{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T12:06:40Z","timestamp":1789214800171,"version":"build-2803163510"},"reference-count":57,"publisher":"American Academy of Audiology","issue":"5","license":[{"start":{"date-parts":[[2022,2,23]],"date-time":"2022-02-23T00:00:00Z","timestamp":1645574400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"name":"Biomedical Research Centre for Mental Health at the South London and Maudsley NHS Foundation Trust and King's College London"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["j am acad audiol"],"published-print":{"date-parts":[[2022,5,1]]},"abstract":"<jats:p>\n                    <jats:bold>Abstract<\/jats:bold>\n                    <jats:bold>Background<\/jats:bold>\n                    \u2003Hyperacusis can be defined as an intolerance of certain everyday sounds, which are perceived as too loud or uncomfortable and which cause significant distress and impairment in the individual's day-to-day activities. It is important to assess\n symptoms of sound intolerance and their impact on the patient's life, so as to evaluate the need for treatment and to assess the effectiveness of treatments.\n                    <jats:bold>Purpose<\/jats:bold>\n                    \u2003The aim was to evaluate the psychometric properties of the Hyperacusis Impact Questionnaire (HIQ), and the Sound\n Sensitivity Symptoms Questionnaire (SSSQ). The 8-item HIQ focuses on assessing the impact of hyperacusis on the patient, while the 5-item SSSQ is designed to assess the type and severity of sound intolerance symptoms.\n                    <jats:bold>Research Design<\/jats:bold>\n                    \u2003This was a retrospective cross-sectional\n study.\n                    <jats:bold>Study Sample<\/jats:bold>\n                    \u2003In total, 266 consecutive patients who attended a Tinnitus and Hyperacusis Therapy Clinic in the United Kingdom within a 6-month period. Fifty-five percent were female. The average age was 54 years (standard deviation\u2009=\u200916 years).\n                    <jats:bold>Data\n Collection and Analysis<\/jats:bold>\n                    \u2003Data were collected retrospectively from the records of patients held at the audiology department. Audiological measures were pure-tone audiometry and Uncomfortable Loudness Levels (ULLs). Questionnaires administered in addition to the HIQ and SSSQ were: Tinnitus\n Handicap Inventory, Hyperacusis Questionnaire (HQ), and Screening for Anxiety and Depression in Tinnitus.\n                    <jats:bold>Results<\/jats:bold>\n                    \u2003Exploratory factor analysis suggested one-factor solutions for both the HIQ and SSSQ. Multiple-causes multiple-indicators (MIMIC) models showed some small influences\n of gender but negligible effects of age for both the HIQ and SSSQ. Receiver Operating Characteristic (ROC) analysis showed no significant effects of covariates on the ROC curves. Cronbach's\n                    <jats:italic>\u03b1<\/jats:italic>\n                    was 0.93 for the HIQ, and 0.87 for the SSSQ, indicating high internal consistency. Convergent\n validity was supported by moderate correlations between HQ and HIQ scores and between SSSQ scores and ULLs.\n                    <jats:bold>Conclusion<\/jats:bold>\n                    \u2003The HIQ and SSSQ are internally consistent questionnaires that can be used in clinical and research settings.\n                  <\/jats:p>","DOI":"10.1055\/a-1780-4002","type":"journal-article","created":{"date-parts":[[2022,2,23]],"date-time":"2022-02-23T18:57:59Z","timestamp":1645642679000},"page":"248-258","source":"Crossref","is-referenced-by-count":39,"title":["Psychometric Evaluation of the Hyperacusis Impact Questionnaire (HIQ) and Sound Sensitivity Symptoms Questionnaire (SSSQ) Using a Clinical Population of Adult Patients with Tinnitus Alone or Combined with Hyperacusis"],"prefix":"10.3766","volume":"33","author":[{"given":"Hashir","family":"Aazh","sequence":"first","affiliation":[{"name":"Audiology Department, Royal Surrey NHS Foundation Trust, Egerton Road, Guildford, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chloe","family":"Hayes","sequence":"additional","affiliation":[{"name":"Psychometric