Department of Occupational Therapy, Nicole Wertheim College of Nursing & Health Sciences, Florida International University, Miami, FL, USA.
Department of Department of Counseling, Recreation and School Psychology, College of Arts, Sciences and Education, Florida International University, Miami, FL, USA.
Int J Audiol. 2023 Dec;62(12):1187-1195. doi: 10.1080/14992027.2022.2113827. Epub 2022 Sep 2.
Hyperacusis is reported to occur in 3.2-17.1% of the general paediatric population with higher rates in clinical populations such as autism spectrum disorders (ASD). Although hyperacusis is a relatively common form of decreased sound tolerance (DST), no valid paediatric hyperacusis measures are currently available. The purpose of the present study was to develop and validate a paediatric version of the Khalfa Hyperacusis Questionnaire (HQ) as a first step towards filling this measurement gap.
A cross-sectional design was used to evaluate therapist opinions of the paediatric version (P-HQ) and to field test the P-HQ in parents of children with and without ASD. Total scores were compared between ASD and non-ASD groups.
Eleven paediatric occupational and speech therapists with expertise in ASD, 64 parents of children with ASD and 37 parents of children without ASD completed online questionnaires. Psychometric analyses were conducted.
A unidimensional construct was found underlying P-HQ and all items displayed sufficient theoretical relevance to hyperacusis and adequate psychometric properties.
The P-HQ demonstrates good internal consistency and shows promise as a potential screening tool for identifying DST in ASD. Further research is warranted to establish normative data and validate cut-off scores.
在普通儿科人群中，有 3.2%-17.1%的人报告存在听觉过敏，而在自闭症谱系障碍（ASD）等临床人群中，这一比例更高。尽管听觉过敏是一种相对常见的声音耐受降低（DST）形式，但目前尚无有效的儿科听觉过敏测量方法。本研究的目的是开发和验证 Khalfa 听觉过敏问卷（HQ）的儿科版本，作为填补这一测量空白的第一步。
采用横断面设计来评估治疗师对儿科版本（P-HQ）的意见，并在 ASD 儿童和非 ASD 儿童的家长中进行 P-HQ 的现场测试。比较 ASD 和非 ASD 组之间的总分。
11 名在 ASD 方面具有专业知识的儿科职业和言语治疗师、64 名 ASD 儿童的家长和 37 名非 ASD 儿童的家长完成了在线问卷。进行了心理测量学分析。
P-HQ 存在一个单一维度的结构，所有项目都显示出与听觉过敏的充分理论相关性和足够的心理测量特性。
P-HQ 显示出良好的内部一致性，有希望成为识别 ASD 中 DST 的潜在筛查工具。需要进一步研究来建立正常数据并验证临界分数。
