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However, the TFI has not been translated into Chinese and fully validated in China. The aim of the present study was to evaluate the validity of a Chinese version of the TFI as a diagnostic measure of tinnitus severity in a sample of Chinese patients and to verify the value of its clinical application in China.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Design<\/jats:title>\n<jats:p>A sample of 206 patients whose primary complaint was tinnitus was used to analyze the reliability and validity of the TFI. In addition, patients were asked to fill out the Tinnitus Handicap Inventory (THI) and the Center for Epidemiologic Studies-Depression Scale (CES-D), the Beck Anxiety Inventory (BAI), and the Satisfaction With Life Scale (SWLS) to compare TFI with their association. The internal consistency of the TFI was assessed with Cronbach\u2019s alpha coefficient. The factor structure of the TFI was assessed by Exploratory Factor Analysis (EFA). The extracted factors were compared to those of the original TFI scale.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Results<\/jats:title>\n<jats:p>The reliability of the Chinese version of the TFI (Cronbach\u2019 s \u03b1\u2009=\u2009.969) showed high internal consistency. The exploratory factor analysis (EFA) of the TFI showed that six factors with one main factor could be extracted instead of eight factors as described in the original version. Nevertheless, relations to the original eight subscales could be demonstrated. A high correlation between the TFI and the THI (<jats:italic>r<\/jats:italic>\u2009=\u2009.865, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.01) and lower correlations between the TFI and the CES-D (<jats:italic>r<\/jats:italic>\u2009=\u2009.334, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.01), BAI (<jats:italic>r<\/jats:italic>\u2009=\u2009.559, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.01), and SWLS (<jats:italic>r<\/jats:italic>\u2009=\u2009\u2212\u20090.324, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.01) confirmed the satisfactory convergent and discriminant validity of the TFI.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Conclusion<\/jats:title>\n<jats:p>After translated and validated a Chinese version of the TFI and found that the TFI had high reliability and validity, which means both instruments are reliable instruments to assess the severity of tinnitus in clinical applications in China.<\/jats:p>\n<\/jats:sec>","DOI":"10.1186\/s12955-020-01514-w","type":"journal-article","created":{"date-parts":[[2020,8,6]],"date-time":"2020-08-06T11:02:57Z","timestamp":1596711777000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Chinese validation and clinical application of the tinnitus functional index"],"prefix":"10.1186","volume":"18","author":[{"given":"Xianren","family":"Wang","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ruyan","family":"Zeng","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Huiwen","family":"Zhuang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Qiyang","family":"Sun","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zijun","family":"Yang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cangjian","family":"Sun","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Guanxia","family":"Xiong","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2020,8,6]]},"reference":[{"key":"1514_CR1","doi-asserted-by":"publisher","first-page":"904","DOI":"10.1056\/NEJMra013395","volume":"347","author":"AH Lockwood","year":"2002","unstructured":"Lockwood AH, Salvi RJ, Burkard RF. 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The authors assert that all procedures contributing to this work comply with the ethical standards of the relevant national and institutional committees on human experimentation and with the Helsinki Declaration of 1975, as revised in 2008.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"272"}}