ArticleHealth and quality of life outcomes2016
Validation of PRISM (Pictorial Representation of Illness and Self Measure) as a novel visual assessment tool for the burden of suffering in tinnitus patients.
Article in Health and quality of life outcomes, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 26 citations in OpenAlex.
- An updated meta-analysis: repetitive transcranial magnetic stimulation for treating tinnitus.The Journal of international medical research · 2021Pooled it
- PRISM, a Novel Visual Metaphor Measuring Personally Salient Appraisals, Attitudes and Decision-Making: Qualitative Evidence Synthesis.PloS one · 2016Pooled it
- Influence of the patient-practitioner interaction context on acupuncture outcomes in functional dyspepsia: study protocol for a multicenter randomized controlled trial.BMC complementary and alternative medicine · 2017Trial
- Longitudinal associations of suffering with subsequent multidimensional well-being in the Global Flourishing Study.Communications medicine · 2026Article
- Loneliness is associated with depression, anxiety, pain, and suffering in fibromyalgia: results from a structural equation modeling analysis.Rheumatology international · 2026Observational
- Tinnitus in patients with orofacial complaints.Head & face medicine · 2025Article
- Health-Related Quality of Life in Subjective, Chronic Tinnitus Patients: A Scoping Review.Journal of the Association for Research in Otolaryngology : JARO · 2024Article
- Suffering, psychological distress, and well-being in Indonesia: A prospective cohort study.Stress and health : journal of the International Society for the Investigation of Stress · 2022Article
- Assessment of the perceived burden associated with Malignant Melanoma with Pictorial Representation of Illness and Self Measure (PRISM) and Melanoma Concerns Questionnaire (MCQ-28).Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022Article
- The "self" in pain: high levels of schema-enmeshment worsen fibromyalgia impact.BMC musculoskeletal disorders · 2021Article
- A Global, Prospective, Observational Study Measuring Disease Burden and Suffering in Patients with Ulcerative Colitis Using the Pictorial Representation of Illness and Self-Measure Tool.Journal of Crohn's & colitis · 2021Article
- Chinese validation and clinical application of the tinnitus functional index.Health and quality of life outcomes · 2020Article
- Pictorial Representation of Illness and Self Measure (PRISM): A Novel Visual Instrument to Quantify Suffering in Liver Cirrhosis Patients and Liver Transplant Recipients.Annals of transplantation · 2018Article
- Pictorial Representation of Illness and Self Measure-Revised 2 (PRISM-R2): an effective tool to assess perceived burden of thyroid cancer in mainland China.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2018Article
- Review of Smart Services for Tinnitus Self-Help, Diagnostics and Treatments.Frontiers in neuroscience · 2018Review
- Tinnitus functional index: validation of the German version for Switzerland.Health and quality of life outcomes · 2017Observational
- Exploring perceptions and expectations of COPD patients: A grounded theory approach for personalized therapeutic interventions.Chronic respiratory diseaseArticle
- [Argentina and Chile Data Analysis from the ICONIC Observational Study].Acta gastroenterologica LatinoamericanaArticle
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundChronic subjective tinnitus is a frequent condition that affects the subject's quality of life. The lack of objective measures of tinnitus necessitates the use of self-reporting and often time-consuming questionnaires for evaluating tinnitus severity. The Pictorial Representation of Illness and Self Measure (PRISM) is a two dimensional pictorial method to assess the burden of suffering. Patients illustrate their burden of suffering by the distance from a "self" to an illness circle, whereby a shorter distance indicates a higher burden of suffering. The aim of this prospective observational study was to validate the burden of suffering measured with PRISM in tinnitus patients by comparing it with different standardized questionnaires currently used in tinnitus evaluation.
methodsA total of 188 patients filled out an online-based survey including sociodemographic variables and the following questionnaires: Tinnitus Handicap Inventory (THI), Tinnitus Questionnaire (TQ), WHO Quality of Life-Questionnaire (WHOQOL-BREF), and the Beck Depression Inventory (BDI). The subtle differences in the burden of suffering were accessed by using PRISM as an iPad version. Based on PRISM performance patients could easily be assigned in three groups, these being mildly, moderately, or severely affected akin to the standard questionnaires.
resultsThe burden of suffering measured with PRISM correlated with the tinnitus severity (THI and TQ), depressive symptoms (BDI), and health related quality of life (WHOQOL-BREF) (all p ≤ 0.001). In the three PRISM groups tinnitus severity (THI and TQ), and depressive symptoms (BDI) differed significantly (all p ≤ 0.01).
conclusionPRISM is an easily understood and time saving method for the assessment of burden of suffering in tinnitus patients. In daily clinical practice PRISM can help to identify patients with decompensated tinnitus that require more intensive treatment.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.