Wang Q, Diao C, Zhao Y, Meng Z L
Department of Audiology and Speech Language Pathology/Department of Otorhinolaryngology-Head & Neck Surgery, West China Hospital of Sichuan University, Chengdu 610041, China.
Zhonghua Yi Xue Za Zhi. 2024 Sep 24;104(36):3397-3401. doi: 10.3760/cma.j.cn112137-20240220-00354.
To explore the validity of the Chinese version of tinnitus handicap inventory (THI-CM) using confirmatory factor analysis. A cross-sectional study was carried out. The patients who complained of tinnitus and visited the Department of Otolaryngology, Head and Neck Surgery at West China Hospital of Sichuan University from March 15 to June 28, 2023 were included. All participants underwent pure tone audiometry and acoustic impedance testing before filling out THI-CM, and the results were subjected to confirmatory factor analysis. A cross-sectional study was carried out. A total of 300 patients aged (47±13) years participated in this study. There were 175 females (58.3%) and 125 males (41.7%). The confirmatory factor analysis showed that χ/ was 1.597<3.00, root mean square error of approximation (RMSEA) was 0.039<0.05, and standardized root mean square residual (SRMR) was 0.091>0.08. The incremental fit index (IFI), Tucker-Lewis index (TLI), comparative fit index (CFI), and goodness of fit index (GFI) were 0.960, 0.954, 0.960, and 0.902, respectively. The overall model fitted well. Except for one item with a load of 0.493, the load values of the other items were between 0.553 and 0.771. The composite reliability (CR) values of the three dimensions of the scale were between 0.769 and 0.901 (all CR>0.7). The average variance extracted (AVE) values ranged from 0.403 to 0.505 (all AVE<0.7), indicating poor convergent validity of the scale. The square value of AVE in each dimension of the scale was smaller than the correlation coefficient between factors, indicating poor discriminant validity of the scale. The THI-CM has good structural validity, which can be used as an effective tool to evaluate the overall severity of tinnitus. However, its convergent validity and discriminant validity are poor.
采用验证性因子分析探讨中文版耳鸣障碍量表（THI-CM）的有效性。进行了一项横断面研究。纳入2023年3月15日至6月28日期间因耳鸣前往四川大学华西医院耳鼻咽喉头颈外科就诊的患者。所有参与者在填写THI-CM之前均接受了纯音听力测试和声阻抗测试，并对结果进行验证性因子分析。进行了一项横断面研究。共有300名年龄为（47±13）岁的患者参与本研究。其中女性175名（58.3%），男性125名（41.7%）。验证性因子分析显示，χ²/df为1.597<3.00，近似均方根误差（RMSEA）为0.039<0.05，标准化均方根残差（SRMR）为0.091>0.08。增值拟合指数（IFI）、塔克-刘易斯指数（TLI）、比较拟合指数（CFI）和拟合优度指数（GFI）分别为0.960、0.954、0.960和0.902。整体模型拟合良好。除一项载荷为0.493外，其他项目的载荷值在0.553至0.771之间。量表三个维度的组合信度（CR）值在0.769至0.901之间（所有CR>0.7）。平均提取方差（AVE）值范围为0.403至0.505（所有AVE<0.7），表明量表的收敛效度较差。量表各维度AVE的平方值小于因子间的相关系数，表明量表的区分效度较差。THI-CM具有良好的结构效度，可作为评估耳鸣总体严重程度的有效工具。然而，其收敛效度和区分效度较差。
