The sound-sensitive tinnitus index: Psychometric properties of a scale to assess the impact of tinnitus exacerbated by sound

Context: Although studies of tinnitus exacerbated by sound exposure have indicated increased treatment challenges and intensified mental health and quality of life concerns, there is a lack of valid screening measures to differentiate or assess diagnostic factors and areas of impact unique to this s...

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Main Authors: Benjamin S Greenberg, Megan C Carlos
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2019-01-01
Series:Noise and Health
Subjects:
Online Access:http://www.noiseandhealth.org/article.asp?issn=1463-1741;year=2019;volume=21;issue=100;spage=98;epage=107;aulast=Greenberg
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author Benjamin S Greenberg
Megan C Carlos
author_facet Benjamin S Greenberg
Megan C Carlos
author_sort Benjamin S Greenberg
collection DOAJ
description Context: Although studies of tinnitus exacerbated by sound exposure have indicated increased treatment challenges and intensified mental health and quality of life concerns, there is a lack of valid screening measures to differentiate or assess diagnostic factors and areas of impact unique to this specific symptom manifestation. Aims: The purpose of this study was to design a self-rated measurement tool that can accurately assess the subjective impact of tinnitus negatively modulated by external sound. Settings and Design: Based on review of established models of tinnitus and hyperacusis measurement and a two-part pilot study, the 20-item Sound-Sensitive Tinnitus Index (SSTI) was developed and administered in online survey format to 277 individuals worldwide. Methods and Material: Cronbach’s alpha was used to estimate reliability properties, and dimensional factor analysis was performed. To establish validity, statistical correlations of the SSTI were estimated with valid measures of related constructs including tinnitus, hyperacusis, depression, anxiety, and quality of life. Results: Statistical analysis yielded high levels of internal consistency reliability, and convergent validity was demonstrated through significant correlations with all established measures of related constructs. Initial factor analysis indicated two components split between overall functional impact and coping factors, while rotated factor analyses revealed four distinct scale dimensions, labeled: functional challenges, relational and communication challenges, coping factors, and prevention and hearing protection. Conclusions: As a valid and reliable measure, the SSTI fills an important gap as a clinical and research tool that can differentiate and assess severity and treatment progress in manifestations of combined tinnitus and auditory sensitivity symptoms.
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spelling doaj.art-ada7983111dd4055aa7ae386338fe4f92022-12-21T18:41:18ZengWolters Kluwer Medknow PublicationsNoise and Health1463-17411998-40302019-01-01211009810710.4103/nah.NAH_29_18The sound-sensitive tinnitus index: Psychometric properties of a scale to assess the impact of tinnitus exacerbated by soundBenjamin S GreenbergMegan C CarlosContext: Although studies of tinnitus exacerbated by sound exposure have indicated increased treatment challenges and intensified mental health and quality of life concerns, there is a lack of valid screening measures to differentiate or assess diagnostic factors and areas of impact unique to this specific symptom manifestation. Aims: The purpose of this study was to design a self-rated measurement tool that can accurately assess the subjective impact of tinnitus negatively modulated by external sound. Settings and Design: Based on review of established models of tinnitus and hyperacusis measurement and a two-part pilot study, the 20-item Sound-Sensitive Tinnitus Index (SSTI) was developed and administered in online survey format to 277 individuals worldwide. Methods and Material: Cronbach’s alpha was used to estimate reliability properties, and dimensional factor analysis was performed. To establish validity, statistical correlations of the SSTI were estimated with valid measures of related constructs including tinnitus, hyperacusis, depression, anxiety, and quality of life. Results: Statistical analysis yielded high levels of internal consistency reliability, and convergent validity was demonstrated through significant correlations with all established measures of related constructs. Initial factor analysis indicated two components split between overall functional impact and coping factors, while rotated factor analyses revealed four distinct scale dimensions, labeled: functional challenges, relational and communication challenges, coping factors, and prevention and hearing protection. Conclusions: As a valid and reliable measure, the SSTI fills an important gap as a clinical and research tool that can differentiate and assess severity and treatment progress in manifestations of combined tinnitus and auditory sensitivity symptoms.http://www.noiseandhealth.org/article.asp?issn=1463-1741;year=2019;volume=21;issue=100;spage=98;epage=107;aulast=Greenbergassessmenthyperacusismeasurementpsychometricstinnitus
spellingShingle Benjamin S Greenberg
Megan C Carlos
The sound-sensitive tinnitus index: Psychometric properties of a scale to assess the impact of tinnitus exacerbated by sound
Noise and Health
assessment
hyperacusis
measurement
psychometrics
tinnitus
title The sound-sensitive tinnitus index: Psychometric properties of a scale to assess the impact of tinnitus exacerbated by sound
title_full The sound-sensitive tinnitus index: Psychometric properties of a scale to assess the impact of tinnitus exacerbated by sound
title_fullStr The sound-sensitive tinnitus index: Psychometric properties of a scale to assess the impact of tinnitus exacerbated by sound
title_full_unstemmed The sound-sensitive tinnitus index: Psychometric properties of a scale to assess the impact of tinnitus exacerbated by sound
title_short The sound-sensitive tinnitus index: Psychometric properties of a scale to assess the impact of tinnitus exacerbated by sound
title_sort sound sensitive tinnitus index psychometric properties of a scale to assess the impact of tinnitus exacerbated by sound
topic assessment
hyperacusis
measurement
psychometrics
tinnitus
url http://www.noiseandhealth.org/article.asp?issn=1463-1741;year=2019;volume=21;issue=100;spage=98;epage=107;aulast=Greenberg
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