Original scientific paper

https://doi.org/10.20471/acc.2025.64.01.01

Croatian Version of Tinnitus Handicap Inventory – THI-HR

Boris Jelavić orcid.org/0000-0002-1952-4192 ; Department of Otorhinolaryngology, Mostar University Hospital, Mostar, Bosnia and Herzegovina; Medical School, University of Mostar, Mostar, Bosnia and Herzegovina *
Ivona Čarapina Zovko orcid.org/0000-0001-6978-5844 ; Department of Psychology, Faculty of Humanities and Social Sciences, University of Mostar, Mostar, Bosnia and Herzegovina
Irena Pehar ; Department of Otorhinolaryngology, Mostar University Hospital, Mostar, Bosnia and Herzegovina
Tomislav Sušac orcid.org/0000-0002-2466-2135 ; Department of Otorhinolaryngology, Mostar University Hospital, Mostar, Bosnia and Herzegovina
Josip Lesko ; Department of Otorhinolaryngology, Mostar University Hospital, Mostar, Bosnia and Herzegovina
Miro Leventić ; Department of Otorhinolaryngology, Mostar University Hospital, Mostar, Bosnia and Herzegovina; Medical School, University of Mostar, Mostar, Bosnia and Herzegovina

* Corresponding author.

Abstract

In this study, we translated the Tinnitus Handicap Inventory questionnaire into
Croatian language, and determined the reliability and validity of the Croatian adaptation (THI-HR).
Tinnitus sufferers (N=130) underwent audiometry and completed the THI-HR, the Depression Anxiety
Stress Scale (DASS), and the Eysenck Personality Questionnaire Revised/Short Scale (EPQ R/S).
Sociodemographic data on the patients and descriptive data on tinnitus were collected. The THI-HR
internal consistency, construct validity, factor structure and repeatability were evaluated. The Cronbach’s
alpha coefficients for the THI-HR Total, Functional, Emotional, and Catastrophic subscales were 0.96,
0.76, 0.78, and 0.76, respectively. Moderate correlations of the THI-HR total and subscales with the
three DASS subscales (rs=0.42 to rs=0.61) and the EPQ R/S-Neuroticism subscale (rs=0.56 to rs=0.64)
were observed. The THI-HR factor analysis revealed that the original THI three-factor solution was
a good fit to the data. Three factors explained 48.7% of the total variance. The test-retest reliability was
high (rp=0.89 to rp=0.93). It was established that the THI-HR had high internal consistency reliability
and good construct validity. The THI-HR is a valid and reliable measure of tinnitus complaint that can
be used for assessment of the impact of tinnitus symptoms in daily life in the adult Croatian population.

Keywords

Tinnitus; Handicap; Questionnaires; Outcome assessment; Health measurement scales

Hrčak ID:

335441

URI

https://hrcak.srce.hr/335441

Publication date:

31.3.2025.

Article data in other languages: croatian

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