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Hungarian adaptation of the Tinnitus Handicap Inventory: reliability and validity

  • Otology
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Abstract

The objective of this study was to determine the reliability and validity of the Hungarian version of the original Tinnitus Handicap Inventory (THI). In the study design the original THI (THI-US) was translated into Hungarian by three independent investigators. The final Hungarian version (THI-HUN) was constructed on the basis of these Hungarian interpretations and then administered to 72 patients suffering from chronic tinnitus. Construct validity was assessed using short version of Beck’s Depression Inventory (BDI), Perceived Stress Scale (PSS4 version), Visual Analogue Scale (VAS) (loudness, annoyance and pitch of tinnitus), pure tone audiometry and tinnitometry. The 72 participants were 43 women and 29 men. Their mean age was 49.86 years with a mean tinnitus duration of 4.16 years. In the results THI-HUN and its subscales showed good internal consistency reliabilities (α = 0.95–0.74), with significant correlation between THI-HUN total score and subscales and the BDI, PSS4 and VAS annoyance. There was a high or moderate correlation between THI-HUN total score and VAS loudness, tinnitus duration, hearing loss and subjective perception of tinnitus loudness. The VAS pitch of tinnitus, the subjective perception of tinnitus pitch, age, gender and level of education did not show any correlation with THI-HUN total score. The test–retest reliability was high (r = 0.97). We conclude that a valid and reliable THI-HUN questionnaire was constructed.

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References

  1. Henry JA, Dennis KC, Schechter MA (2005) General review of tinnitus: prevalence, mechanisms, effects and management. J Speech Lang Hear Res 48:1204–1235

    Article  PubMed  Google Scholar 

  2. Holgers KM, Barrenas ML, Svedlung J, Zöger S (2003) Clinical evaluation of tinnitus: a review. Audiological Medicine 2:101–106

    Google Scholar 

  3. Hoffman HJ, Reed GW (2004) Epidemiology of tinnitus. In: Snow JB Jr (ed) Tinnitus: theory and management. BC Decker, Lewiston, pp 16–41

    Google Scholar 

  4. Newman CW, Jacobson GP, Spitzer JB (1996) Development of the Tinnitus Handicap Inventory. Arch Otolaryngol Head Neck Surg 122:143–148

    Article  CAS  PubMed  Google Scholar 

  5. Zachariae R, Mirz F, Johansen LV, Andersen SE, Bjerring P et al (2000) Reliability and validity of a Danish adaptation of the Tinnitus Handicap Inventory. Scand Audiol 29:37–43

    Article  CAS  PubMed  Google Scholar 

  6. Baguley D, Norman M (2001) Tinnitus Handicap Inventory. J Am Acad Audiol 12:379–380

    CAS  PubMed  Google Scholar 

  7. Kim JH, Lee SY, Kim CH, Lim SL, Shin JN et al (2002) Reliability and validity of a Korean adaptation of the Tinnitus Handicap Inventory. Korean J Otolaryngol-Head Neck Surg 45:328–334

    Google Scholar 

  8. Schmidt LP, Teixeira VN, Dall’Igna C, Dallagnol D, Smith MM (2006) Brazilian Portuguese language version of the “Tinnitus Handicap Inventory”: validity and reproducibility. Braz J Otorhinol 72:808–810

    Google Scholar 

  9. Aksoy S, Firat Y, Alpar R (2007) The Tinnitus Handicap Inventory: a study of validity and reliability. Int Tinnitus J 13:94–98

    PubMed  Google Scholar 

  10. Monzani D, Genovese E, Marrara A, Gherpelli C, Pingani L et al (2008) Validity of the Italian adaptation of the Tinnitus Handicap Inventory: focus on quality of life and psychological distress in tinnitus-sufferers. Acta Otorhinolaryngol Ital 28:126–134

    CAS  PubMed Central  PubMed  Google Scholar 

  11. Kam AC, Cheung AP, Chan PY, Leung EK, Wong TK et al (2009) Psychometric properties of the Chinese (Cantonese) Tinnitus Handicap Inventory. Clin Otolaryngol 34:309–315

    Article  CAS  PubMed  Google Scholar 

  12. Lim JJ, Lu PK, Koh DS, Eng SP (2010) Impact of tinnitus as measured by the Tinnitus Handicap Inventory among tinnitus sufferers in Singapore. Singapore Med J 51:551–557

