Skarzynski Tinnitus Scale: validation of a brief and robust tool for assessing tinnitus in a clinical population

Skarżyński, Henryk; Gos, Elżbieta; Raj-Koziak, Danuta; Skarżyński, Piotr H.

doi:10.1186/s40001-018-0347-4

Cited by 15 publications

(11 citation statements)

References 39 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Testy audiometryczne stosowane w charakterystyce szumów usznych (do oceny wysokości i głośności) są w niewielkim stopniu związane z uciążliwością szumów usznych zgłaszaną przez pacjentów [11]. Z tego powodu stosowanie zwalidowanych kwestionariuszy, mających potwierdzone właściwości psychometryczne, staje się ogólnoświatowym standardem w diagnostyce i terapii szumów usznych [12][13][14].…”

Section: Wstępunclassified

Influence of stapedotomy on the quality of life of otosclerosis patients

Dziendziel¹,

Skarżyńśki²,

Gos³

et al. 2020

Now Audiofonol

View full text Add to dashboard Cite

Wstęp: Chirurgia strzemiączka jest powszechną metodą leczenia otosklerozy, a jej efektywność jest raportowana na podstawie audiometrycznych progów słyszenia. Jednak wyniki audiometryczne nie dostarczają informacji o tym, jak zamknięcie rezerwy ślimakowej i obniżenie progów przewodnictwa powietrznego po chirurgii strzemiączka wpływa na słyszenie w różnych warunkach akustycznych. Badania audiometryczne nie pozwalają również na ocenę zmiany uciążliwości szumów usznych oraz jakości życia po operacji. Cel: Ocena jakości życia u pacjentów z otosklerozą poddanych stapedotomii w odniesieniu do trzech głównych czynników: zmiany audiometrycznych progów słyszenia, subiektywnego słyszenia w różnych warunkach akustycznych oraz uciążliwości szumów usznych. Materiał i metody: Do prospektywnych badań włączono 191 pacjentów, u których z powodu otosklerozy przeprowadzono stapedotomię pomiędzy kwietniem a październikiem 2017 roku. Pacjentów poddano badaniu audiometrii tonalnej i poproszono o wypełnienie kwestionariuszy przed operacją oraz 6 miesięcy po operacji. Subiektywne słyszenie oceniono za pomocą kwestionariusza Abbreviated Profile for Hearing Aid Benefit (APHAB), do oceny uciążliwości szumów usznych zastosowano Tinnitus Functional Index (TFI), a jakość życia zmierzono za pomocą Glasgow Benefit Inventory (GBI). Wyniki: Analiza statystyczna wykazała, że średni całkowity wynik GBI (M = 33,7; SD = 23,7) był istotnie statystycznie wyższy niż zero (t = 19,7; p < 0,001). Na podstawie modelu regresji stwierdzono, że wszystkie trzy badane zmienne -zmiana audiometrycznych progów słyszenia, zmiana w APHAB i zmiana w TFI -miały istotny wpływ na jakość życia po stapedotomii. Najwyższą wartość beta (b = 0,040; p < 0,001) wykazano w odniesieniu do zmiany w TFI, która wydaje się mieć największy wpływ na jakość życia. Wnioski: Chirurgia strzemiączka zapewnia istotną poprawę jakości życia zgłaszaną przez większość pacjentów z otosklerozą. Dla pacjentów dotkniętych niedosłuchem i uporczywymi szumami usznymi w przebiegu otosklerozy, pooperacyjna redukcja obu dolegliwości miała korzystny wpływ na jakość życia.

show abstract

Section: Wstępunclassified

Influence of stapedotomy on the quality of life of otosclerosis patients

Dziendziel¹,

Skarżyńśki²,

Gos³

et al. 2020

Now Audiofonol

View full text Add to dashboard Cite

show abstract

“…It seems likely that when a person has tinnitus combined with hearing loss, difficulties in hearing are caused primarily by the hearing loss itself, not by the tinnitus. However, such individuals may mistakenly blame their tinnitus for their hearing difficulties [ 14 ]. Questionnaires that include items related to the impact of tinnitus on hearing mix the construct of “hearing loss impact” with “tinnitus impact”.…”

Section: Introductionmentioning

confidence: 99%

Confirmatory factor analysis of the Tinnitus Impact Questionnaire using data from patients seeking help for tinnitus alone or tinnitus combined with hyperacusis

