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Psychometrische Testverfahren in der Tinnitusdiagnostik

Psychometric instruments for the diagnosis of tinnitus

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Zusammenfassung

Tinnitus gilt als komplexes Phänomen mit multiplen Entstehungsmechanismen. Die Therapie des chronischen Tinnitus verfolgt einen multimodalen, interdisziplinären Ansatz. Zur Beurteilung bestehender Komorbiditäten bei Tinnituspatienten sowie zur optimalen und vor allem individuellen Behandlung ist eine umfassende differenzierte psychometrische Diagnostik erforderlich. Da bisher keine einheitliche Leitlinie zur Verwendung psychometrischer Testverfahren in der Tinnitusdiagnostik existiert, werden in diesem Artikel relevante Fragebögen vorgestellt, die im Rahmen der Tinnitusforschung, -diagnostik und -therapie bereits effektiv eingesetzt wurden. Diese Fragebögen erfassen den Schweregrad von Tinnitus, Angst und Depression, die Stressbelastung und Ressourcen sowie die Lebensqualität der Patienten.

Abstract

Tinnitus is a very complex phenomenon with various mechanisms of origin. Multimodal and interdisciplinary treatment is the most effective form of treatment for patients with chronic tinnitus. In order to assess existing comorbidity in tinnitus patients as well as to treat the patients individually, a comprehensive and differentiated diagnosis is needed. Since standardized guidelines for the use of relevant instruments in the diagnosis of tinnitus have been lacking hitherto, we present here psychometric questionnaires which have already been used effectively in the research, diagnosis and therapy of tinnitus in the present article. The questionnaires measure the severity of tinnitus, depression and anxiety, the perceived stress, personal resources as well as the quality of life of patients.

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Literatur

  1. Adoga AA, Adoga AS, Obindo JT (2008) Tinnitus and the prevalence of co-morbid psychological stress. Niger J Med 17:95–97

    PubMed  CAS  Google Scholar 

  2. Andersson G, Westin V (2008) Understanding tinnitus distress: introducing the concepts of moderators and mediators. Int J Audiol 47(Suppl 2):S106–S111

    Article  PubMed  Google Scholar 

  3. Antonovsky A (1987) Unraveling the mystery of health: How people manage stress and stay well. Jossey-Bass, London

  4. Antonovsky A (1997) Salutogenese. Zur Entmystifizierung der Gesundheit. DGVT, Tübingen

  5. Axelsson A, Ringdahl A (1989) Tinnitus – a study of its prevalence and characteristics. Br J Audiol 23:53–62

    Article  PubMed  CAS  Google Scholar 

  6. Baguley DM, Humphriss RL, Hodgson CA (2000) Convergent validity of the tinnitus handicap inventory and the tinnitus questionnaire. J Laryngol Otol 114:840–843

    PubMed  CAS  Google Scholar 

  7. Beck AT, Steer RA (1987) Beck Depression Inventory – Manual. The Psychological Association, San Antonio

  8. Belli S, Belli H, Bahcebasi T et al (2008) Assessment of psychopathological aspects and psychiatric comorbidities in patients affected by tinnitus. Eur Arch Otorhinolaryngol 265:279–285

    Article  PubMed  Google Scholar 

  9. Bernheim JL, Buyse M (1983) The anamnestic comparative self assessment fr measuring the subjective quality of life of cancer patients. J Psychosoc Oncol 1:25–38

    Article  Google Scholar 

  10. Biesinger E, Iro H (2005) HNO Praxis heute. Tinnitus. Springer, Heidelberg

  11. Bjelland I, Dahl AA, Haug TT, Neckelmann D (2002) The validity of the Hospital Anxiety and Depression Scale. An updated literature review. J Psychosom Res 52:69–77

    Article  PubMed  Google Scholar 

  12. Buckelew SP, Parker JC, Keefe FJ et al (1994) Self-efficacy and pain behavior among subjects with fibromyalgia. Pain 59:377–384

    Article  PubMed  CAS  Google Scholar 

  13. Bullinger M, Kirchberger I (1998) Fragebogen zum Gesundheitszustand. Handanweisung. Hogrefe, Göttingen

  14. Bullinger M, Kirchberger I, Ware J (1995) Health Survey. Übersetzung und psychometrische Testung eines krankheitsübergreifenden Instruments zur Erfassung der gesundheitsbezogenen Lebensqualität. Z Gesundheitswiss 3:21–36

    Google Scholar 

  15. Cameron IM, Crawford JR, Lawton K, Reid IC (2008) Psychometric comparison of PHQ-9 and HADS for measuring depression severity in primary care. Br J Gen Pract 58:32–36

    Article  PubMed  Google Scholar 

  16. 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 

  17. D’Amelio R, Archonti C, Scholz S et al (2004) Akuter Tinnitus. Psychische Korrelate und Ausmaß der Belastung bei Patienten. HNO 52:599–603

