraphics[width=0.70\columnwidth]{figures/Fig/Fig}

\end{center}
\end{figure}\selectlanguage{english}
\begin{figure}[H]
\begin{center}
\includegraphics[width=0.70\columnwidth]{figures/Fih/Fih}

\end{center}
\end{figure}\selectlanguage{english}
\begin{figure}[H]
\begin{center}
\includegraphics[width=0.70\columnwidth]{figures/Fii/Fii}

\end{center}
\end{figure}\selectlanguage{english}
\begin{figure}[H]
\begin{center}
\includegraphics[width=0.70\columnwidth]{figures/Fij/Fij}

\end{center}
\end{figure}\selectlanguage{english}
\begin{figure}[H]
\begin{center}
\includegraphics[width=0.70\columnwidth]{figures/Fik/Fik}

\end{center}
\end{figure}

\selectlanguage{english}
\FloatBarrier
\end{document}

