Research Article

The Persian Version of the Inventory of Hyperacusis Symptoms: The Translation Process, Psychometric Properties, and Diagnostic Criteria in Compared with Hyperacusis Questionnaire

Abstract

Background and Aim: One of the important loudness perception problems is hyperacusis. It is generally defined as sensitivity to average-intensity sounds, which are perceived as excessively loud or uncomfortable. Assessing symptoms of sound intolerance and their impact on patients’ lives is crucial. The study aims to determine the validity and reliability of the Persian version of the Inventory of Hyperacusis Symptoms (IHS), assess its validity in differentiating normal-hearing and hyperacusis adults, and measure its cutoff point.
Methods: The questionnaire was translated according to the international quality of life assessment protocol. After determining both qualitative and quantitative face validity and content validity, it was completed by 120 adults (60 with normal hearing and 60 with hyperacusis) to evaluate the differential validity and reliability. The reliability assessment was conducted using the test-retest method for all participants. For assessing the convergent validity, the correlation of the Persian IHS score with the score of the Hyperacusis Questionnaire (HQ) was evaluated.
Results: The questionnaire had good face validity and content validity. The Cronbach coefficient α was 0.93 for the overall scale. The Interclass Correlation Coefficient (ICC=0.97) confirmed reliability. The cutoff point of the Persian IHS score was 48, with 91% sensitivity and 96% specificity. Additionally, a strong significant correlation was found between the scores of IHS and HQ (r=0.82).
Conclusion: The Persian version of the IHS has high validity and reliability for use in hyperacusis clinics and research.