    Article  Google Scholar 

  18. Fahrenberg J, Hampel R, Selg H (1994) Freiburger Persönlichkeitsinventar (FPI), revidierte Fassung FPI-R und teilweise geänderte Fassung FPI-A1. Hogrefe, Göttingen

  19. Fahrenberg J, Hampel R, Selg H (2010) Freiburger Persönlichkeitsinventar (FPI), 8. erweiterte Auflage. Manual. Hogrefe, Göttingen

  20. Figueiredo RR, Rates MA, Azevedo AA et al (2010) Correlation analysis of hearing thresholds, validated questionnaires and psychoacoustic measurements in tinnitus patients. Braz J Otorhinolaryngol 76:522–526

    Article  PubMed  Google Scholar 

  21. Fliege H, Rose M, Arck P et al (2001) Validation of the „Perceived Stress Questionnaire“ (PSQ) in a German sample. Diagnostica 47:142–152

    Article  Google Scholar 

  22. Fliege H, Rose M, Arck P et al (2005) The Perceived Stress Questionnaire (PSQ) reconsidered: validation and reference values from different clinical and healthy adult samples. Psychosom Med 67:78–88

    Article  PubMed  Google Scholar 

  23. Folmer RL (2002) Long-term reductions in tinnitus severity. BMC Ear Nose Throat Disord 2:3

    Article  PubMed  Google Scholar 

  24. Franke G (2002) Die Symptom-Checkliste von Derogatis – Deutsche Version. Manual. 2. Aufl. Beltz Test GmbH, Göttingen

  25. Franke G, Stacker KH (1995) Reliability and validity of the Symptom Checklist (SCL-90-R, Derogatis, 1986) in standardized versus homogenous item-blocked sequence. Diagnostica 41:349–373

    Google Scholar 

  26. Goebel G, Fichter M (1998) Depression beim chronischen Tinnitus. Munch Med Wochenschr 41:557–562

    Google Scholar 

  27. Goebel G, Hiller W (1998) Tinnitus-Fragebogen (TF)-Ein Instrument zur Erfassung von Belastung und Schweregrad bei Tinnitus, Handanweisung. Hogrefe, Göttingen

  28. Goebel G, Kahl M, Arnold W, Fichter M (2006) 15-year prospective follow-up study of behavioral therapy in a large sample of inpatients with chronic tinnitus. Acta Otolaryngol Suppl 70–79

  29. Grauvogel J, Kaminsky J, Rosahl SK (2010) The impact of tinnitus and vertigo on patient-perceived quality of life after cerebellopontine angle surgery. Neurosurgery 67:601–609

    Article  PubMed  Google Scholar 

  30. Greimel KV, Leibetseder M, Unterrainer J et al (2009) TBF-12– Tinnitus-Beeinträchtigungs-Fragebogen. Diagnostische Verfahren. Pearson Clinical and Talent Assessment, Frankfurt a. Main

  31. Hallam RS (1996) Correlates of sleep disturbance in chronic distressing tinnitus. Scand Audiol 25:263–266

    Article  PubMed  CAS  Google Scholar 

  32. Hannover W, Michael A, Meyer C et al (2004) Antonovsky’s sense of coherence scale and presentation of a psychiatric diagnosis. Psychother Psychosom Med Psychol 54:179–186

    Article  PubMed  Google Scholar 

  33. Harter M, Battlehner J, Munscher A et al (2005) Assessment of motivational changes in tinnitus sufferers. A study of the transtheoretical model. HNO 53:707–715

    Article  PubMed  CAS  Google Scholar 

  34. Harter M, Maurischat C, Weske G et al (2004) Psychological stress and impaired quality of life in patients with tinnitus. HNO 52:125–131

    Article  PubMed  CAS  Google Scholar 

  35. Hautzinger M, Bailer M (1993) Allgemeine Depressionsskala. Hogrefe, Göttingen

  36. Hautzinger M, Keller F, Kühner C (2009) BDI-II. Beck-Depression-Inventar. Revision, 2. Aufl. Pearson Assessment, Frankfurt

  37. Heinecke K, Weise C, Schwarz K, Rief W (2008) Physiological and psychological stress reactivity in chronic tinnitus. J Behav Med 31:179–188

    Article  PubMed  Google Scholar 

  38. 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 

  39. Hesse G (2008) Tinnitus. Georg Thieme, Stuttgart

  40. Hiller W, Goebel G (1992) A psychometric study of complaints in chronic tinnitus. J Psychosom Res 36:337–348

    Article  PubMed  CAS  Google Scholar 

  41. Jastreboff PJ, Hazell JW (1993) A neurophysiological approach to tinnitus: clinical implications. Br J Audiol 27:7–17

