中文版听觉过敏量表的信度和效度评价

Evaluation of Reliability and Validity of the Chinese Version of the Hyperacusis Scale

目的对中文版听觉过敏量表的信度和效度进行评价,以评估其在中国人群中应用的适用性。方法对2017年6月至2017年12月就诊于西京医院耳鼻咽喉科门诊的患者进行调查,共发放300份问卷,所有被调查者需要完成基本情况调查、纯音测听和中文版听觉过敏量表的填写,对中文版听觉过敏量表的信度和效度进行评价。结果收回有效问卷293份,293例受访者中,合并耳鸣243例(82.93%)。问卷调查示,主观上存在听觉过敏181例(61.77%);量表评估诊断为听觉过敏174例(59.39%),两种方法结果一致性检验的Kappa值为0.81(P<0.001)。信度分析结果显示,该量表的整体Cronbach'sα系数为0.93,各维度Cronbach'sα系数均>0.60,分半信度系数为0.86,各维度分半信度系数均>0.60;效度分析中,探索性因子分析结果显示,25个条目可提取4个因子:功能部分、社交部分、情绪部分和声敏感度部分,4个因子的特征值>1,累计方差贡献率为59.42%,根据旋转后成分矩阵可知,25个条目均可分布到4个维度中,每个条目的因子载荷>0.40;效度分析中,验证性因子分析结果显示,模型拟合参数卡方值与自由度之比(χ^(2)/df)=1.98,拟优合度指数(GFI)=0.91,调整的拟优合度指数(AGFI)=0.83,比较拟合指数(CFI)=0.92,塔克-刘易斯指数(TLI)=0.89,近似误差均方根(RMSEA)=0.08,各条目标准化因子载荷>0.40。结论该中文版听觉过敏量表具有良好的信度和效度,可在中国人群中应用。

Objective To evaluate the reliability and validity of the Chinese version of the hyperacusis scale and estimate its applicability in the Chinese population.Methods The patients admitted to the Department of Otolaryngology of Xijing Hospital from June 2017 to December 2017 were surveyed.A total of 300 questionnaires were sent out and 293 valid questionnaires were collected with effective response rate of 97.67%.All participants completed a basic information survey,pure tone audiometry and fill in the Chinese version of the hyperacusis scale.The reliability and validity of this scale were evaluated.Results Among the 293 respondents,243(82.93%)were complicated with tinnitus.A total of 181 cases(61.77%)were subjectively diagnosed with hyperacusis through questionnaire survey.According to the scale evaluation,174 cases(59.39%)were diagnosed with hyperacusis,and the Kappa value of conformity test of the two methods was 0.81(P<0.001).Reliability analysis indicated a Cronbach'sαcoefficient of 0.93 for the entire scale.Each dimension had a Cronbach'sαcoefficient>0.60.The split-half reliability coefficient for the entire scale was 0.86,and for each dimension,it was>0.60.Exploratory factor analysis of validity suggested that 25 items could be grouped under 4 factors,such as functional part,social part,emotional part and harmonic sensitivity part.These factors had eigenvalues greater than 1,accounting for 59.42%of the total variance.Post-rotation,the 25 items were distributed across the 4 components,with each item having a factor loading>0.40.Confirmatory factor analysis of validity showed model fit parameters as:χ^(2)/df=1.98,GFI=0.91,AGFI=0.83,CFI=0.92,TLI=0.89,RMSEA=0.08.Each item had a standardized factor loading>0.40.Conclusion The Chinese version of the hyperacusis scale demonstrated strong reliability and validity,making it suitable for use among the Chinese population.