[1] Tyler RS, Pienkowski M, Roncancio ER, Jun HJ, Brozoski T, Dauman N, et al. A review of hyperacusis and future directions: part I. Definitions and manifestations. Am J Audiol. 2014;23(4):402-19. [DOI:10.1044/2014_AJA-14-0010]
[2] Sheldrake J, Diehl PU, Schaette R. Audiometric characteristics of hyperacusis patients. Front Neurol. 2015;6:105. [DOI:10.3389/fneur.2015.00105]
[3] Ren J, Xu T, Xiang T, Pu JM, Liu L, Xiao Y, Lai D. Prevalence of Hyperacusis in the General and Special Populations: A Scoping Review. Front Neurol. 2021;12:706555. [DOI:10.3389/fneur.2021.706555]
[4] Andersson G, Lindvall N, Hursti T, Carlbring P, Andersson G. Hypersensitivity to sound (hyperacusis): a prevalence study conducted via the internet and post: Hipersensibilidad al sonido (hiperacusia): un estudio de prevalencia realizado por internet y por correo. Int J Audiol. 2002;41(8):545-54. [DOI:10.3109/14992020209056075]
[5] Paulin J, Andersson L, Nordin S. Characteristics of hyperacusis in the general population. Noise Health. 2016;18(83):178-84. [DOI:10.4103/1463-1741.189244]
[6] Jastreboff PJ, Jastreboff MM. Tinnitus Retraining Therapy (TRT) as a method for treatment of tinnitus and hyperacusis patients. J Am Acad Audiol. 2000;11(3):162-77.
[7] Fioretti AB, Fusetti M, Eibenstein A. Association between sleep disorders, hyperacusis and tinnitus: evaluation with tinnitus questionnaires. Noise Health. 2013;15(63):91-5. [DOI:10.4103/1463-1741.110287]
[8] Namvar Arefi H, Haddadi Aval M, Ranjbar N, Jafarzadeh S. The Translation and Psychometric Evaluation of the Persian Version of Iowa Tinnitus Primary Function Questionnaire. Aud Vestib Res. 2023;32(3):213-7. [DOI:10.18502/avr.v32i3.12937]
[9] Bastos S; Ganz Sanchez T. Validation of the Portuguese Version of Hyperacusis Questionnaire and Comparison of its Diagnostic Skills with Loudness Discomfort Levels. J Hear Sci. 2017;7(2):141-2.
[10] Nields JA, Fallon BA, Jastreboff PJ. Carbamazepine in the treatment of Lyme disease-induced hyperacusis. J Neuropsychiatry Clin Neurosci. 1999;11(1):97-9. [DOI:10.1176/jnp.11.1.97]
[11] Sahley TL, Nodar RH, Musiek FE. Efferent Auditory System: Structure and Function (Singular Audiology Text). 1st ed. San Diego: Singular Pub Group; 1997.
[12] Thompson GC, Thompson AM, Garrett KM, Britton BH. Serotonin and serotonin receptors in the central auditory system. Otolaryngol Head Neck Surg. 1994;110(1):93-102. [DOI:10.1177/019459989411000111]
[13] Baguley DM. Hyperacusis. J R Soc Med. 2003;96(12):582-5. [DOI:10.1177/014107680309601203]
[14] Aazh H, Moore BC, Lammaing K, Cropley M. Tinnitus and hyperacusis therapy in a UK National Health Service audiology department: Patients’ evaluations of the effectiveness of treatments. Int J Audiol. 2016;55(9):514-22. [DOI:10.1080/14992027.2016.1178400]
[15] Sinha Y, Silove N, Hayen A, Williams K. Auditory integration training and other sound therapies for autism spectrum disorders (ASD). Cochrane Database Syst Rev. 2011;2011(12):CD003681. [DOI:10.1002/14651858.CD003681.pub3]
[16] Greenberg B, Carlos M. Psychometric Properties and Factor Structure of a New Scale to Measure Hyperacusis: Introducing the Inventory of Hyperacusis Symptoms. Ear Hear. 2018;39(5):1025-34. [DOI:10.1097/AUD.0000000000000583]
[17] Khalfa S, Dubal S, Veuillet E, Perez-Diaz F, Jouvent R, Collet L. Psychometric normalization of a hyperacusis questionnaire. ORL J Otorhinolaryngol Relat Spec. 2002;64(6):436-42. [DOI:10.1159/000067570]
[18] Nelting M, Rienhoff NK, Hesse G, Lamparter U. [The assessment of subjective distress related to hyperacusis with a self-rating questionnaire on hypersensitivity to sound]. Laryngorhinootologie. 2002;81(5):327-34. German. [DOI:10.1055/s-2002-28342]
[19] Dauman R, Bouscau-Faure F. Assessment and amelioration of hyperacusis in tinnitus patients. Acta Otolaryngol. 2005;125(5):503-9. [DOI:10.1080/00016480510027565]
[20] Aazh H, Hayes C, Moore BCJ, Danesh AA, Vitoratou S. 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. J Am Acad Audiol. 2022;33(5):248-58. [DOI:10.1055/a-1780-4002]
[21] Javanbakht M, Seddigh-Hamidi P, Vahedi M. Persian Version of the Hyperacusis Questionnaire: The Translation Process, Psychometric Properties, and Diagnostic Criteria in Normal Hearing People. Iranian Rehabilitation Journal. 2023; 21(1):65-72. [DOI:10.32598/irj.21.1.1492.1]
[22] Birnbaum S, Ghout I, Demeret S, Bolgert F, Eymard B, Sharshar T, et al. Translation, cross-cultural adaptation, and validation of the french version of the 15-item Myasthenia Gravis Quality Of life scale. Muscle Nerve. 2017;55(5):639-45. [DOI:10.1002/mus.25381]
[23] Soltani S, Kamali M, Ashayeri H, Chabok A, Sarabandi A, Esmaeeli S, et al. [Cultural adaptation and evaluating psychometric properties of Persian version of supports intensity scale in adult people with intellectual disability]. Journal of Modern Rehabilitation. 2014;8(4):77-85. Persian.
[24] Lawshe CH. A quantitative approach to content validity. Personnel Psychology. 1975;28(4):563-75. [DOI:10.1111/j.1744-6570.1975.tb01393.x]
[25] Waltz C, Bausell BR. Nursing research: design statistics and computer analysis. Philadelphia: Davis FA; 1981.
[26] Aazh H, Danesh AA, Moore BCJ. Internal Consistency and Convergent Validity of the Inventory of Hyperacusis Symptoms. Ear Hear. 2021;42(4):917-26. [DOI:10.1097/AUD.0000000000000982]
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IssueVol 33 No 1 (2024) QRcode
SectionResearch Article(s)
DOI https://doi.org/10.18502/avr.v33i1.14272
Keywords
Hyperacusis inventory of hyperacusis symptoms validity reliability

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How to Cite
1.
Harati M, Javanbakht M, Vahedi M. The Persian Version of the Inventory of Hyperacusis Symptoms: The Translation Process, Psychometric Properties, and Diagnostic Criteria in Compared with Hyperacusis Questionnaire. Aud Vestib Res. 2023;33(1):34-39.