AMERICAN ACADEMY OF AUDIOLOGY

12th Annual AAA Convention - Chicago 2000

TINNITUS QUESTIONNAIRE

F. Zenker & J.J. Barajas

Barajas Clinic - 38004 Santa Cruz de Tenerife - Canary Islands - Spain


Download the TQ software and all the material presented at the Instructional Course 510


510: A Tinnitus Questionnaire for Spanish-Speaking Patients Guidelines for Non-Spanish-Speaking Clinicians

Instructional Level: Intermediate

Saturday, March 18, 2:30 p.m. - 3:30 p.m.

Abstract

Tinnitus is a common phenomenon reported by up to 17% of the population (OPCS 1983). Many methods of management of Tinnitus have been proposed such as Tinnitus Masking, Cognitive Therapies and the most recent Tinnitus Retraining Therapy (TRT). These approaches show how important the subjective complaints about Tinnitus are. Usually these complaints are expressed verbally at the moment of taking the medical history or throughout standardised questionnaires. Since counselling and assessment of the subjective complaints are an important part of the treatment, verbal aspects must be considered as relevant point in the rehabilitation of these patients. There is an important number of Hispanic in the USA suffering from Tinnitus, which are not proficient in English. The lack of fluency in English may have serious effects on the quality of the audiological services offered to this population. In this course we will present an adaptation of the Tinnitus Questionnaire (TQ) from Jakes et. col. (1985) for Spanish speakers. This questionnaire has been translated to different language having found a similar structure for the measuring of the principal complaints of tinnitus from different countries. The TQ provides a useful index of Tinnitus related-distress and their degree of severity for clinical assessment and its potential as a measure of change in coping ability. Suggestions are proposed to provide an improved service for Spanish-speaking population suffering from Tinnitus.

Tinnitus Questionnaire

The TQ is a 52-item self-rating scale, which differentiates between dimension of emotional and cognitive distress, intrusiveness, auditory perceptual difficulties, sleep disturbances and somatic complaints. From this pages you can download a Spanish version of the TQ.

If you need more information about the TQ please review these references:

Tinnitus Questionnaire Software

Scoring the TQ is accomplished using a software program. Once the patient's responses to the 52 items have been entered into the software program, scores are generated for each subscales and a graphical display is provided for the clinician to evaluate.  Click here to a preview of the TQ Software. This software can be used for english and spanish patientes. Altough, if you are going to use this software to score the result of english speaking patientes you must configure the TQ in order to define the items that load in each scale for your population of english sepakers. You can find this information in the original version of the TQ. Note: To install the 'TQ scoring program', you must unzip this file with winzip and run 'setup.exe'. Follow the on-screen instructions.

References

These references are related to the Tinnitus Questionnaire presented in this Instructional Course.

Tinnitus Effect Questionnaire.

  • Estudio psicométrico del acúfeno crónico. Adaptación del cuestionario sobre tinnitus (Tinnitus Questionnaire) a una muestra española. Zenker F. y J.J. Barajas. Psicología Conductual, Vol. 10, Nº1, 2002, pp. 63-75.
  • Hallam RS, Jakes SC, Hinchcliffe R : Cognitive variables in tinnitus annoyance. Br J Clin Psychol 1988 ;27 :213-222.
  • Hallam RS, Jakes SC, Hinchcliffe R : Cognitive variables in tinnitus annoyance. Br J Clin Psychol 1988 ;27 :213-222.
  • Jakes, S.C., Hallam, R.S., Chambers C., Hinchcliffe R. A factor analytic study of tinnitus complaint behaviour. Audiology 1985 : 24 : 195-206.
  • Hiller W. and Goebel G : A Psychometric Study in Chronic Tinnitus. Journal of Psychosomatic Research, Vol. 36, No. 4. Pp. 337-348. 1992.
  • Hiller W., Goebel G. and Rief W. :Reliability of self-rated tinnitus distress and association with psychological symptom patterns. British Journal of Clinical Psychology [1994], 33, 231-139.
  • Zenker, F. & Barajas, J.J. Psychological complaints in patients suffering from chronic tinnitus. In: Advances in Noise Series Edited by Deepak Prasher and Linda Luxon. Volumen I: Biological Effects 1998. pp. 238-246.

 Several quantitative scales have been developed for the measurement of tinnitus distress. The following references describe some of their important characteristics.

 Tinnitus Handicap Questionnaire

Kuk, Tyler, Russell, and Jordan developed the Tinnitus Handicap Questionnaire. A factor analysis suggested three separate factors: the physical, emotional, and social consequences of tinnitus; the effects of tinnitus on hearing; and the patient's view of tinnitus.

  • Kuk K, Tyler RS, Russel D, Jordan H : The psychometric properties of a tinnitus handicap questionnaire. Ear Hear 1990;6 :434-445.

 Tinnitus Handicap/Support Scale

A 28-question Tinnitus Handicap/Support Scale, focusing on the quality of life, concentration, and sleep, was developed by Erlandsson et al. An analysis of their results suggested three factors: perceived attitudes, social support, and disability/handicap.

  • Erlandsson, S.I., Hallberg, L.R.M. and Axelsson, A. Psychological and Audiological Correlates of Perceived Tinnitus Severity. Audiology 1992;31:168-179.

 Tinnitus Reaction Questionnaire

Wilson, Henry, Bowen, and Haralambous (1991) produced a 26-items Tinnitus Reaction Questionnaire. A factor analysis suggested four factors, which they labelled 'general distress', 'interference', 'severity' and 'avoidance'.

  • Wilson PH, Henry J, Bowen M, Haralambous G : Tinnitus Reaction Questionnaire : Psychometric properties of a measure of distress associated with tinnitus. J Speech Hear Res 1991 ;34 :197-201

Contacting the authors

J.J. Barajas: barajas@clinicabarajas.com

F. Zenker: zenker@clinicabarajas.com