The executive disruption model of tinnitus distress: Model validation in two independent datasets using factor score regression

Nathan A. Clarke, Michael A. Akeroyd, Helen Henshaw, Deborah A. Hall, Wan Najibah Wan Mohamad, Derek J. Hoare

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Abstract

This study presents the executive disruption model (EDM) of tinnitus distress and subsequently validates it statistically using two independent datasets (the Construction Dataset: n = 96 and the Validation Dataset: n = 200). The conceptual EDM was first operationalised as a structural causal model (construction phase). Then multiple regression was used to examine the effect of executive functioning on tinnitus-related distress (validation phase), adjusting for the additional contributions of hearing threshold and psychological distress. For both datasets, executive functioning negatively predicted tinnitus distress score by a similar amount (the Construction Dataset: β = −3.50, p = 0.13 and the Validation Dataset: β = −3.71, p = 0.02). Theoretical implications and applications of the EDM are subsequently discussed; these include the predictive nature of executive functioning in the development of distressing tinnitus, and the clinical utility of the EDM.
Original languageEnglish
Article number1006349
JournalFrontiers in Psychology
Volume14
DOIs
Publication statusPublished - 10 Feb 2023

Keywords

  • cognition
  • executive function
  • tinnitus
  • tinnitus distress
  • tinnitus severity

ASJC Scopus subject areas

  • General Psychology

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