title: Validation of Screening Questions for Hyperacusis in Chronic Tinnitus.
abstract: BACKGROUND
  We investigated the validity of the two hyperacusis items of the TSCHQ (Tinnitus Sample Case History Questionnaire) from the TRI (Tinnitus Research Initiative) database by comparing them with the German hyperacusis questionnaire GÜF.
  
  
  METHODS
  We investigated the association of the GÜF with the TSCHQ screening questions for both the sum score and the single items with correlation, contrast, principal component, and discriminant analysis in a sample of 161 patients with chronic tinnitus.
  
  
  RESULTS
  TSCHQ items and the GÜF total score were significantly associated with a special focus on fear and pain related hyperacusis. Factor analysis of the GÜF revealed the three factors "fear and pain related hyperacusis," "hearing related problems," and "problems in quality of life." A discriminant analysis showed a sensitivity of 64% and a specificity of 71% of the TSCHQ items for the establishment of tinnitus patient subgroups with and without hyperacusis.
  
  
  CONCLUSIONS
  Both hyperacusis TSCHQ items can serve as screening questions with respect to self-reported hyperacusis in chronic tinnitus with a specific focus on fear and pain related hyperacusis. However, the multiple dimensions of hyperacusis should be considered for diagnosis and treatment in both scientific and clinical contexts.
authors.affiliation: Department of Psychiatry and Psychotherapy, University of Regensburg, Germany ; Interdisciplinary Tinnitus Center, University of Regensburg, Regensburg, Germany.
authors.forename: Martin
authors.initials: M
authors.lastname: Schecklmann
authors.affiliation: Department of Psychiatry and Psychotherapy, University of Regensburg, Germany ; Interdisciplinary Tinnitus Center, University of Regensburg, Regensburg, Germany.
authors.forename: Astrid
authors.initials: A
authors.lastname: Lehner
authors.affiliation: Department of Psychiatry and Psychotherapy, University of Regensburg, Germany ; Interdisciplinary Tinnitus Center, University of Regensburg, Regensburg, Germany.
authors.forename: Winfried
authors.initials: W
authors.lastname: Schlee
authors.affiliation: Interdisciplinary Tinnitus Center, University of Regensburg, Regensburg, Germany ; Department of Otolaryngology, University of Regensburg, Germany.
authors.forename: Veronika
authors.initials: V
authors.lastname: Vielsmeier
authors.affiliation: Department of Psychiatry and Psychotherapy, Kbo-Lech-Mangfall-Klinik, Hausham, Germany.
authors.forename: Michael
authors.initials: M
authors.lastname: Landgrebe
authors.affiliation: Department of Psychiatry and Psychotherapy, University of Regensburg, Germany ; Interdisciplinary Tinnitus Center, University of Regensburg, Regensburg, Germany.
authors.forename: Berthold
authors.initials: B
authors.lastname: Langguth
mesh_terms: D000368:Aged; D016002:Discriminant Analysis; D005260:Female; D006801:Humans; D012001:Hyperacusis / Q000175:diagnosis*; D008297:Male; D008875:Middle Aged; D011237:Predictive Value of Tests; D011788:Quality of Life; D011795:Surveys and Questionnaires / Q000592:standards*; D014012:Tinnitus / Q000175:diagnosis*