and Measurement Lab, Biostatistics and Health Informatics Department, Institute of Psychiatry, Psychology and Neurosciences, King's College London, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brian C.J.","family":"Moore","sequence":"additional","affiliation":[{"name":"Department of Psychology, Cambridge Hearing Group, University of Cambridge, Cambridge, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ali A.","family":"Danesh","sequence":"additional","affiliation":[{"name":"Department of Communication Sciences & Disorders, Florida Atlantic University, Boca Raton, Florida, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Silia","family":"Vitoratou","sequence":"additional","affiliation":[{"name":"Psychometric and Measurement Lab, Biostatistics and Health Informatics Department, Institute of Psychiatry, Psychology and Neurosciences, King's College London, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2087","reference":[{"issue":"09","key":"ref1","doi-asserted-by":"crossref","first-page":"514","DOI":"10.1080\/14992027.2016.1178400","article-title":"Tinnitus and hyperacusis therapy in a UK National Health Service audiology department: patients' evaluations of the effectiveness of treatments","volume":"55","author":"H Aazh","year":"2016","journal-title":"Int J Audiol"},{"issue":"08","key":"ref2","doi-asserted-by":"crossref","first-page":"607","DOI":"10.1080\/14992027.2020.1855370","article-title":"A Delphi survey to determine a definition and description of hyperacusis by clinician consensus","volume":"60","author":"B Adams","year":"2021","journal-title":"Int J Audiol"},{"key":"ref3","volume-title":"International Classification of Functioning, Disability and Health (ICF)","author":"WHO","year":"2001"},{"issue":"04","key":"ref4","doi-asserted-by":"crossref","first-page":"256","DOI":"10.3109\/14992020903410110","article-title":"International classification of functioning, disability, and health core sets for hearing loss: a discussion paper and invitation","volume":"49","author":"B Danermark","year":"2010","journal-title":"Int J Audiol"},{"issue":"11","key":"ref5","doi-asserted-by":"crossref","first-page":"777","DOI":"10.3109\/14992027.2014.938370","article-title":"The ICF core sets for hearing loss project: functioning and disability from the patient perspective","volume":"53","author":"S Granberg","year":"2014","journal-title":"Int J Audiol"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1016\/j.heares.2004.07.006","article-title":"Increased perception of loudness in autism","volume":"198","author":"S Khalfa","year":"2004","journal-title":"Hear Res"},{"issue":"05","key":"ref7","doi-asserted-by":"crossref","first-page":"1025","DOI":"10.1097\/AUD.0000000000000583","article-title":"Psychometric properties and factor structure of a new scale to measure hyperacusis: introducing the inventory of hyperacusis symptoms","volume":"39","author":"B Greenberg","year":"2018","journal-title":"Ear Hear"},{"issue":"04","key":"ref8","doi-asserted-by":"crossref","first-page":"917","DOI":"10.1097\/AUD.0000000000000982","article-title":"Internal consistency and convergent validity of the inventory of hyperacusis symptoms","volume":"42","author":"H Aazh","year":"2021","journal-title":"Ear Hear"},{"issue":"04","key":"ref9","doi-asserted-by":"crossref","first-page":"402","DOI":"10.1044\/2014_AJA-14-0010","article-title":"A review of hyperacusis and future directions: part I. Definitions and manifestations","volume":"23","author":"R S Tyler","year":"2014","journal-title":"Am J Audiol"},{"key":"ref10","volume-title":"Pure-Tone Air-Conduction and Bone-Conduction Threshold Audiometry With and Without Masking: Recommended Procedure","author":"BSA","year":"2011"},{"issue":"03","key":"ref11","doi-asserted-by":"crossref","first-page":"226","DOI":"10.1044\/2017_AJA-17-0011","article-title":"Incidence of discomfort during pure-tone audiometry and measurement of uncomfortable loudness levels among people seeking help for tinnitus and\/or hyperacusis","volume":"26","author":"H Aazh","year":"2017","journal-title":"Am J