ArticleActa otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale2015
Validity of the Italian version of Khalfa's questionnaire on hyperacusis.
Article in Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed.
- Results of a 6-Month Field Trial of a Transitional Intervention for Debilitating Hyperacusis.Journal of speech, language, and hearing research : JSLHR · 2024Trial
- Auditory discomfort and visual sensitivity.Vision research · 2025Article
- Cross-Cultural Adaptation and Validation of the Danish Version of Inventory of Hyperacusis Symptoms.Audiology research · 2025Article
- What Do Mismatch Negativity (MMN) Responses Tell Us About Tinnitus?Journal of the Association for Research in Otolaryngology : JARO · 2025Review
- Personalized Sound Therapy Combined with Low and High-Frequency Electromagnetic Stimulation for Chronic Tinnitus.Journal of personalized medicine · 2024Article
- Bridging the Gap between Psychophysiological and Audiological Factors in the Assessment of Tinnitus: An EEG Investigation in the Beta Band.Brain sciences · 2024Article
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- Combined evaluation of audiology examination and self-reported symptoms in patients with hyperacusis.Scientific reports · 2023Article
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- Psychological Profile and Social Behaviors of Patients with Hyperacusis.Journal of clinical medicine · 2022Article
- Long-Term Effects of COVID-19 and the Pandemic on Tinnitus Patients.Frontiers in neurology · 2022Article
- Turkish Adaptation of Khalfa Hyperacusis Questionnaire.Medeniyet medical journal · 2020Article
- Analysis of the audiological characteristics and comorbidity in patients with chronic tinnitus.Audiology research · 2019Article
- The short hyperacusis questionnaire: A tool for the identification and measurement of hyperacusis in the Italian tinnitus population.Audiology research · 2017Article
- Noise sensitivity and hyperacusis in patients affected by multiple chemical sensitivity.International archives of occupational and environmental health · 2017Article
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- The reliability and validity of decreased sound tolerance scale-screening.Brazilian journal of otorhinolaryngologyArticle
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6 authors.
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Abstract
The present study aims to evaluate and validate the Italian version of Khalfa's questionnaire on hyperacusis (HQ). We recruited 117 patients (64 men, 53 women, mean age 53 years, range 14-88) with tinnitus for at least 3 months as a primary disorder. All patients completed the THI and the Italian version of the HQ and underwent audiometry, pitch and loudness tinnitus matching, otoacoustic emissions with distortion products (DPOAE) and uncomfortable loudness level (ULL). The overall performance of the tests was evaluated and compared using the area under the RO C curve (AUC) relative to the tests. The cut-off of the HQ was calculated. We also assessed the Cronbach's alpha (αC) for the HQ and its three major dimensions (attentional - αC1, emotional - αC2 and social - αC3). Statistical analysis showed no correlation between DPOAE, audiometry, ULL and gender. We observed a high correlation (p < 0.05) between hyperacusis and ULL described by the Spearman's ρ index (rs = 0.72). We found a cut-off of 16 indicative of hyperacusis comparing the area under the RO C curve (AUC) of HQ and audiometry, taken as a diagnostic reference, (sensitivity = 67.9% and specificity = 72.2%). The reliability of HQ was confirmed by a high αC = 0.89. The αC for the single dimensional scales were, respectively, αC1 = 0.73, αC2 = 0.72 and αC3 = 0.81. The Italian version of the HQ is recommended for proper and complete classification of patients with tinnitus and hyperacusis. From our study, we found a cut-off of 16 instead of the cut-off of 28 described as very high by other authors. Moreover, ULL was an important variable and can be discriminating in the evaluation of hyperacusis.
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