Newman C W, Jacobson G P, Spitzer J B
Department of Otolaryngology--Head and Neck Surgery, Henry Ford Hospital, Detroit, Mich, USA.
Arch Otolaryngol Head Neck Surg. 1996 Feb;122(2):143-8. doi: 10.1001/archotol.1996.01890140029007.
To develop a self-report tinnitus handicap measure that is brief, easy to administer and interpret, broad in scope, and psychometrically robust.
A standardization study of a self-report tinnitus handicap measure was conducted to determine its internal consistency reliability and convergent and construct validity.
Audiology clinics in tertiary care centers in two sites.
In the first investigation, 84 patients reporting tinnitus as their primary complaint or secondary to hearing loss completed the 45-item alpha version of the Tinnitus Handicap Inventory (THI). In the second investigation, 66 subjects also reporting tinnitus completed the 25-item beta version.
Convergent validity was assessed using another measure of perceived tinnitus handicap (Tinnitus Handicap Questionnaire). Construct validity was assessed using the Beck Depression Inventory, Modified Somatic Perception Questionnaire, symptom rating scales (annoyance, sleep disruption, depression, and concentration), and perceived tinnitus pitch and loudness judgments.
From the alpha version of the THI, we derived a 25-item beta version with the items grouped into functional, emotional, and catastrophic subscales. The total scale yielded excellent internal consistency reliability (Cronbach's alpha = .93). No significant age or gender effects were seen. Weak correlations were observed between the THI and the Beck Depression Inventory, Modified Somatic Perception Questionnaire, and pitch and loudness judgments. Significant correlations were found between the THI and the symptom rating scales.
The THI is a self-report measure that can be used in a busy clinical practice to quantify the impact of tinnitus on daily living.
开发一种自我报告的耳鸣障碍测量工具，该工具简短、易于实施和解释，范围广泛，且心理测量学特性稳健。
对一种自我报告的耳鸣障碍测量工具进行标准化研究，以确定其内部一致性信度以及收敛效度和结构效度。
两个地点的三级护理中心的听力诊所。
在首次调查中，84名以耳鸣为主要主诉或继发于听力损失的患者完成了45项的耳鸣障碍问卷（THI）α版。在第二次调查中，66名同样报告有耳鸣的受试者完成了25项的β版。
使用另一种感知耳鸣障碍的测量工具（耳鸣障碍问卷）评估收敛效度。使用贝克抑郁量表、改良躯体感知问卷、症状评定量表（烦恼、睡眠干扰、抑郁和注意力）以及感知耳鸣音高和响度判断评估结构效度。
从THI的α版中，我们得出了一个25项的β版，其项目分为功能、情感和灾难性分量表。总量表产生了出色的内部一致性信度（克朗巴赫α系数 = 0.93）。未观察到显著的年龄或性别效应。在THI与贝克抑郁量表、改良躯体感知问卷以及音高和响度判断之间观察到弱相关性。在THI与症状评定量表之间发现了显著相关性。
THI是一种自我报告测量工具，可用于繁忙的临床实践中，以量化耳鸣对日常生活的影响。