Audiol"},{"key":"ref12","volume-title":"Recommended Procedure: Determination of Uncomfortable Loudness Levels","author":"BSA","year":"2011"},{"issue":"10","key":"ref13","doi-asserted-by":"crossref","first-page":"793","DOI":"10.1080\/14992027.2017.1335888","article-title":"Factors related to uncomfortable loudness levels for patients seen in a tinnitus and hyperacusis clinic","volume":"56","author":"H Aazh","year":"2017","journal-title":"Int J Audiol"},{"issue":"02","key":"ref14","first-page":"153","article-title":"Psychometric adequacy of the Tinnitus Handicap Inventory (THI) for evaluating treatment outcome","volume":"9","author":"C W Newman","year":"1998","journal-title":"J Am Acad Audiol"},{"issue":"06","key":"ref15","doi-asserted-by":"crossref","first-page":"436","DOI":"10.1159\/000067570","article-title":"Psychometric normalization of a hyperacusis questionnaire","volume":"64","author":"S Khalfa","year":"2002","journal-title":"ORL J Otorhinolaryngol Relat Spec"},{"issue":"07","key":"ref16","doi-asserted-by":"crossref","first-page":"489","DOI":"10.1080\/14992027.2017.1298850","article-title":"Usefulness of self-report questionnaires for psychological assessment of patients with tinnitus and hyperacusis and patients' views of the questionnaires","volume":"56","author":"H Aazh","year":"2017","journal-title":"Int J Audiol"},{"issue":"09","key":"ref17","doi-asserted-by":"crossref","first-page":"606","DOI":"10.1046\/j.1525-1497.2001.016009606.x","article-title":"The PHQ-9: validity of a brief depression severity measure","volume":"16","author":"K Kroenke","year":"2001","journal-title":"J Gen Intern Med"},{"issue":"10","key":"ref18","doi-asserted-by":"crossref","first-page":"1092","DOI":"10.1001\/archinte.166.10.1092","article-title":"A brief measure for assessing generalized anxiety disorder: the GAD-7","volume":"166","author":"R L Spitzer","year":"2006","journal-title":"Arch Intern Med"},{"key":"ref19","doi-asserted-by":"crossref","first-page":"290425","DOI":"10.1155\/2015\/290425","article-title":"Hyperacusis Questionnaire as a tool for measuring hypersensitivity to sound in a tinnitus research population","volume":"2015","author":"K Fackrell","year":"2015","journal-title":"BioMed Res Int"},{"issue":"01","key":"ref20","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1044\/1059-0889(2003\/007)","article-title":"Factor analysis of the Tinnitus Handicap Inventory","volume":"12","author":"D M Baguley","year":"2003","journal-title":"Am J Audiol"},{"issue":"06","key":"ref21","first-page":"613","article-title":"An ultra-brief screening scale for anxiety and depression: the PHQ-4","volume":"50","author":"K Kroenke","year":"2009","journal-title":"Psychosomatics"},{"issue":"01","key":"ref22","doi-asserted-by":"crossref","first-page":"81","DOI":"10.2333\/bhmk.29.81","article-title":"Beyond SEM: general latent variable modeling","volume":"29","author":"B O Muth\u00e9n","year":"2002","journal-title":"Behaviormetrika"},{"key":"ref23","doi-asserted-by":"crossref","first-page":"149","DOI":"10.1007\/BF02289162","article-title":"Some necessary conditions for common factor analysis","volume":"19","author":"L Guttman","year":"1954","journal-title":"Psychometrika"},{"issue":"01","key":"ref24","doi-asserted-by":"crossref","first-page":"141","DOI":"10.1177\/001316446002000116","article-title":"The application of electronic computers to factor analysis","volume":"20","author":"H F Kaiser","year":"1960","journal-title":"Educ Psychol Meas"},{"issue":"02","key":"ref25","doi-asserted-by":"crossref","first-page":"209","DOI":"10.1037\/a0023353","article-title":"Dimensionality assessment of ordered polytomous items with parallel analysis","volume":"16","author":"M E Timmerman","year":"2011","journal-title":"Psychol Methods"},{"key":"ref26","doi-asserted-by":"crossref","first-page":"171","DOI":"10.1111\/j.2044-8317.1985.tb00832.x","article-title":"A comparison of some methodologies for the factor analysis of non-normal Likert variables","volume":"38","author":"B Muth\u00e9n","year":"1985","journal-title":"Br J Math Stat Psychol"},{"key":"ref27","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1111\/j.2044-8317.1992.tb00975.x","article-title":"A