Tinnitus Handicap Inventory (THI)

The Tinnitus Handicap Inventory (THI; Newman et al., 1996) is a 25-item self-report measure to determine perceived tinnitus handicap severity. The THI is a useful measure for determining the efficacy of psychological treatment for tinnitus (Zeman et al., 2011).


Newman, C. W., Jacobson, G. P., & Spitzer, J. B. (1996). Development of the Tinnitus Handicap Inventory. Archives of Otolaryngology–Head & Neck Surgery, 122(2), 143–148. https://doi.org/10.1001/archotol.1996.01890140029007


McCombe, A., Baguley, D., Coles, R., McKenna, L., McKinney, C., Windle-Taylor, P., & British Association of Otolaryngologists, Head and Neck Surgeons. (2001). Guidelines for the grading of tinnitus severity: the results of a working group commissioned by the British Association of Otolaryngologists, Head and Neck Surgeons, 1999. Clinical Otolaryngology and Allied Sciences, 26(5), 388–393. https://doi.org/10.1046/j.1365-2273.2001.00490.x

Gos, E., Sagan, A., Skarzynski, P. H., & Skarzynski, H. (2020). Improved measurement of tinnitus severity: Study of the dimensionality and reliability of the Tinnitus Handicap Inventory. PloS One, 15(8), e0237778. https://doi.org/10.1371/journal.pone.0237778

Zeman, F., Koller, M., Figueiredo, R., Aazevedo, A., Rates, M., Coelho, C., Kleinjung, T., de Ridder, D., Langguth, B., & Landgrebe, M. (2011). Tinnitus handicap inventory for evaluating treatment effects: which changes are clinically relevant? Otolaryngology–Head and Neck Surgery, 145(2), 282–287. https://doi.org/10.1177/0194599811403882