Research Article

Psychometric Properties of the Persian Version of the Tinnitus Acceptance Questionnaire and Its Correlation with Psychoacoustic Parameters in Patients with Chronic Subjective Tinnitus

Abstract

Background and Aim: Acceptance of tinnitus may influence the perceived intensity and the distress it causes. The Tinnitus Acceptance Questionnaire (TAQ) is a useful tool for assessing tinnitus acceptance. This study aimed to assess the validity and reliability of the Persian version of the TAQ (P-TAQ) and determine the correlation of its scores with psychoacoustic measures in patients with chronic tinnitus.
Methods: After translation and confirming face validity, 85 patients with chronic tinnitus completed the P-TAQ, along with the Persian versions of the Hospital Anxiety and Depression Scale (HADS) and Tinnitus Handicap Inventory (THI). To determine the reliability, the P-TAQ was completed by 30 patients after two weeks. Psychoacoustic parameters including pitch matching, loudness matching, and Minimum Masking Level (MML) were measured for all patients.
Results: The P-TAQ had high face validity. The internal consistency was confirmed using Cronbach’s alpha (α=0.92). The interclass correlation coefficient (0.994) confirmed reliability. A strong negative correlation was found between the total P-TAQ score and total THI score (p<0.001, r=–0.788), and the scores of the HADS subscales of anxiety (p<0.001, r=–0.623) and depression (p<0.001, r=–0.728). The total P-TAQ score showed a weak negative correlation with tinnitus loudness (p=0.003, r=–0.322) and PTA of both ears (r=–0.223, p=0.040). There was no significant correlation between the total P-TAQ score and the factors of age, tinnitus duration, tinnitus pitch, or MML.
Conclusion: The P-TAQ has excellent validity and reliability. Therefore, it can be used to assess tinnitus acceptance among Persian-speaking patients with chronic tinnitus.