comparison of some methodologies for the factor analysis of non-normal Likert variables: a note on the size of the model","volume":"45","author":"B Muth\u00e9n","year":"1992","journal-title":"Br J Math Stat Psychol"},{"key":"ref28","doi-asserted-by":"crossref","first-page":"325","DOI":"10.1177\/0049124183011003003","article-title":"The analysis of covariance structures","volume":"11","author":"J Hoelter","year":"1983","journal-title":"Sociol Methods Res"},{"key":"ref29","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1080\/10705519909540118","article-title":"Cutoff criteria for fit indexes in covariance structure analysis: conventional criteria versus new alternatives","volume":"6","author":"L Hu","year":"1999","journal-title":"Struct Equ Modeling"},{"issue":"01","key":"ref30","first-page":"53","article-title":"Structural equation modelling: guidelines for determining model fit","volume":"6","author":"D Hooper","year":"2008","journal-title":"J Business Res Methods."},{"key":"ref31","doi-asserted-by":"crossref","first-page":"588","DOI":"10.1037\/0033-2909.88.3.588","article-title":"Significance tests and goodness of fit in the analysis of covariance structures","volume":"88","author":"P M Bentler","year":"1980","journal-title":"Psychol Bull"},{"key":"ref32","first-page":"205","volume-title":"Best practices in exploratory factor analysis","author":"J W Osborne","year":"2008"},{"key":"ref33","first-page":"807","article-title":"A structural probit model with latent variables","volume":"74","author":"B Muth\u00e9n","year":"1979","journal-title":"J Am Stat Assoc"},{"issue":"351","key":"ref34","doi-asserted-by":"crossref","first-page":"631","DOI":"10.2307\/2285946","article-title":"Estimation of a model with multiple indicators and multiple causes of a single latent variable","volume":"70","author":"K Joreskog","year":"1975","journal-title":"J Am Stat Assoc"},{"issue":"04","key":"ref35","doi-asserted-by":"crossref","first-page":"320","DOI":"10.1007\/s10862-008-9118-9","article-title":"Illustration of MIMIC-Model DIF testing with the schedule for nonadaptive and adaptive personality","volume":"31","author":"C M Woods","year":"2009","journal-title":"J Psychopathol Behav Assess"},{"key":"ref36","first-page":"221","volume-title":"(2009). Effect sizes for continuous data. The handbook of research synthesis and meta-analysis","author":"M Borenstein"},{"issue":"01","key":"ref37","doi-asserted-by":"crossref","first-page":"32","DOI":"10.1002\/1097-0142(1950)3:1<32::AID-CNCR2820030106>3.0.CO;2-3","article-title":"Index for rating diagnostic tests","volume":"3","author":"W J Youden","year":"1950","journal-title":"Cancer"},{"issue":"01","key":"ref38","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1177\/001316446002000104","article-title":"A coefficient of agreement for nominal scales","volume":"20","author":"J Cohen","year":"1960","journal-title":"Educ Psychol Meas"},{"issue":"01","key":"ref39","doi-asserted-by":"crossref","first-page":"159","DOI":"10.2307\/2529310","article-title":"The measurement of observer agreement for categorical data","volume":"33","author":"J R Landis","year":"1977","journal-title":"Biometrics"},{"issue":"01","key":"ref40","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1177\/1536867X0900900102","article-title":"Accommodating covariates in ROC analysis","volume":"9","author":"H Janes","year":"2009","journal-title":"Stata J"},{"issue":"01","key":"ref41","doi-asserted-by":"crossref","first-page":"89","DOI":"10.1093\/aje\/kwn099","article-title":"Adjusting for covariates in studies of diagnostic, screening, or prognostic markers: an old concept in a new setting","volume":"168","author":"H Janes","year":"2008","journal-title":"Am J Epidemiol"},{"issue":"01","key":"ref42","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1007\/BF02289289","article-title":"Test reliability; its meaning and determination","volume":"12","author":"L J Cronbach","year":"1947","journal-title":"Psychometrika"},{"key":"ref43","volume-title":"Psychometric theory","author":"J C Nunnally","year":"1994"},{"issue":"01","key":"ref44","doi-asserted-by":"crossref","first-page":"68","DOI":"10.1080\/14992027.2019.1654621","article-title":"The