Erinc Murat, Derinsu Ufuk
Istanbul Medeniyet University, Faculty of Health Sciences, Department of Audiology, Istanbul, Turkey.
Marmara University, Faculty of Medicine, Department of Audiology, Istanbul, Turkey.
Medeni Med J. 2020;35(2):142-150. doi: 10.5222/MMJ.2020.97947. Epub 2020 Jun 30.
The aim of this study is to adapt Khalfa Hyperacusis Questionnaire (HQ) into Turkish for the use in the diagnosis and treatment of patients with hyperacusis.
HQ and Beck Anxiety Inventory (BAI) were administered to a total of 529 participants (320 female, 209 male), aged 18 to 73 (mean age: 29.76±10.59) years who were randomly selected from the general population. For the evaluation of the data, confirmatory and exploratory factor analysis, correlation analysis, descriptive statistics, t-test, analysis of variance, and Sidak correction test were used.
In the reliability analysis, the Cronbach's alpha (aC) internal consistency coefficient was found to be 0.81. Factor analysis revealed three subdimensions (attentional, social, and emotional). The total variance of these three subdimensions were 63%, and the internal consistency of the subdimensions was also high (αC >0.70). Confirmatory factor analysis and structural equation modeling results indicated that three-factor solutions with 14 items met the criteria for the adequacy of fit among the Turkish patients. The mean score for hyperacusis was estimated as 15.69±6.63 points.There was a positive, weak, but significant association between hyperacusis and anxiety (r=0.357, p=0.01, p<0.05). The patients who were exposed to noise were found to have higher levels of hyperacusis, compared to those who were not (t=6.78, p=0.01, p<0.05). The patients who had decreased noise tolerance over time were found to be higher hyperacusis levels than those without (t=4.83, p=0.01, p<0.05).
Based on these measurements, 14 questions and three-factor solutions were found to be a valid and reliable tool.
本研究旨在将卡尔法听觉过敏问卷（HQ）改编为土耳其语版本，用于听觉过敏患者的诊断和治疗。
对从普通人群中随机选取的529名参与者（320名女性，209名男性）进行HQ和贝克焦虑量表（BAI）测试，参与者年龄在18至73岁之间（平均年龄：29.76±10.59岁）。在数据评估中，使用了验证性和探索性因素分析、相关性分析、描述性统计、t检验、方差分析和西德克校正检验。
在信度分析中，克朗巴哈α（αC）内部一致性系数为0.81。因素分析揭示了三个子维度（注意力、社交和情绪）。这三个子维度的总方差为63%，且子维度的内部一致性也很高（αC>0.70）。验证性因素分析和结构方程建模结果表明，包含14个条目的三因素解决方案符合土耳其患者的拟合优度标准。听觉过敏的平均得分为15.69±6.63分。听觉过敏与焦虑之间存在正相关，虽较弱但具有显著性（r=0.357，p=0.01，p<0.05）。与未接触噪声的患者相比，接触噪声的患者听觉过敏水平更高（t=6.78，p=0.01，p<0.05）。随着时间推移噪声耐受性下降的患者，其听觉过敏水平高于未下降的患者（t=4.83，p=0.01，p<0.05）。
基于这些测量结果，发现14个问题和三因素解决方案是一个有效且可靠的工具。
