Tinnitus Handicap Inventory



Note:  I dislike the term “Handicap” here relative to Tinnitus, because it automatically lets tinnitus “win”.  However, it is a scale meant to measure the havoc that tinnitus is wreaking on a patient’s quality of life. 


These questions reflect feelings and activities a person encounters in the run of a day.  The only answers permissible are:  Yes, No, and Sometimes.  Please answer the following questions with those answers in mind.  There is a scoring system for these to get the THI score and grading.


 


TINNITUS HANDICAP INVENTORY (THI) Because of your tinnitus is it difficult for you to concentrate? Does the loudness of your tinnitus make it difficult for you to hear people? Does your tinnitus make you angry? Does your tinnitus make you confused? Because of your tinnitus are you desperate? Do you complain a great deal about your tinnitus? Because of your tinnitus do you have trouble falling asleep at night? Do you feel as though you cannot escape from your tinnitus? Does your tinnitus interfere with your ability to enjoy social activities (such as going out to dinner)? Because of your tinnitus do you feel frustrated? Because of your tinnitus do you feel that you have a terrible disease? Does your tinnitus make it difficult to enjoy life? Does your tinnitus interfere with your job or household responsibilities? Because of your tinnitus do you find that you are often irritable? Because of your tinnitus is it difficult for you to read? Does your tinnitus make you upset? Do you feel that your tinnitus has placed stress on your relationships with members of your family and friends? Do you find it difficult to focus your attention away from your tinnitus and on to other things? Do you feel that you have no control over your tinnitus? Because of your tinnitus do you often feel tired? Because of your tinnitus do you feel depressed? Does your tinnitus make you feel anxious? 23. Do you feel you can no longer cope with your tinnitus? 24. Does your tinnitus get worse when you are under stress? 25. Does your tinnitus make you feel insecure? Total score: (Number of Yes x 4) + (Number of Sometimes x 2) Grading Score Description Grade 0 – 16 Slight (Only heard in quiet environments) GRADE 1 18 – 36 Mild (Easily masked by environmental sounds and easily forgotten with activities GRADE 2 38 – 56 Moderate (Noticed in presence of background noise, although daily activities can still be performed) GRADE 3 58 – 76 Severe (Almost always heard, leads to disturbed sleep patterns and can interfere with daily activities) GRADE 4 78 – 100 Catastrophic (Always heard, disturbed sleep patterns, difficulty with any activities) GRADE 5
Answer Yes No Sometimes Yes No Sometimes Yes No Sometimes Yes No Sometimes Yes No Sometimes Yes No Sometimes Yes No Sometimes Yes No Sometimes Yes No Sometimes Yes No Sometimes Yes No Sometimes Yes No Sometimes Yes No Sometimes Yes No Sometimes Yes No Sometimes Yes No Sometimes Yes No Sometimes Yes No Sometimes Yes No Sometimes Yes No Sometimes Yes No Sometimes Yes No Sometimes Yes No Sometimes Yes No Sometimes Yes No Sometimes

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