    CAS  PubMed  Google Scholar 

  13. Ghulyan-Bedikian V, Paolino M, Giorgetti-D’Esclercs F, Paolino F (2010) Psychometric properties of a French adaptation of the Tinnitus Handicap Inventory. Encephale 36:390–396

    Article  CAS  PubMed  Google Scholar 

  14. Mahmoudian S, Shahmiri E, Rouzbahani M, Jafari Z, Keyhani MR et al (2011) Persian language version of the “Tinnitus Handicap Inventory”: translation, standardization, validity and reliability. Int Tinnitus J 16:93–103

    PubMed  Google Scholar 

  15. Oron Y, Shushan S, Kreitler S, Roth YA (2011) Hebrew adaptation of the tinnitus handicap inventory. Int J Aud 50:426–430

    Article  Google Scholar 

  16. Zhaoli M, Yun Z, Shixi L, Kai W, Xiudan K et al (2012) Reliability and validity of the Chinese (Mandarin) Tinnitus Handicap Inventory. Clin Exp Otorhinolaryngol 5:10–16

    Article  Google Scholar 

  17. Zöger S, Svedlund J, Holgers KM (2006) Relationship between tinnitus severity and psychiatric disorders. Psychosomatics 47:282–288

    Article  PubMed  Google Scholar 

  18. Cohen S, Kamarck T, Mermelstein R (1983) A global measure of perceived stress. J Health Soc Behav 24:385–396

    Article  CAS  PubMed  Google Scholar 

  19. Cohen S, Williamson GM (1988) Perceived stress in a probability sample of the United States. In: Spacapan S, Oskamp S (eds) The social psychology of health. Sage, Newbury Park, pp 31–67

    Google Scholar 

  20. Stauder A, Konkoly TB (2006) Characteristics of the Hungarian version of the Perceived Stress Scale (PSS). Mentálhigiéné és Pszichoszomatika 7:203–216

    Article  Google Scholar 

  21. Beck AT, Ward CH, Mendelson M, Mock J, Erbaugh J (1961) An inventory for measuring depression. Arch Gen Psychiatry 4:561–571

    Article  CAS  PubMed  Google Scholar 

  22. Beck AT, Beck RW (1972) Screening depressed patients in family practice: a rapid technique. Postgrad Med 52:81–85

    CAS  PubMed  Google Scholar 

  23. Beck AT, Guth D, Steer RA, Ball R (1997) Screening for major depression disorders in medical inpatients the Beck Depression Inventory for primary care. Behav Res Ther 35:785–791

    Article  CAS  PubMed  Google Scholar 

  24. Rózsa S, Szádóczky E, Füredi J (2001) Experiences with the shortened version of the Beck Depression Scale in Hungary. Psychiatria Hungarica 16:379–394

    Google Scholar 

  25. Prestes R, Gil D (2009) Impact of tinnitus on quality of life, loudness and pitch match, and high-frequency audiometry. Int Tinnitus J 15:134–138

    PubMed  Google Scholar 

  26. Figueiredo RR, Azevedo AA, Oliveira Pde M (2009) Correlation analysis of the visual-analogue scale and the Tinnitus Handicap Inventory in tinnitus patients. Braz J Otorhinolaryngol 75:76–79

    PubMed  Google Scholar 

  27. Kuk F, Tyler RS, Russel D, Jordan H (1990) The psychometric properties of a tinnitus handicap questionnaire. Ear Hear 11:434–442

    Article  CAS  PubMed  Google Scholar 

  28. Crocetti A, Forti S, Ambrosetti U, Bo LD (2009) Questionnaires to evaluate anxiety and depressive levels in tinnitus patients. Otolaryngol Head Neck Surg 140:403–405

    Article  PubMed  Google Scholar 

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The authors declare that they have no conflict of interest.

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Correspondence to Beata Bencsik.

Appendix

Appendix

The THI-HUN is available on the following website: http://semmelweis.hu/fulorrgegeszet/kutatasi-teruletek/tinnitus-handicap-inventory-kerdoiv.

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Bencsik, B., Tamás, L., Trimmel, K. et al. Hungarian adaptation of the Tinnitus Handicap Inventory: reliability and validity. Eur Arch Otorhinolaryngol 272, 2243–2248 (2015). https://doi.org/10.1007/s00405-014-3138-8

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  • DOI: https://doi.org/10.1007/s00405-014-3138-8

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