Aazh,

Moore,

Erfanian

2024

PLoS ONE

View full text Add to dashboard Cite

A confirmatory factor analysis (CFA) of the Tinnitus Impact Questionnaire (TIQ) was performed. In contrast to commonly used tinnitus questionnaires, the TIQ is intended solely to assess the impact of tinnitus by not including items related to hearing loss or tinnitus loudness. This was a psychometric study based on a retrospective cross-sectional analysis of clinical data. Data were available for 155 new patients who had attended a tinnitus and hyperacusis clinic in the UK within a five-month period and had completed the TIQ. The mean age was 54 years (standard deviation = 14 years). The TIQ demonstrated good internal consistency, with Cronbach’s α = 0.84 and McDonald’s ω = 0.89. CFA showed that two items of the TIQ had low factor loadings for both one-factor and two-factor models and their scores showed low correlations with scores for other items. Bi-factor analysis gave a better fit, indicated by a relative chi-square (χ2) of 18.5, a Root-Mean Square Error of Approximation (RMSEA) of 0.103, a Comparative Fit Index (CFI) of 0.97, a Tucker Lewis Index (TLI) of 0.92, and a Standardized Root-Mean Residual (SPMR) of 0.038. Total TIQ scores were moderately correlated with scores for the Visual Analogue Scale of effect of tinnitus on life and the Screening for Anxiety and Depression-Tinnitus questionnaire, supporting the convergent validity of the TIQ. The TIQ score was not correlated with the pure-tone average hearing threshold, indicating discriminant validity. A multiple-causes multiple-indicator (MIMIC) model showed no influences of age, gender or hearing status on TIQ item scores. The TIQ is an internally consistent tool. CFA suggests a bi-factor model with sufficient unidimensionality to support the use of the overall TIQ score for assessing the impact of tinnitus. TIQ scores are distinct from the impact of hearing impairment among patients who have tinnitus combined with hearing loss.

show abstract

“…Hall et al (2016) showed that there were at least 29 different tinnitus-related questionnaires used in clinical practice. However, all have particular shortcomings, and therefore, new tools are still being created (Tyler et al 2014; Skarżyński et al 2018). Some of the questionnaires commonly applied by clinicians have been recommended for diagnostic use, for example, the Tinnitus Handicap Inventory, Tinnitus Handicap Questionnaire, and Tinnitus Questionnaire (Landgrebe et al 2012; Skarzynski et al 2017).…”

Section: Introductionmentioning

confidence: 99%

“…The tool provides reliable and valid measures of tinnitus severity, it has a clear factor structure, and has been adapted to many languages. Unlike other tinnitus-related questionnaires, there is evidence for sensitivity of the TFI to intervention-related change (Meikle et al 2012; Skarżyński et al 2018).…”

Section: Introductionmentioning

confidence: 99%

How to Interpret Tinnitus Functional Index Scores: A Proposal for a Grading System Based on a Large Sample of Tinnitus Patients

et al. 2020

Self Cite

View full text Add to dashboard Cite

Objectives: The Tinnitus Functional Index (TFI) is considered the gold standard in measuring tinnitus severity. The aim of the study was to establish reference values to improve the interpretability of TFI scores. Design: Results from 1114 patients with tinnitus were retrospectively analyzed. The participants were consecutive patients who attended our tertiary referral Ear, Nose, and Throat Center. The eligibility criteria were: at least 18 years old, persistent tinnitus, completed pure-tone audiometry, and answered all 25 items on the TFI. Hearing status (normal hearing vs. hearing impairment) was established according to the recommendation of the Bureau International d’Audiophonologie. Means (M) and SD on the TFI were the basis for grading tinnitus severity on four levels: low, lower moderate, upper moderate, and high. To gauge individual scores in clinical practice, percentiles are also proposed. Results: All 1114 patients (586 women and 528 men) were Caucasian and aged from 19 to 87 years (M = 50.96; SD = 13.10 years). Tinnitus duration ranged from 0.5 to 50 years (M = 7.17; SD = 7.71 years). There were 258 patients with normal hearing and 856 patients with hearing loss. A score of above 65 points on TFI was established as the cutoff point for diagnosing high tinnitus severity. A regression model associating tinnitus severity with gender, age, tinnitus duration, and hearing loss was statistically significant: F(4,1109) = 8.99; p < 0.001, but the effect was very small (R 2 adj = 0.028) and only gender and age were associated with TFI global score, while tinnitus severity was not related to tinnitus duration or hearing loss. Conclusions: The reference values proposed here support those reported previously by Meikle et al. They are empirically based and can be used as benchmarks in clinical practice and scientific research. They make it possible to assess tinnitus severity, evaluate individual scores, and categorize individuals with tinnitus. This allows researchers to set inclusion or exclusion criteria when assigning patients to specific groups during clinical trials involving tinnitus intervention strategies.

show abstract

Skarzynski Tinnitus Scale: validation of a brief and robust tool for assessing tinnitus in a clinical population

Cited by 15 publications

References 39 publications

Influence of stapedotomy on the quality of life of otosclerosis patients

Influence of stapedotomy on the quality of life of otosclerosis patients

Confirmatory factor analysis of the Tinnitus Impact Questionnaire using data from patients seeking help for tinnitus alone or tinnitus combined with hyperacusis

How to Interpret Tinnitus Functional Index Scores: A Proposal for a Grading System Based on a Large Sample of Tinnitus Patients

Contact Info

Product

Resources

About