1. Møller AR. Pathophysiology of tinnitus. Otolaryngol Clin North Am. 2003;36(2):249-66, v-vi. [DOI:10.1016/s0030-6665(02)00170-6]
2. Henry JA, Dennis KC, Schechter MA. General review of tinnitus: prevalence, mechanisms, effects, and management. J Speech Lang Hear Res. 2005;48(5):1204-35. [DOI:10.1044/1092-4388(2005/084)]
3. Eggermont JJ, Roberts LE. The neuroscience of tinnitus. Trends Neurosci. 2004;27(11):676-82. [DOI:10.1016/j.tins.2004.08.010]
4. Jastreboff PJ. Tinnitus retraining therapy. Prog Brain Res. 2007;166:415-23. [DOI:10.1016/S0079-6123(07)66040-3]
5. Hesser H, Weise C, Westin VZ, Andersson G. A systematic review and meta-analysis of randomized controlled trials of cognitive-behavioral therapy for tinnitus distress. Clin Psychol Rev. 2011;31(4):545-53. [DOI:10.1016/j.cpr.2010.12.006]
6. Moschen R, Fioretti A, Eibenstein A, Natalini E, Chiarella G, Viola P, et al. Validation of the Chronic Tinnitus Acceptance Questionnaire (CTAQ-I): the Italian version. Acta Otorhinolaryngol Ital. 2019;39(2):107-16. [DOI:10.14639/0392-100X-2144]
7. Hayes SC, Luoma JB, Bond FW, Masuda A, Lillis J. Acceptance and commitment therapy: model, processes and outcomes. Behav Res Ther. 2006;44(1):1-25. [DOI:10.1016/j.brat.2005.06.006]
8. Fowler EP, Fowler Jr EP. Somatopsychic and psychosomatic factors in tinnitus, deafness and vertigo. Ann Otol Rhinol Laryngol. 1955;64(1):29-37. [DOI:10.1177/000348945506400106]
9. Hallam RS, Rachman S, Hinchcliffe R. Psychological aspects of tinnitus. In: Rachman R, editor. Contributions to Medical Psychology. Vol. 3. Oxford: Pergamon Press; 1984. p. 31-53.
10. Hesser H, Bånkestad E, Andersson G. Acceptance of Tinnitus as an Independent Correlate of Tinnitus Severity. Ear Hear. 2015;36(4):e176-82. [DOI:10.1097/AUD.0000000000000148]
11. Weise C, Kleinstäuber M, Hesser H, Westin VZ, Andersson G. Acceptance of tinnitus: validation of the tinnitus acceptance questionnaire. Cogn Behav Ther. 2013;42(2):100-15. [DOI:10.1080/16506073.2013.781670]
12. Henry JA. “Measurement” of Tinnitus. Otol Neurotol. 2016;37(8):e276-85. [DOI:10.1097/MAO.0000000000001070]
13. Tyler RS, Conrad-Armes D. The determination of tinnitus loudness considering the effects of recruitment. J Speech Hear Res. 1983;26(1):59-72. [DOI:10.1044/jshr.2601.59]
14. Jun HJ, Yoo IW, Hwang SJ, Hwang SY. Validation of a Korean Version of the Tinnitus Handicap Questionnaire. Clin Exp Otorhinolaryngol. 2015;8(3):198-201. [DOI:10.3342/ceo.2015.8.3.198]
15. Henry JA, Meikle MB. Psychoacoustic measures of tinnitus. J Am Acad Audiol. 2000;11(3):138-55. [DOI:10.1055/s-0042-1748040]
16. Scott B, Lindberg P. Psychological profile and somatic complaints between help-seeking and non-help-seeking tinnitus subjects. Psychosomatics. 2000;41(4):347-52. [DOI:10.1176/appi.psy.41.4.347]
17. Manning C, Thielman EJ, Grush L, Henry JA. Perception Versus Reaction: Comparison of Tinnitus Psychoacoustic Measures and Tinnitus Functional Index Scores. Am J Audiol. 2019;28(1S):174-80. [DOI:10.1044/2018_AJA-TTR17-18-0041]
18. Newman CW, Sandridge SA, Snow JB. Tinnitus questionnaires. In: Snow JB, editor. Tinnitus: Theory and Management. Hamilton: BC Decker; 2004. p. 237-54.
19. Meikle MB, Stewart BJ, Griest SE, Henry JA. Tinnitus outcomes assessment. Trends Amplif. 2008;12(3):223-35. [DOI:10.1177/1084713808319943]
20. Westin V, Hayes SC, Andersson G. Is it the sound or your relationship to it? The role of acceptance in predicting tinnitus impact. Behav Res Ther. 2008;46(12):1259-65. [DOI:10.1016/j.brat.2008.08.008]
21. Aaronson NK, Acquadro C, Alonso J, Apolone G, Bucquet D, Bullinger M, et al. International Quality of Life Assessment (IQOLA) Project. Qual Life Res. 1992;1(5):349-51. [DOI:10.1007/BF00434949]
22. Sharafi MA, Farahani S, Hoseinabadi R, Zamiri Abdollahi F, Jalaie S, Etemadi M. The relation among tinnitus distress, psychoacoustic parameters and anxiety state in hearing-impaired patients with chronic tinnitus: a pilot study. Aud Vestib Res. 2020;29(2):85-92. [DOI:10.18502/avr.v29i2.2789]
23. Mahmoudian S, Shahmiri E, Rouzbahani M, Jafari Z, Keyhani M, Rahimi F, et al. Persian language version of the “Tinnitus Handicap Inventory”: translation, standardization, validity and reliability. Int Tinnitus J. 2011;16(2):93-103.
24. Montazeri A, Vahdaninia M, Ebrahimi M, Jarvandi S. The Hospital Anxiety and Depression Scale (HADS): translation and validation study of the Iranian version. Health Qual Life Outcomes. 2003;1:14. [DOI:10.1186/1477-7525-1-14]
25. Kleinstäuber M, Jasper K, Schweda I, Hiller W, Andersson G, Weise C. The role of fear-avoidance cognitions and behaviors in patients with chronic tinnitus. Cogn Behav Ther. 2013;42(2):84-99. [DOI:10.1080/16506073.2012.717301]
26. Moon KR, Park S, Jung Y, Lee A, Lee JH. Effects of Anxiety Sensitivity and Hearing Loss on Tinnitus Symptom Severity. Psychiatry Investig. 2018;15(1):34-40. [DOI:10.4306/pi.2018.15.1.34]
27. Takabatake S, Takahashi M, Kabaya K, Sekiya Y, Sekiya K, Harata I, et al. Validation of the Tinnitus Acceptance Questionnaire: Japanese Version. Audiol Res. 2022;12(1):66-76. [DOI:10.3390/audiolres12010006]
28. Zöger S, Svedlund J, Holgers KM. Relationship between tinnitus severity and psychiatric disorders. Psychosomatics. 2006;47(4):282-8. [DOI:10.1176/appi.psy.47.4.282]
29. Hesser H, Andersson G. The role of anxiety sensitivity and behavioral avoidance in tinnitus disability. Int J Audiol. 2009;48(5):295-9. [DOI:10.1080/14992020802635325]
30. Searchfield GD, Jerram C, Wise K, Raymond S. The Impact of Hearing Loss on Tinnitus Severity. Aust N Z J Audiol. 2007;29(2):67-76.
31. Hiller W, Goebel G. When tinnitus loudness and annoyance are discrepant: audiological characteristics and psychological profile. Audiol Neurootol. 2007;12(6):391-400. [DOI:10.1159/000106482]
32. Hiller W, Goebel G. Factors influencing tinnitus loudness and annoyance. Arch Otolaryngol Head Neck Surg. 2006;132(12):1323-30. [DOI:10.1001/archotol.132.12.1323]
Files
IssueVol 34 No 2 (2025) QRcode
SectionResearch Article(s)
DOI https://doi.org/10.18502/avr.v34i2.18053
Keywords
Acceptance tinnitus tinnitus annoyance tinnitus acceptance questionnaire

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
1.
Nayeri N, Farahani S, Fatahi F, Faghihzadeh E. Psychometric Properties of the Persian Version of the Tinnitus Acceptance Questionnaire and Its Correlation with Psychoacoustic Parameters in Patients with Chronic Subjective Tinnitus. Aud Vestib Res. 2024;34(2):109-115.