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Psychometric Assessment of Tinnitus Patients Within Clinical Practice Settings

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Tinnitus and Stress

Abstract

Tinnitus is a complex phenomenon with various mechanisms of origin. Multimodal and interdisciplinary treatment is the most effective form of treatment for patients with chronic tinnitus. To target treatment efforts to individual patients, a careful monitoring of the treatment success is warranted. One way to assist the healthcare providers is the use of validated psychometric instruments to assess the patient self-reported health status. However, an empirical systematic assessment of the treatment success from the patients’ perspective is still scarce in clinical practice settings. Within this chapter we discuss potential reasons for this situation, introduce some commonly used assessment instruments, and highlight potential future developments of patient-reported health assessments within clinical practice settings.

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Abbreviations

BAI:

Beck Anxiety Inventory

BDI:

Beck Depression Inventory

CBT:

Cognitive behavior therapy

DSM:

Diagnostic and Statistical Manual for Mental Disorders

HADS:

Hospital Anxiety and Depression Scale

PROM:

Patient-reported outcome measure

PSQ:

Perceived Stress Questionnaire

PSS:

Perceived Stress Scale

STAI:

State-Trait Anxiety Inventory

TQ:

Tinnitus Questionnaire (German version-TF)

TRQ:

Tinnitus Reaction Questionnaire

TRT:

Tinnitus retraining therapy

VAS:

Visual analog scale

References

  • 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 

  • Anonyms (1988). CAT project (Computerized Adaptive Testing). Issues 9(2):4–5, 7

    Google Scholar 

  • Antonovsky A (1993) The structure and properties of the sense of coherence scale. Soc Sci Med 36(6):725–733

    Article  CAS  PubMed  Google Scholar 

  • Antonovsky A (1995) The moral and the healthy: identical, overlapping or orthogonal? Isr J Psychiatry Relat Sci 32(1):5–13

    CAS  PubMed  Google Scholar 

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

    Article  CAS  PubMed  Google Scholar 

  • Bech P et al (1978) The Marke-Nyman temperament scale. Evaluation of transferability using the Rasch item analysis. Acta Psychiatr Scand 57(1):49–58

    Article  CAS  PubMed  Google Scholar 

  • Beebe TJ et al (2005) Mail surveys resulted in more reports of substance use than telephone surveys. J Clin Epidemiol 58(4):421–424

    Article  PubMed  Google Scholar 

  • Beebe TJ et al (2006) A comparison of self-reported use of behavioral health services with Medicaid agency records in Minnesota. Psychiatr Serv 57(11):1652–1654

    Article  PubMed  Google Scholar 

  • Bernheim JL (1986) Evaluation of the quality of life during treatment. Bull Cancer 73(5):614–619

    CAS  PubMed  Google Scholar 

  • Bettinville A et al (2005) An enquiry into the WILDE-Intelligence-Test (WIT): comparability of application of the paper-pencil-version vs. the computer based application—an analysis based on data of the Leipzig Vocational Retraining Center. Rehabilitation (Stuttg) 44(4):237–243

    Article  CAS  Google Scholar 

  • Bezjak A et al (2001) Oncologists’ use of quality of life information: results of a survey of Eastern Cooperative Oncology Group physicians. Qual Life Res 10(1):1–13

    Article  CAS  PubMed  Google Scholar 

  • Bjorner JB et al (2003a) Calibration of an item pool for assessing the burden of headaches: an application of item response theory to the Headache Impact Test (HIT). Qual Life Res 12(8):913–933

    Article  PubMed  Google Scholar 

  • Bjorner JB et al (2003b) The feasibility of applying item response theory to measures of migraine impact: a re-analysis of three clinical studies. Qual Life Res 12(8):887–902

    Article  PubMed  Google Scholar 

  • Bjorner JB et al (2003c) Using item response theory to calibrate the Headache Impact Test (HIT) to the metric of traditional headache scales. Qual Life Res 12(8):981–1002

