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保持传统,不断前进:新版耳鸣问卷短式 2 版。

Maintaining the legacy and moving forward: The new tinnitus questionnaire short form version 2.

机构信息

Department of Internal Medicine and Psychosomatics, Universitaetsmedizin Berlin, Berlin, Germany.

Tinnitus Center, Universitaetsmedizin Berlin, Berlin, Germany.

出版信息

J Psychosom Res. 2020 Nov;138:110248. doi: 10.1016/j.jpsychores.2020.110248. Epub 2020 Sep 16.

Abstract

OBJECTIVE

The original 52-item version of the Tinnitus Questionnaire (TQ) is a widely applied self-report instrument to measure tinnitus-related distress. One objective of the current study was the validation of the reported five-factor structure of the German TQ in a new, large sample of patients with chronic tinnitus. Since former studies have yielded conflicting results for the factor structure of the 12-item short version (Mini-TQ), analysis of its factor structure and the generation of a new short version were further study aims.

METHODS

Data of 7112 subsequent patients with chronic tinnitus that filled out the German 52-item version of the TQ at the Tinnitus Center at Charité University Hospital Berlin, Germany, were included in the study. Statistical analyses included exploratory factor analysis (EFA) and confirmatory factor analysis (CFA).

RESULTS

CFA showed reasonably acceptable fit indices for a five-factor model for the 52-item version of the TQ, at least for RMSEA, one of the three fit indices (RMSEA = 0.059; CFI = 0.871; TLI = 0.861). Factors were called emotional distress, auditory perceptual difficulties, intrusiveness, sleep disturbances, and coping. Another CFA supports a three-factor model of the newly generated 15-item short version (RMSEA = 0.060; CFI = 0.942; TLI = 0.931) with the factors emotional distress, auditory perceptual difficulties, and intrusiveness.

CONCLUSION

Validation of the German 52-item version of the TQ in a large, new sample of patients with chronic tinnitus supports the previously reported five-factor structure with slight differences concerning the identified factors. The new three-factorial 15-item short version allows a more rapid and economical assessment of tinnitus-related distress.

摘要

目的

原始的 52 项耳鸣问卷(TQ)是一种广泛应用的自评工具,用于衡量耳鸣相关的困扰。本研究的一个目的是在一个新的、更大的慢性耳鸣患者样本中验证德国 TQ 报告的五因素结构。由于之前的研究对 12 项短版(Mini-TQ)的因子结构得出了相互矛盾的结果,因此分析其因子结构并生成一个新的短版也是进一步的研究目标。

方法

本研究纳入了德国柏林 Charité 大学医院耳鸣中心的 7112 名后续慢性耳鸣患者填写的德国 TQ 52 项版本的数据。统计分析包括探索性因子分析(EFA)和验证性因子分析(CFA)。

结果

CFA 显示,TQ 52 项版本的五因素模型具有合理的可接受拟合指数,至少在三个拟合指数中的一个(RMSEA=0.059;CFI=0.871;TLI=0.861)中是如此。这些因素分别被称为情绪困扰、听觉感知困难、侵扰、睡眠障碍和应对方式。另一个 CFA 支持新生成的 15 项短版的三因素模型(RMSEA=0.060;CFI=0.942;TLI=0.931),包括情绪困扰、听觉感知困难和侵扰三个因素。

结论

在一个新的、更大的慢性耳鸣患者样本中验证德国 TQ 52 项版本支持之前报道的五因素结构,但在确定的因素方面略有不同。新的三因素 15 项短版可以更快速、更经济地评估耳鸣相关的困扰。

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