Standardisation of Tinnitus Handicap Inventory in Hindi

  • Vishwambhar SinghEmail author
  • Ashutosh Alakh Abinashi
  • Rajesh Kumar
  • Ashvanee Kumar Chaudhary
Original Article


Tinnitus is defined as perception of sound in ear continuously without presence of any external stimuli. It is mainly due to the activity within central nervous system without any mechanical or vibratory activity that stimulates the cochlea. It is purely subjective phenomenon that cannot be measured by the any physical scale. Tinnitus handicap inventory is very useful tool to measure the severity of impact of tinnitus on person’s life. There is lack of questionnaire in Hindi and this work will help a lot in future. The English THI was translated to Hindi by person expert in both English and Hindi. The translated THI was given to 40 people with Hindi as mother tongue for rechecking the words. The final THI (Hindi) was used in assessment of severity in 100 tinnitus patient. The observed data was analysed by using Microsoft excel. Reliability of THI Hindi was high (Pearson correlation .98, test and retest method), factor analysis indicated that TH1 Hindi has unified. The THI Hindi version is reliable. THI Hindi can be used to assessment of severity of tinnitus in Hindi speaking population.


Tinnitus Validity Reliability 


Compliance with Ethical Standards

Conflict of interest

No potential conflict of interest relevant to this article was reported.


  1. 1.
    Jastreboff PJ, Hazell JW (1993) A neurophysiological approach to tinnitus: clinical implications. Br J Audiol 27(1):7–17CrossRefGoogle Scholar
  2. 2.
    Henry JA, Dennis KC, Schechter MA (2005) General review of tinnitus: prevalence, mechanisms, effects, and management. J Speech Lang Hear Res 48(5):1204–1235CrossRefGoogle Scholar
  3. 3.
    Hoffman HJ, Reed GW (2004) Epidemiology of tinnitus. In: Snow JB (ed) Tinnitus: theory and management. BC Decker, Lewiston, pp 16–41Google Scholar
  4. 4.
    Davis A, Refaie AE (2000) Epidemiology of tinnitus. In: Tyler RS (ed) Tinnitus handbook. Singular, Sandiego, pp 1–24Google Scholar
  5. 5.
    Westin V, Hayes SC, Andersson G (2008) Is it the sound or your relationship to it? The role of acceptance in predicting tinnitus impact. Behav Res Ther 46(12):1259–1265CrossRefGoogle Scholar
  6. 6.
    Newman CW, Jacobson GP, Spitzer JB (1996) Development of the tinnitus handicap inventory. Arch Otolaryngol Head Neck Surg 122(2):143–148CrossRefGoogle Scholar
  7. 7.
    Sweetow RW, Levy MC (1990) Tinnitus severity scaling for diagnostic/therapeutic usage. Hear Instrum 41:20–21Google Scholar
  8. 8.
    Hallam RS (1996) Manual of the tinnitus questionnaire. Psychological Co., LondonGoogle Scholar
  9. 9.
    Wilson PH, Henry J, Bowen M, Haralambous G (1991) Tinnitus reaction questionnaire: psychometric properties of a measure of distress associated with tinnitus. J Speech Hear Res 34(1):197–201CrossRefGoogle Scholar
  10. 10.
    Kuk FK, Tyler RS, Russell D, Jordan H (1990) The psychometric properties of a tinnitus handicap questionnaire. Ear Hear 11(6):434–445CrossRefGoogle Scholar
  11. 11.
    Halford JB, Anderson SD (1991) Tinnitus severity measured by a subjective scale, audiometry and clinical judgement. J Laryngol Otol 105(2):89–93CrossRefGoogle Scholar
  12. 12.
    Erlandsson SI, Hallberg LR, Axelsson A (1992) Psychological and audiological correlates of perceived tinnitus severity. Audiology 31(3):168–179CrossRefGoogle Scholar
  13. 13.
    Henry JL, Wilson PH (1995) Coping with tinnitus: two studies of psychological and audiological characteristics of patients with high and low tinnitus-related distress. Int Tinnitus J 1(2):85–92Google Scholar
  14. 14.
    Budd RJ, Pugh R (1995) The relationship between locus of control, tinnitus severity, and emotional distress in a group of tinnitus sufferers. J Psychosom Res 39(8):1015–1018CrossRefGoogle Scholar
  15. 15.
    Wilson PH, Henry JL (1998) Tinnitus cognitions questionnaire: development and psychometric properties of a measure of dysfunctional cognitions associated with tinnitus. Int Tinnitus J 4(1):23–30Google Scholar
  16. 16.
    Tyler RS (1993) Tinnitus disability and handicap questionnaires. Semin Hear 14(4):377–384CrossRefGoogle Scholar
  17. 17.
    Newman CW, Sandridge SA, Jacobson GP (1998) Psychometric adequacy of the tinnitus handicap inventory (THI) for evaluating treatment outcome. J Am Acad Audiol 9(2):153–160Google Scholar
  18. 18.
    Zachariae R, Mirz F, Johansen LV, Andersen SE, Bjerring P, Pedersen CB (2000) Reliability and validity of a Danish adaptation of the tinnitus handicap inventory. Scand Audiol 29(1):37–43CrossRefGoogle Scholar
  19. 19.
    Baguley D, Norman M (2001) Tinnitus handicap inventory. J Am Acad Audiol 12(7):379–380Google Scholar
  20. 20.
    Kim JH, Lee SY, Kim CH, Lim SL, Shin JN, Chung WH et al (2002) Reliability and validity of a Korean adaptation of the tinnitus handicap inventory. Korean J Otolaryngol Head Neck Surg 45(4):328–334Google Scholar
  21. 21.
    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 Otorhinolaryngol 72(6):808–810CrossRefGoogle Scholar
  22. 22.
    Aksoy S, Firat Y, Alpar R (2007) The Tinnitus Handicap Inventory: a study of validity and reliability. Int Tinnitus J 13(2):94–98Google Scholar
  23. 23.
    Monzani D, Genovese E, Marrara A, Gherpelli C, Pingani L, Forghieri M 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(3):126–134Google Scholar
  24. 24.
    Lim JJ, Lu PK, Koh DS, Eng SP (2010) Impact of tinnitus as measured by the Tinnitus Handicap Inventory among tinnitus sufferers in Singapore. Singap Med J 51(7):551–557Google Scholar
  25. 25.
    Kam AC, Cheung AP, Chan PY, Leung EK, Wong TK, van Hasselt CA et al (2009) Psychometric properties of the Chinese (Cantonese) Tinnitus Handicap Inventory. Clin Otolaryngol 34(4):30CrossRefGoogle Scholar

Copyright information

© Association of Otolaryngologists of India 2019

Authors and Affiliations

  1. 1.Institute of Medical SciencesVaranasiIndia

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