    Article  PubMed  Google Scholar 

  • Bliven BD et al (2001) Electronic collection of health-related quality of life data: validity, time benefits, and patient preference. Qual Life Res 10(1):15–22

    Article  CAS  PubMed  Google Scholar 

  • Buckelew SP et al (1994) Self-efficacy and pain behavior among subjects with fibromyalgia. Pain 59(3):377–384

    Article  CAS  PubMed  Google Scholar 

  • Bullinger M (1995) German translation and psychometric testing of the SF-36 Health Survey: preliminary results from the IQOLA Project. International Quality of Life Assessment. Soc Sci Med 41(10):1359–1366

    Article  CAS  PubMed  Google Scholar 

  • 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  PubMed Central  Google Scholar 

  • Cella D, Chang CH (2000) A discussion of item response theory and its applications in health status assessment. Med Care 38(9 Suppl):II66–II72

    CAS  PubMed  Google Scholar 

  • Cook AJ et al (2004) Electronic pain questionnaires: a randomized, crossover comparison with paper questionnaires for chronic pain assessment. Pain 110(1–2):310–317

    Article  PubMed  Google Scholar 

  • de Vries H et al (2005) Equivalence of mail and telephone responses to the CAHPS Hospital Survey. Health Serv Res 40(6 Pt 2):2120–2139

    Article  PubMed  PubMed Central  Google Scholar 

  • DeAngelis S (2000) Equivalency of computer-based and paper-and-pencil testing. J Allied Health 29(3):161–164

    CAS  PubMed  Google Scholar 

  • Detmar SB, Muller MJ, Schornagel JH, Wever LD, Aaronson NK (2002) Health-related quality-of-life assessments and patient-physician communication: a randomized controlled trial. JAMA 288:3027–3034

    Article  PubMed  Google Scholar 

  • Donaldson MS (2004) Taking stock of health-related quality-of-life measurement in oncology practice in the United States. J Natl Cancer Inst Monogr 33:155–167

    Article  Google Scholar 

  • Duncan P et al (2005) Measuring stroke impact with the stroke impact scale: telephone versus mail administration in veterans with stroke. Med Care 43(5):507–515

    Article  PubMed  Google Scholar 

  • Embretson SE (2000) Multidimensional measurement from dynamic tests: abstract reasoning under stress. Multivar Behav Res 35(4):505–542

    Article  CAS  Google Scholar 

  • Embretson SE (2006) The continued search for nonarbitrary metrics in psychology. Am Psychol 61(1):50–55; discussion 62–71

    Article  PubMed  Google Scholar 

  • Espallargues M, Alonso J (1998) Effectiveness of cataract surgery in Barcelona, Spain site results of an international study. Barcelona I-PORT investigators. International Patient Outcomes Research Team. J Clin Epidemiol 51(10):843–852

    Article  CAS  PubMed  Google Scholar 

  • Fischl C, Fisher AG (2007) Development and Rasch analysis of the assessment of computer-related skills. Scand J Occup Ther 14(2):126–135

    Article  PubMed  Google Scholar 

  • Fisher AG (1993) The assessment of IADL motor skills: an application of many-faceted Rasch analysis. Am J Occup Ther 47(4):319–329

    Article  CAS  PubMed  Google Scholar 

  • Fliege H et al (2005) The Perceived Stress Questionnaire (PSQ) reconsidered: validation and reference values from different clinical and healthy adult samples. Psychosom Med 67(1):78–88

    Article  PubMed  Google Scholar 

  • Folk LC et al (2006) A comparison of linear, fixed-form computer-based testing versus traditional paper-and-pencil-format testing in veterinary medical education. J Vet Med Educ 33(3):455–464

    Article  PubMed  Google Scholar 

  • Fuhr K et al (2016) Validation of the Behavioral Activation for Depression Scale (BADS)-Psychometric properties of the long and short form. Compr Psychiatry 66:209–218