    Article  PubMed  CAS  Google Scholar 

  42. Kam AC, Cheung AP, Chan PY et al (2009) Psychometric properties of a Chinese (Cantonese) version of the Tinnitus Questionnaire. Int J Audiol 48:568–575

    Article  PubMed  Google Scholar 

  43. Kamalski DM, Hoekstra CE, Zanten BG van et al (2010) Measuring disease-specific health-related quality of life to evaluate treatment outcomes in tinnitus patients: a systematic review. Otolaryngol Head Neck Surg 143:181–185

    Article  PubMed  Google Scholar 

  44. Kemp S, George RN (1992) Diaries of tinnitus sufferers. Br J Audiol 26:381–386

    Article  PubMed  CAS  Google Scholar 

  45. Kleinjung T, Fischer B, Langguth B et al (2007) Validierug einer deutschsprachigen Version des „Tinnitus Handicap Inventory“. Psychiatr Prax 34(Suppl 1):S140–S142

    Article  Google Scholar 

  46. Kocalevent RD, Levenstein S, Fliege H et al (2007) Contribution to the construct validity of the Perceived Stress Questionnaire from a population-based survey. J Psychosom Res 63:71–81

    Article  PubMed  Google Scholar 

  47. Langenbach M, Olderog M, Michel O et al (2005) Psychosocial and personality predictors of tinnitus-related distress. Gen Hosp Psychiatry 27:73–77

    Article  PubMed  Google Scholar 

  48. Langguth B, Kleinjung T, Fischer B et al (2007) Tinnitus severity, depression, and the big five personality traits. Prog Brain Res 166:221–225

    Article  PubMed  CAS  Google Scholar 

  49. Laux L, Glanzmann P, Schaffner P, Spielberger CD (1981) Das State-Trait-Angstinventar. Theoretische Grundlagen und Hnadanweisung. Beltz Test GmbH, Weinheim

  50. Ledure G, Souris M, Bernheim JL (1981) Control study of anamnestic comparative self assessment (ACSA). In: Proceedings of the 3rd EORTS QOL study group workshop. Amsterdam, S 69–91

  51. Levenstein S, Prantera C, Varvo V et al (1993) Development of the Perceived Stress Questionnaire: a new tool for psychosomatic research. J Psychosom Res 37:19–32

    Article  PubMed  CAS  Google Scholar 

  52. Litt MD, Nye C, Shafer D (1993) Coping with oral surgery by self-efficacy enhancement and perceptions of control. J Dent Res 72:1237–1243

    Article  PubMed  CAS  Google Scholar 

  53. Malasi TH, Mirza IA, el-Islam MF (1991) Validation of the Hospital Anxiety and Depression Scale in Arab patients. Acta Psychiatr Scand 84:323–326

    Article  PubMed  CAS  Google Scholar 

  54. Mazurek B, Fischer F, Haupt H et al (2006) A modified version of tinnitus retraining therapy: observing long-term outcome and predictors. Audiol Neurootol 11:276–286

    Article  PubMed  Google Scholar 

  55. Muggenthaler KH, Strohmayr J, Klügel C, Kastner E (1997) Einsatz der visuellen Analogskala zur Evaluierung der Effizienz der hyperbaren Oxygenation (HBO-Therapie) bei Patienten mit Tinnitus und/oder Hörsturz. Schmerz 11:73

    Google Scholar 

  56. Muluk NB (2009) The SF-36 Health Survey in tinnitus patients with a high jugular bulb. J Otolaryngol Head Neck Surg 38:166–171

    PubMed  Google Scholar 

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

    Article  PubMed  CAS  Google Scholar 

  58. Oishi N, Kanzaki S, Shinden S et al (2010) Effects of selective serotonin reuptake inhibitor on treating tinnitus in patients stratified for presence of depression or anxiety. Audiol Neurootol 15:187–193

    Article  PubMed  CAS  Google Scholar 

  59. Olderog M, Langenbach M, Michel O et al (2004) Predictors and mechanisms of tinnitus distress – a longitudinal analysis. Laryngorhinootologie 83:5–13

    Article  PubMed  CAS  Google Scholar 

  60. Phillips JS, McFerran D (2010) Tinnitus retraining therapy (TRT) for tinnitus. Cochrane Database Syst Rev CD007330

  61. Pilgramm M, Rychlik R, Leibisch H et al (1999) Tinnitus in the Federal Republic of Germany: a representative epidemiological study. In: Hazell JW (Hrsg) Proceedings of the 6th international tinnitus seminar. Cambridge, UK, S 64–67

  62. Prestes R, Daniela G (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 

  63. Reisshauer A, Mathiske-Schmidt K, Kuchler I et al (2006) Functional disturbances of the cervical spine in tinnitus. HNO 54:125–131

