title: [Acceptance of tinnitus: Validation of the ‛Akzeptanzfragebogen bei chronischem Tinnitus' (AFCT)].
abstract: BACKGROUND
  Tinnitus is a widely spread symptom, which is perceived chronically by approximately 10% of the population. The vast majority of the tinnitus patients doesn´t feel impaired through the ear noise, but about 5-30% of the tinnitus patient are suffering in their everyday life. Whether severe distress is experienced cannot be explained by the quality of the ear noise itself (i. e. loudness or duration). Newer research tends to explain the difference in the experienced strain by the concept of acceptance. The aim of this study was to analyze the psychometric quality of a German Version of the "Chronic Pain Acceptance Ques-tionnaire" (CPAQ), namely the "Akzeptanzfragebogen bei chronischem Tinnitus" (AFCT) which has been adapted for tinnitus.
  
  
  METHODS
  97 patients with chronic tinnitus have been tested at the start of an outpatient tinnitus group therapy. The following questionnaires were used: "Akzeptanzfragebogen bei chronischem Tinnitus" (AFCT) and "Tinnitusfragebogen" (TF). The structure of the AFCT was determined by a factor analysis. The reliability was evaluated by the estimation of the internal consistency (Cronbach Alpha).
  
  
  RESULTS
  Due to psychometric weakness and unclear factorial loadings 8 items have been removed. Out of the remaining 12 items the AFCT-12 has been developed. The AFCT-12 consists of 2 factors, which explain a variance of 54.9%. Both AFCT-12 and AFCT have a satisfactory reliability and validity.
  
  
  CONCLUSIONS
  The results demonstrate that the AFCT-12 is a reliable and valid instrument to measure the acceptance of patients suffering from chronic tinnitus.
authors.affiliation: Department für Psychiatrie und Psychotherapie, Univ.-Klinik für Medizinische Psychologie, Innsbruck, Austria.
authors.forename: D
authors.initials: D
authors.lastname: Riedl
authors.affiliation: Department für Psychiatrie und Psychotherapie, Univ.-Klinik für Medizinische Psychologie, Innsbruck, Austria.
authors.forename: G
authors.initials: G
authors.lastname: Rumpold
authors.affiliation: Univ.-Klinik für Hör-, Stimm- und Sprachstörungen, Innsbruck, Austria.
authors.forename: A
authors.initials: A
authors.lastname: Schmidt
authors.affiliation: Institut für Psychologie, Leopold-Franzens Universität Innsbruck, Innsbruck, Austria.
authors.forename: H R
authors.initials: HR
authors.lastname: Bliem
authors.affiliation: Department für Psychiatrie und Psychotherapie, Univ.-Klinik für Medizinische Psychologie, Innsbruck, Austria.
authors.forename: R
authors.initials: R
authors.lastname: Moschen
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D002908:Chronic Disease; D017281:Cost of Illness; D004185:Disability Evaluation; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011594:Psychometrics / Q000706:statistics & numerical data; D011788:Quality of Life / Q000523:psychology; D015203:Reproducibility of Results; D011795:Surveys and Questionnaires; D014012:Tinnitus / Q000523:psychology* / Q000628:therapy; D016896:Treatment Outcome