    Article  PubMed  Google Scholar 

  • Goebel G, Hiller W (1994) The tinnitus questionnaire. A standard instrument for grading the degree of tinnitus. Results of a multicenter study with the tinnitus questionnaire. HNO 42(3):166–172

    CAS  PubMed  Google Scholar 

  • Greenhalgh J, Meadows K (1999) The effectiveness of the use of patient-based measures of health in routine practice in improving the process and outcomes of patient care: a literature review. J Eval Clin Pract 5(4):401–416

    Article  CAS  PubMed  Google Scholar 

  • Haley SM et al (2004) Score comparability of short forms and computerized adaptive testing: simulation study with the activity measure for post-acute care. Arch Phys Med Rehabil 85(4):661–666

    Article  PubMed  Google Scholar 

  • Hambleton RK (2006) Good practices for identifying differential item functioning. Med Care 44(11 Suppl 3):S182–S188

    Article  PubMed  Google Scholar 

  • Hannover W et al (2004) Antonovsky’s sense of coherence scale and presentation of a psychiatric diagnosis. Psychother Psychosom Med Psychol 54(3–4):179–186

    PubMed  Google Scholar 

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

    Google Scholar 

  • Hays RD et al (2000) Item response theory and health outcomes measurement in the 21st century. Med Care 38(9 Suppl):II28–II42

    CAS  PubMed  PubMed Central  Google Scholar 

  • 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 

  • Hepner KA et al (2005) Comparison of mail and telephone in assessing patient experiences in receiving care from medical group practices. Eval Health Prof 28(4):377–389

    Article  PubMed  Google Scholar 

  • Hesse G (2008) Neurootologic and psychosomatic habituation therapy. Treatment approaches in chronic tinnitus. HNO 56(7):686–693

    Article  CAS  PubMed  Google Scholar 

  • Heuser J, Geissner E (1998) Computerized version of the pain experience scale: a study of equivalence. Schmerz 12(3):205–208

    Article  CAS  PubMed  Google Scholar 

  • Hiller W, Goebel G (1999) Assessing audiological, pathophysiological, and psychological variables in chronic tinnitus: a study of reliability and search for prognostic factors. Int J Behav Med 6(4):312–330

    Article  CAS  PubMed  Google Scholar 

  • Kahneman D, Krueger AB, Schkade DA, Schwarz N, Stone AA (2004) A survey method for characterizing daily life experience: the day reconstruction method. Science 306:1776–1780

    Article  CAS  PubMed  Google Scholar 

  • Kamalski DM 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(2):181–185

    Article  PubMed  Google Scholar 

  • Kendrick T, Dowrick C, McBride A et al (2009) Management of depression in UK general practice in relation to scores on depression severity questionnaires: analysis of medical record data. BMJ 338:b750

    Article  PubMed  Google Scholar 

  • Kleinman L et al (2001) A comparative trial of paper-and-pencil versus computer administration of the Quality of Life in Reflux and Dyspepsia (QOLRAD) questionnaire. Med Care 39(2):181–189

    Article  CAS  PubMed  Google Scholar 

  • Kraus L, Augustin R (2001) Measuring alcohol consumption and alcohol-related problems: comparison of responses from self-administered questionnaires and telephone interviews. Addiction 96(3):459–471

    Article  CAS  PubMed  Google Scholar 

  • Kroenke K (2001) Depression screening is not enough. Ann Intern Med 134(5):418–420

    Article  CAS  PubMed  Google Scholar 

  • Kroenke K et al (2003) The Patient Health Questionnaire-2: validity of a two-item depression screener. Med Care 41(11):1284–1292

    Article  PubMed  Google Scholar 

  • 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  CAS  PubMed  Google Scholar 

  • 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, S69–S91

    Google Scholar 

  • Litt MD et al (1993) Coping with oral surgery by self-efficacy enhancement and perceptions of control. J Dent Res 72(8):1237–1243