    Article  PubMed  CAS  Google Scholar 

  64. Robinson SK, McQuaid JR, Viirre ES et al (2003) Relationship of tinnitus questionnaires to depressive symptoms, quality of well-being, and internal focus. Int Tinnitus J 9:97–103

    PubMed  Google Scholar 

  65. Schaaf H, Eipp C, Deubner R et al (2009) Psychosocial aspects of coping with tinnitus and psoriasis patients. A comparative study of suicidal tendencies, anxiety and depression. HNO 57:57–63

    Article  PubMed  CAS  Google Scholar 

  66. Schaaf H, Gieler U (2010) TRT and psychotherapy in the treatment of tinnitus. HNO 58:999–1003

    Article  PubMed  CAS  Google Scholar 

  67. Schneider G, Driesch G, Kruse A et al (2004) What influences self-perception of health in the elderly? The role of objective health condition, subjective well-being and sense of coherence. Arch Gerontol Geriatr 39:227–237

    Article  PubMed  Google Scholar 

  68. Scholler G, Fliege H, Klapp BF (1999) Questionnaire of self-efficacy, optimism and pessimism: reconstruction, selection of items and validation of an instrument by means of examinations of clinical samples. Psychother Psychosom Med Psychol 49:275–283

    PubMed  CAS  Google Scholar 

  69. Schumacher J, Wilz G, Gunzelmann T, Brahler E (2000) The Antonovsky Sense of Coherence Scale. Test statistical evaluation of a representative population sample and construction of a brief scale. Psychother Psychosom Med Psychol 50:472–482

    Article  PubMed  CAS  Google Scholar 

  70. Schwab B, Lenarz T, Heermann R (2004) Use of the round window micro cath for inner ear therapy – results of a placebo-controlled, prospective study on chronic tinnitus. Laryngorhinootologie 83:164–172

    Article  PubMed  CAS  Google Scholar 

  71. Seydel C, Haupt H, Szczepek AJ et al (2010) Long-term improvement in tinnitus after modified tinnitus retraining therapy enhanced by a variety of psychological approaches. Audiol Neurootol 15:69–80

    Article  PubMed  Google Scholar 

  72. Sirois FM, Davis CG, Morgan MS (2006) „Learning to live with what you can’t rise above“: control beliefs, symptom control, and adjustment to tinnitus. Health Psychol 25:119–123

    Article  PubMed  Google Scholar 

  73. Soderman AC, Bagger-Sjoback D, Bergenius J, Langius A (2002) Factors influencing quality of life in patients with Meniere’s disease, identified by a multidimensional approach. Otol Neurotol 23:941–948

    Article  PubMed  Google Scholar 

  74. Soderman AC, Bergenius J, Bagger-Sjoback D et al (2001) Patients‘ subjective evaluations of quality of life related to disease-specific symptoms, sense of coherence, and treatment in Meniere’s disease. Otol Neurotol 22:526–533

    Article  PubMed  CAS  Google Scholar 

  75. Stafford L, Berk M, Jackson HJ (2007) Validity of the Hospital Anxiety and Depression Scale and Patient Health Questionnaire-9 to screen for depression in patients with coronary artery disease. Gen Hosp Psychiatry 29:417–424

    Article  PubMed  Google Scholar 

  76. Stobik C, Weber RK, Munte TF, Frommer J (2003) Psychosomatic stress factors in compensated and decompensated tinnitus. Psychother Psychosom Med Psychol 53:344–352

    Article  PubMed  Google Scholar 

  77. Stobik C, Weber RK, Munte TF et al (2005) Evidence of psychosomatic influences in compensated and decompensated tinnitus. Int J Audiol 44:370–378

    Article  PubMed  Google Scholar 

  78. Strumpfer DJ (1997) Sense of coherence, negative affectivity, and general health in farm supervisors. Psychol Rep 80:963–966

    Article  PubMed  CAS  Google Scholar 

  79. Tyler RS, Coelho C, Noble W (2006) Tinnitus: standard of care, personality differences, genetic factors. ORL J Otorhinolaryngol Relat Spec 68:14–19

    Article  PubMed  Google Scholar 

  80. Weber JH, Jagsch R, Hallas B (2008) The relationship between tinnitus, personality, and depression. Z Psychosom Med Psychother 54:227–240

    PubMed  Google Scholar 

  81. Zigmond AS, Snaith RP (1983) The hospital anxiety and depression scale. Acta Psychiatr Scand 67:361–370

    Article  PubMed  CAS  Google Scholar 

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Seydel, C., Zirke, N., Haupt, H. et al. Psychometrische Testverfahren in der Tinnitusdiagnostik. HNO 60, 732–742 (2012). https://doi.org/10.1007/s00106-011-2403-z

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