Spiegel Jennifer L, Lehnert Bernhard, Schuller Laura, Adler Irina, Rader Tobias, Brzoska Tina, Weiss Bernhard G, Canis Martin, Busch Chia-Jung, Ihler Friedrich
Department of Otorhinolaryngology, University Hospital, LMU Munich, 81377 Munich, Germany.
Department of Otolaryngology-Head and Neck Surgery, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, ON M5S 1A1, Canada.
J Clin Med. 2025 Jul 13;14(14):4953. doi: 10.3390/jcm14144953.
Menière's disease (MD) is a debilitating disorder with episodic and variable ear symptoms. Diagnosis can be challenging, and evidence for therapeutic approaches is low. Furthermore, patients show a unique and fluctuating configuration of audiovestibular impairment. As a psychometric instrument to assess hearing-specific disability is currently lacking, we evaluated a short form of the Speech, Spatial, and Qualities of Hearing Scale (SSQ) in a cohort of patients with MD. Data was collected in the context of a multicenter prospective patient registry intended for the long-term follow up of MD patients. Hearing was assessed by pure tone and speech audiometry. The SSQ was applied in the German language version with 17 items. : In total, 97 consecutive patients with unilateral MD with a mean age of 56.2 ± 5.0 years were included. A total of 55 individuals (57.3%) were female, and 72 (75.0%) were categorized as having definite MD. The average total score of the SSQ was 6.0 ± 2.1. Cronbach's alpha for internal consistency was 0.960 for the total score. We did not observe undue floor or ceiling effects. SSQ values showed a statistically negative correlation with hearing thresholds and a statistically positive correlation with speech recognition scores of affected ears. : The short form of the SSQ provides insight into hearing-specific disability in patients with MD. Therefore, it may be informative regarding disease stage and rehabilitation needs.
梅尼埃病（MD）是一种使人衰弱的疾病，具有发作性和多变的耳部症状。诊断可能具有挑战性，且治疗方法的证据不足。此外，患者表现出独特且波动的听觉前庭功能障碍模式。由于目前缺乏评估听力特异性残疾的心理测量工具，我们在一组梅尼埃病患者中评估了听力言语、空间和质量量表（SSQ）的简版。数据是在一个旨在对梅尼埃病患者进行长期随访的多中心前瞻性患者登记研究中收集的。通过纯音听力计和言语测听法评估听力。SSQ采用德语版，共17项。总共纳入了97例连续的单侧梅尼埃病患者，平均年龄为56.2±5.0岁。其中55例（57.3%）为女性，72例（75.0%）被归类为确诊的梅尼埃病。SSQ的平均总分是6.0±2.1。总分的内部一致性Cronbach's α系数为0.960。我们未观察到过度的地板效应或天花板效应。SSQ值与听力阈值呈统计学负相关，与患耳的言语识别得分呈统计学正相关。SSQ简版为了解梅尼埃病患者的听力特异性残疾提供了依据。因此，它可能对疾病阶段和康复需求具有参考价值。