    Article  CAS  PubMed  Google Scholar 

  • Lord FM (1965) A strong true-score theory, with applications. Psychometrika 30(3):239–270

    Article  CAS  PubMed  Google Scholar 

  • Martin M et al (2007) Item response theory methods can improve the measurement of physical function by combining the modified health assessment questionnaire and the SF-36 physical function scale. Qual Life Res 16(4):647–660

    Article  PubMed  Google Scholar 

  • 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 

  • McDowell I et al (2004) On the classification of population health measurements. Am J Public Health 94(3):388–393

    Article  PubMed  PubMed Central  Google Scholar 

  • Mitchell AJ, Coyne JC (2007) Do ultra-short screening instruments accurately detect depression in primary care? A pooled analysis and meta-analysis of 22 studies. Br J Gen Pract 57:144–151

    PubMed  PubMed Central  Google Scholar 

  • Muluk NB (2009) The SF-36 Health Survey in tinnitus patients with a high jugular bulb. J Otolaryngol Head Neck Surg 38(2):166–171

    PubMed  Google Scholar 

  • National Collaborating Centre for Mental Health (2010a) Depression in adults with a chronic physical health problem: treatment and management. The British Psychological Society, Leicester

    Google Scholar 

  • National Collaborating Centre for Mental Health (2010b) Depression: the treatment and management of depression in adults, Updated edn. The British Psychological Society, Leicester

    Google Scholar 

  • Norman GJ et al (2010) Reliability and validity of brief psychosocial measures related to dietary behaviors. Int J Behav Nutr Phys Act 7:56

    Article  PubMed  PubMed Central  Google Scholar 

  • Powers JR et al (2005) Differences in mail and telephone responses to self-rated health: use of multiple imputation in correcting for response bias. Aust N Z J Public Health 29(2):149–154

    Article  CAS  PubMed  Google Scholar 

  • Rasch G (1966) An item analysis which takes individual differences into account. Br J Math Stat Psychol 19(1):49–57

    Article  CAS  PubMed  Google Scholar 

  • Revicki DA, Cella DF (1997) Health status assessment for the twenty-first century: item response theory, item banking and computer adaptive testing. Qual Life Res 6(6):595–600

    Article  CAS  PubMed  Google Scholar 

  • Rodriguez HP et al (2006) Evaluating patients’ experiences with individual physicians: a randomized trial of mail, internet, and interactive voice response telephone administration of surveys. Med Care 44(2):167–174

    Article  PubMed  Google Scholar 

  • Rubenstein LV et al (1995) Improving patient quality of life with feedback to physicians about functional status. J Gen Intern Med 10(11):607–614

    Article  CAS  PubMed  Google Scholar 

  • Ryan JM et al (2002) A comparison of an electronic version of the SF-36 General Health Questionnaire to the standard paper version. Qual Life Res 11(1):19–26

    Article  PubMed  Google Scholar 

  • Saleh KJ et al (2002) Comparison of commonly used orthopaedic outcome measures using palm-top computers and paper surveys. J Orthop Res 20(6):1146–1151

    Article  PubMed  Google Scholar 

  • Schaaf H, Gieler U (2010) TRT and psychotherapy in the treatment of tinnitus. HNO 58(10):999–1003

    Article  CAS  PubMed  Google Scholar 

  • Schaeren S et al (2005) A computer touch-screen version of the North American Spine Society outcome assessment instrument for the lumbar spine. J Bone Joint Surg Br 87(2):201–204

    Article  CAS  PubMed  Google Scholar 

  • Schneider G 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(3):227–237

    Article  PubMed  Google Scholar 

  • Scholler G et al (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(8):275–283

    CAS  PubMed  Google Scholar 

  • Schumacher J et al (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(12):472–482

