A revised grading system for the Tinnitus Handicap Inventory based on a large clinical population

Skarżyński, Piotr H.; Rajchel, Joanna; Gos, Elżbieta; Dziendziel, Beata; Kutyba, Justyna; Bieńkowska, Katarzyna Ita; Świerniak, Weronika; Gocel, Maria; Raj-Koziak, Danuta; Włodarczyk, Elżbieta; Skarżyński, Henryk

doi:10.1080/14992027.2019.1664778

Cited by 28 publications

(23 citation statements)

References 24 publications

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“…There are many questionnaires used for assessing tinnitus severity [ 23 ]. The Tinnitus Handicap Inventory (THI) stands out among them–it is the most commonly used tool which has been validated in the largest number of languages [ 25 ]. THI was created to evaluate the impact of tinnitus on daily living [ 26 ], and is used as a screening tool for psychiatric disorders [ 27 ], and as an outcome measure for evaluating treatment effects in clinical trials [ 21 , 28 – 30 ].…”

Section: Introductionmentioning

confidence: 99%

Improved measurement of tinnitus severity: Study of the dimensionality and reliability of the Tinnitus Handicap Inventory

et al. 2020

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The Tinnitus Handicap Inventory (THI) is widely used in clinical practice and research as a three-dimensional measure of tinnitus severity. Despite extensive use, its factor structure remains unclear. Furthermore, THI can be considered a reliable measure only if Cronbach's alpha coefficient and Classical Test Theory is used. The more modern and robust Item Response Theory (IRT) has so far not been used to psychometrically evaluate THI. In theory, IRT allows a more precise evaluation of THI's factor structure, reliability, and the quality of individual items. Method There were 1115 patients with tinnitus (556 women and 559 men), aged 19-84 years (M = 51.55; SD = 13.28). The dimensionality of THI was evaluated using several models of Confirmatory Factor Analysis and an Item Response Theory approach. Exploratory non-parametric Mokken scaling was applied to determine a unidimensional and robust scale. Several IRT polytomous models were used to assess the overall quality of THI. Results The bifactor model had the best fit (RMSEA = 0.055; CFI = 0.976; SRMR = 0.040) and revealed one strong general factor and several weak specific factors. Mokken scaling generated a reliable unidimensional scale (Loevinger's H = 0.463). In order to refine THI we propose that five items be removed. The IRT Generalized Partial Credit Model generated good parameters in terms of item location (difficulty), discrimination, and information content of items.

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Section: Introductionmentioning

confidence: 99%

Improved measurement of tinnitus severity: Study of the dimensionality and reliability of the Tinnitus Handicap Inventory

et al. 2020

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“…Nuestra población es una muestra de la importancia de la realización de esta encuesta ya que más del 60 % reportó una afección moderada a catastrófica (Figura 2), lo cual evidencia el gran impacto en el área psicológica y emocional del paciente, además de representar una herramienta útil en el seguimiento y valoración de los resultados de los tratamientos realizados. Otros estudios han descrito la repercusión del tinnitus sobre la calidad de vida a través de la aplicación del THI (18,19,20); sin embargo, sus resultados no son equiparables ya que su forma de categorización difiere de la nuestra.…”

Section: Discussionunclassified

Caracterización clínica y sociodemográfica de los pacientes con tinnitus en un centro especializado de Medellín

T¹,

Villa²,

S³

et al. 2021

Acta otorrinolaringol cir cabeza cuello

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Introducción: Teniendo en cuenta la repercusión del tinnitus en la calidad de vida de los pacientes, este estudio busca conocer las características específicas de esta población. Objetivo: Describir las características sociodemográficas y clínicas de los pacientes con diagnóstico de tinnitus que asistieron ambulatoriamente a la consulta de tinnitus de la Clínica ORLANT en la ciudad de Medellín. Materiales y métodos: Estudio retrospectivo de pacientes referidos por primera vez a la consulta especializada de tinnitus en el centro de especialistas en Otorrinolaringología y Otología, clínica ORLANT, en un año. Se obtuvo información demográfica y se recopilaron datos de las historias clínicas. Resultados: 61 pacientes fueron incluidos. El 59% de sexo masculino, edad media de 52,5 años. La mediana del tiempo de evolución fue 24 meses, como características clínicas 54,1% presentó tinnitus bilateral, 78,7% refirió tono agudo y 59% intensidad moderada, como síntomas asociados 67,2% refirió sensación de giro y 80,3% desequilibrio o inestabilidad. El 23% tenía hipertensión arterial, 5 pacientes recibieron ototóxicos, 34,4% tuvo exposición crónica al ruido y 8,2% hipoacusia súbita. El 21,3% tenía diagnóstico de trastorno psiquiátrico. El 65,5% diagnóstico de hipoacusia, 52,5% bilateral y 54,1% de tipo neurosensorial Conclusión: Las características del tinnitus más comunes fueron la presentación bilateral, duración mayor de 3 meses, tonalidad aguda y de intensidad moderada. Encontrando una representación similar de algunas características en la población de otras áreas geográficas. Importancia clínica: conocer las particularidades del paciente con tinnitus, hace un acercamiento para plantear medidas de prevención y tratamiento específicamente dirigidas

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“…Study also used the Tinnitus Handicap Inventory (THI) by Newman in the Polish adaptation by Skarżyński, whose aim is to assess the impact of tinnitus on the daily functioning of the subjects [23,24]. The questionnaire consists of 25 items.…”

Section: Methodsmentioning

confidence: 99%

Role of personal resources from the perspective of experiencing tinnitus annoyance in adults

Fludra

Kobosko

Gos

et al. 2020

Eur Arch Otorhinolaryngol

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Purpose Occurrence of tinnitus can be, for a person who experiences it, a disorder affecting the overall equilibrium of the organism. To cope with it a variety of personal resources, such as positive orientation and basic hope, are mobilized. The aim of this study was to determine whether these resources are associated with the evaluation of the impact of tinnitus on the functioning of the study participants. Methods Study involved 176 tinnitus sufferers, including 123 women and 53 men. The results were compiled using: Positivity Scale (P-scale) for measuring positive orientation, Basic Hope Inventory (BHI-R) for measuring basic hope, the questionnaires: Tinnitus Handicap Inventory (THI) and Tinnitus Functional Index (TFI) evaluating the impact of tinnitus on the daily functioning of the subjects, as well as a survey designed for the study, comprising questions about sociodemographic data and tinnitus history. Results Results of regression analysis indicated that positive orientation is the most important for the perceived tinnitus annoyance. However, no significant influence of basic hope on tinnitus annoyance was found. Among other variables taken into account in regression analysis, age and presence of additional diseases proved to be important predictors of tinnitus annoyance. Conclusions Personality determinants (positive orientation) are related to the perception of tinnitus annoyance. When working with a tinnitus patient, it is justified to pay attention to the existence of the positive orientation and to work on its development. Research should also be continued to search for other personal resources that affect the perceived tinnitus annoyance.

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A revised grading system for the Tinnitus Handicap Inventory based on a large clinical population

Cited by 28 publications

References 24 publications

Improved measurement of tinnitus severity: Study of the dimensionality and reliability of the Tinnitus Handicap Inventory

Improved measurement of tinnitus severity: Study of the dimensionality and reliability of the Tinnitus Handicap Inventory

Caracterización clínica y sociodemográfica de los pacientes con tinnitus en un centro especializado de Medellín

Role of personal resources from the perspective of experiencing tinnitus annoyance in adults

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