Carson Tana B, Medina Angela M, Qiu Yuxi, Long Katherine L, Niebles Monica, Palacio-Raine Alexandra, Saenz Taylor
Department of Occupational Therapy, Nicole Wertheim College of Nursing and Health Sciences, Florida International University, Miami, FL, USA.
Department of Communication Sciences and Disorders, Nicole Wertheim College of Nursing and Health Sciences, Florida International University, Miami, FL, USA.
Int J Audiol. 2025 May 2:1-12. doi: 10.1080/14992027.2025.2478519.
Decreased Sound Tolerance (DST) conditions often emerge in childhood, making early identification and treatment important. This paper details the development and validation of the Paediatric Misophonia and Hyperacusis Questionnaire (PMHQ), a dual DST parent-report screening tool intended to provide early identification of misophonia and hyperacusis among children with and without autism age 6-17 years.
Three studies were completed including (1) content development with input from audiology experts (n = 9) and parents of children with DST conditions (n = 20); (2) content revision to improve relevance to autism with input from parents of children with autism (n = 15); and (3) psychometric analysis of item characteristics of the PMHQ based on responses from parents of children age 6-17 years (n = 200).
The PMHQ-4 demonstrates adequate psychometric properties at the item level (item discrimination, difficulty, item information function) and at the test level (test information function). A definitive version of the PMHQ with recommended cut-off scores for each subscale is provided.
The resulting PMHQ-4 is a 14-item screening tool comprised of 8 misophonia and 6 hyperacusis items. The PMHQ-4 can provide a valid measure of misophonia and hyperacusis for children age 6-17 years. Further evaluation is warranted in clinical DST samples.
声音耐受性降低（DST）情况常在儿童期出现，因此早期识别和治疗很重要。本文详细介绍了儿童厌声症和听觉过敏问卷（PMHQ）的开发与验证过程，这是一种双重DST家长报告筛查工具，旨在对6至17岁患或未患自闭症的儿童中的厌声症和听觉过敏进行早期识别。
完成了三项研究，包括（1）在听力学专家（n = 9）和有DST情况儿童的家长（n = 20）的参与下进行内容开发；（2）在自闭症儿童家长（n = 15）的参与下进行内容修订，以提高与自闭症的相关性；（3）基于6至17岁儿童家长（n = 200）的回答对PMHQ的项目特征进行心理测量分析。
PMHQ - 4在项目层面（项目区分度、难度、项目信息功能）和测试层面（测试信息功能）都表现出足够的心理测量特性。提供了PMHQ的最终版本以及每个子量表的推荐临界分数。
最终形成的PMHQ - 4是一个由14个项目组成的筛查工具，其中包括8个厌声症项目和6个听觉过敏项目。PMHQ - 4可为6至17岁儿童的厌声症和听觉过敏提供有效的测量。在临床DST样本中还需要进一步评估。