    Article  CAS  PubMed  Google Scholar 

  • 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 

  • Sirois FM et al (2006) “Learning to live with what you can’t rise above”: control beliefs, symptom control, and adjustment to tinnitus. Health Psychol 25(1):119–123

    Article  PubMed  Google Scholar 

  • Soderman AC 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(4):526–533

    Article  CAS  PubMed  Google Scholar 

  • Soderman AC et al (2002) Factors influencing quality of life in patients with Meniere’s disease, identified by a multidimensional approach. Otol Neurotol 23(6):941–948

    Article  PubMed  Google Scholar 

  • 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 

  • Thombs BD, de Jonge P, Coyne JC et al (2008) Depression screening and patient outcomes in cardiovascular care: a systematic review. JAMA 300:2161–2171

    Article  CAS  PubMed  Google Scholar 

  • Titov N et al (2011) Psychometric comparison of the PHQ-9 and BDI-II for measuring response during treatment of depression. Cogn Behav Ther 40(2):126–136

    Article  PubMed  Google Scholar 

  • Velikova G et al (1999) Automated collection of quality-of-life data: a comparison of paper and computer touch-screen questionnaires. J Clin Oncol 17(3):998–1007

    Article  CAS  PubMed  Google Scholar 

  • Velikova G et al (2004) Measuring quality of life in routine oncology practice improves communication and patient well-being: a randomized controlled trial. J Clin Oncol 22(4):714–724

    Article  PubMed  Google Scholar 

  • Wahl I et al (2014) Standardization of depression measurement: a common metric was developed for 11 self-report depression measures. J Clin Epidemiol 67(1):73–86

    Article  PubMed  Google Scholar 

  • Ware JE (1993) Measuring patients’ views: the optimum outcome measure. BMJ 306(6890):1429–1430

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Ware JE Jr (2008) Improvements in short-form measures of health status: introduction to a series. J Clin Epidemiol 61(1):1–5

    Article  PubMed  Google Scholar 

  • Ware JE Jr et al (2000) Practical implications of item response theory and computerized adaptive testing: a brief summary of ongoing studies of widely used headache impact scales. Med Care 38(9 Suppl):II73–II82

    PubMed  Google Scholar 

  • Ware JE Jr et al (2003) Applications of computerized adaptive testing (CAT) to the assessment of headache impact. Qual Life Res 12(8):935–952

    Article  PubMed  Google Scholar 

  • Webb PM et al (1999) Comparability of a computer-assisted versus written method for collecting health behavior information from adolescent patients. J Adolesc Health 24(6):383–388

    Article  CAS  PubMed  Google Scholar 

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

    PubMed  Google Scholar 

  • Whooley MA, Avins AL, Miranda J, Browner WS (1997) Case-finding instruments for depression. Two questions are as good as many. J Gen Intern Med 12:439–445

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Wilson IB, Cleary PD (1995) Linking clinical variables with health-related quality of life. A conceptual model of patient outcomes. JAMA 273(1):59–65

    Article  CAS  PubMed  Google Scholar 

  • Wilson AS et al (2002) Computerized information-gathering in specialist rheumatology clinics: an initial evaluation of an electronic version of the Short Form 36. Rheumatology (Oxford) 41(3):268–273

    Article  CAS  Google Scholar 

  • Wittchen HU (1994) Reliability and validity studies of the WHO—Composite International Diagnostic Interview (CIDI): a critical review. J Psychiatr Res 28(1):57–84

    Article  CAS  PubMed  Google Scholar 

  • Zirke N et al (2013) Analysis of mental disorders in tinnitus patients performed with Composite International Diagnostic Interview. Qual Life Res 22(8):2095–2104

    Article  CAS  PubMed  Google Scholar 

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Brüggemann, P., Rose, M. (2017). Psychometric Assessment of Tinnitus Patients Within Clinical Practice Settings. In: Szczepek, A., Mazurek, B. (eds) Tinnitus and Stress. Springer, Cham. https://doi.org/10.1007/978-3-319-58397-6_7

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