relationship between hearing loss and insomnia for patients with tinnitus","volume":"59","author":"H Aazh","year":"2020","journal-title":"Int J Audiol"},{"issue":"08","key":"ref45","doi-asserted-by":"crossref","first-page":"618","DOI":"10.1080\/14992027.2018.1453617","article-title":"Uncomfortable loudness levels among children and adolescents seeking help for tinnitus and\/or hyperacusis","volume":"57","author":"H Aazh","year":"2018","journal-title":"Int J Audiol"},{"issue":"03","key":"ref46","doi-asserted-by":"crossref","first-page":"91","DOI":"10.1016\/j.tjem.2018.08.001","article-title":"User's guide to correlation coefficients","volume":"18","author":"H Akoglu","year":"2018","journal-title":"Turk J Emerg Med"},{"key":"ref47","first-page":"1998","volume-title":"Mplus User's Guide","author":"L K Muthen","edition":"8th ed."},{"issue":"01","key":"ref48","doi-asserted-by":"crossref","first-page":"88","DOI":"10.3758\/BF03192753","article-title":"FACTOR: a computer program to fit the exploratory factor analysis model","volume":"38","author":"U Lorenzo-Seva","year":"2006","journal-title":"Behav Res Methods"},{"key":"ref49","volume-title":"IBM SPSS Statistics for Windows","author":"IBM","edition":"25.0 ed."},{"key":"ref50","volume-title":"Stata Statistical Software: Release 13","author":"StataCorp","year":"2013"},{"issue":"08","key":"ref51","doi-asserted-by":"crossref","first-page":"2412","DOI":"10.3390\/jcm9082412","article-title":"Association between hyperacusis and tinnitus","volume":"9","author":"C R Cederroth","year":"2020","journal-title":"J Clin Med"},{"key":"ref52","doi-asserted-by":"crossref","first-page":"105","DOI":"10.3389\/fneur.2015.00105","article-title":"Audiometric characteristics of hyperacusis patients","volume":"6","author":"J Sheldrake","year":"2015","journal-title":"Front Neurol"},{"key":"ref53","doi-asserted-by":"crossref","first-page":"108124","DOI":"10.1016\/j.heares.2020.108124","article-title":"A psychoacoustic test for diagnosing hyperacusis based on ratings of natural sounds","volume":"400","author":"F Enzler","year":"2021","journal-title":"Hear Res"},{"key":"ref54","doi-asserted-by":"crossref","first-page":"108158","DOI":"10.1016\/j.heares.2020.108158","article-title":"Subcortical and cortical responses are enlarged in tinnitus patients with hyperacusis compared to those without hyperacusis","volume":"401","author":"E Koops","year":"2021","journal-title":"Hear Res"},{"key":"ref55","doi-asserted-by":"crossref","first-page":"375","DOI":"10.1016\/B978-0-444-62630-1.00021-4","article-title":"Decreased sound tolerance: hyperacusis, misophonia, diplacousis, and polyacousis","volume":"129","author":"P J Jastreboff","year":"2015","journal-title":"Handb Clin Neurol"},{"issue":"07","key":"ref56","doi-asserted-by":"crossref","first-page":"626","DOI":"10.3766\/jaaa.17015","article-title":"Prevalence and characteristics of patients with severe hyperacusis among patients seen in a tinnitus and hyperacusis clinic","volume":"29","author":"H Aazh","year":"2018","journal-title":"J Am Acad Audiol"},{"issue":"01","key":"ref57","doi-asserted-by":"crossref","first-page":"7","DOI":"10.3109\/14992020903160868","article-title":"Correlation between hyperacusis measurements in daily ENT practice","volume":"49","author":"O M Meeus","year":"2010","journal-title":"Int J Audiol"}],"container-title":["Journal of the American Academy of Audiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ingentaconnect.com\/content\/aaa\/jaaa\/2022\/00000033\/00000005\/art00002","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,2,6]],"date-time":"2025-02-06T03:13:34Z","timestamp":1738811614000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ingentaconnect.com\/content\/10.1055\/a-1780-4002"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,5,1]]},"references-count":57,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2022,5,1]]}},"alternative-id":["1050-0545(20220501)33:5L.248;1-"],"URL":"https:\/\/doi.org\/10.1055\/a-1780-4002","relation":{},"ISSN":["1050-0545"],"issn-type":[{"value":"1050-0545","type":"print"}],"subject":[],"published":{"date-parts":[[2022,5,1]]}}}