耳鳴り機能指数（TFI）

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耳鳴り機能指数（TFI）

耳鳴りが睡眠・集中力・リラックス・日常生活に与える影響を0〜100の臨床スケールで測定します。

About 8–10 minutes 25 questions 8 subscales

This is the validated Tinnitus Functional Index developed by Meikle et al. (2012). Your results can help guide conversations with your care team.

動画のトランスクリプトと主なポイントを読む

主なポイント（60秒ガイド）：

  • 医療・危機の安全確認を最優先に：突発性の難聴（72時間以内）、拍動性（脈拍と同期する）または片側だけの耳鳴り、激しい回転性めまいがある場合は速やかに受診してください。強い苦痛や危機を感じる場合は 988 へ電話またはテキストでご連絡ください（緊急ガイドを参照）。
  • TFIが測定するもの：Meikleら（2012年）が開発した25項目の臨床評価ツールで、過去1週間の状態を8つのサブスケール（侵入性・コントロール感・集中・睡眠・聴覚・リラックス・生活の質・感情）にわたり0〜100点で評価します。
  • スコアから具体的な対策へ：経過とともに約13点以上の低下が見られれば、臨床的に意味のある改善を示します。0〜100のベースラインとサブスケール表をオーディオロジスト、耳鼻咽喉科医、またはCBT専門家へご持参ください。

動画トランスクリプト (0:00–1:00)：

  1. (0:00–0:08) 耳鳴りが生活のどの部分に一番影響しているか気になりませんか？耳鳴り機能指数（TFI）を使うと、0から100までの明確な臨床ベースラインが分かります。
  2. (0:08–0:17) まず緊急の症状を確認してください。72時間以内の急な聴力低下、脈拍と同期する耳鳴りや片側だけの耳鳴り、激しいめまいがある場合は速やかに受診し、強い苦痛を感じる場合は988へご連絡ください。
  3. (0:17–0:26) 下の25の質問に答える際は、睡眠・集中力・リラックス・聴こえ・気分など8つの領域について、過去1週間の典型的な状態を思い浮かべてください。
  4. (0:26–0:36) 0から100の合計スコアで全体の影響度が分かり、定期的に再テストすることで経過を追跡できます。13点以上の低下は臨床的に意味のある改善を示します。
  5. (0:36–0:45) 同じく重要なのが8つのサブスケール内訳で、睡眠のための枕元の環境音、作業中のBGM、あるいは聴力検査のどれから始めるべきかが明確になります。
  6. (0:45–0:53) TFIの結果は保存または印刷して、オーディオロジスト、耳鼻咽喉科医、または認知行動療法の専門家と共有できます。
  7. (0:53–1:00) この動画のすぐ下へスクロールして過去1週間を評価し、あなた専用のTFIスコアとアクションプランを確認しましょう。

Rate your experience over the past week

Think about your experiences over the last week. There are no right or wrong answers.

Section 1 of 8 · I
Intrusiveness

Over the past week, rate your experience on a 0-10 scale.

1. What percentage of your time awake were you consciously AWARE of your tinnitus?

0% Never 100% Always

2. How STRONG or LOUD was your tinnitus?

0 Not at all 10 Extremely

3. What percentage of your time awake were you ANNOYED by your tinnitus?

0% Never 100% Always
Section 2 of 8 · SC
Sense of Control

Over the past week, rate your experience on a 0-10 scale.

1. Did you feel IN CONTROL in regard to your tinnitus?

0 Very much in control 10 Never in control

2. How easy was it for you to COPE with your tinnitus?

0 Very easy 10 Impossible

3. How easy was it for you to IGNORE your tinnitus?

0 Very easy 10 Impossible
Section 3 of 8 · C
Cognitive

Over the past week, rate your experience on a 0-10 scale.

1. How much did your tinnitus interfere with your ability to CONCENTRATE?

0 Did not interfere 10 Completely interfered

2. How much did your tinnitus interfere with your ability to THINK CLEARLY?

0 Did not interfere 10 Completely interfered

3. How much did your tinnitus interfere with your ability to FOCUS ATTENTION on other things?

0 Did not interfere 10 Completely interfered
Section 4 of 8 · SL
Sleep

Over the past week, rate your experience on a 0-10 scale.

1. How often did your tinnitus make it difficult to FALL ASLEEP or STAY ASLEEP?

0 Never 10 Always

2. How often did your tinnitus cause difficulty getting AS MUCH SLEEP as you needed?

0 Never 10 Always

3. How much of the time did your tinnitus keep you from SLEEPING as DEEPLY or PEACEFULLY as you would have liked?

0 None of the time 10 All of the time
Section 5 of 8 · A
Auditory

Over the past week, rate your experience on a 0-10 scale.

1. How much has your tinnitus interfered with your ability to HEAR CLEARLY?

0 Did not interfere 10 Completely interfered

2. How much has your tinnitus interfered with your ability to UNDERSTAND PEOPLE who are talking?

0 Did not interfere 10 Completely interfered

3. How much has your tinnitus interfered with your ability to FOLLOW CONVERSATIONS in a group or noisy environment?

0 Did not interfere 10 Completely interfered
Section 6 of 8 · R
Relaxation

Over the past week, rate your experience on a 0-10 scale.

1. How much has your tinnitus interfered with your QUIET RESTING ACTIVITIES?

0 Did not interfere 10 Completely interfered

2. How much has your tinnitus interfered with your ability to RELAX?

0 Did not interfere 10 Completely interfered

3. How much has your tinnitus interfered with your ability to enjoy PEACE AND QUIET?

0 Did not interfere 10 Completely interfered
Section 7 of 8 · Q
Quality of Life

Over the past week, rate your experience on a 0-10 scale.

1. How much has your tinnitus interfered with your enjoyment of SOCIAL ACTIVITIES?

0 Did not interfere 10 Completely interfered

2. How much has your tinnitus interfered with your ENJOYMENT OF LIFE?

0 Did not interfere 10 Completely interfered

3. How much has your tinnitus interfered with your RELATIONSHIPS with friends, family, and other people?

0 Did not interfere 10 Completely interfered

4. How often did your tinnitus cause difficulty performing your WORK OR OTHER TASKS?

0 Never 10 Always
Section 8 of 8 · E
Emotional

Over the past week, rate your experience on a 0-10 scale.

1. How ANXIOUS or WORRIED has your tinnitus made you feel?

0 Not at all 10 Extremely

2. How BOTHERED or UPSET have you been because of your tinnitus?

0 Not at all 10 Extremely

3. How DEPRESSED were you because of your tinnitus?

0 Not at all 10 Extremely

Building your tinnitus care team

Wherever you live, the core ingredients of tinnitus care are similar: thoughtful medical/audiology evaluation, clear education, tools for day‑to‑day coping, and support for mood and sleep. Local resources vary, but the pathway principles stay the same.

Disclaimer: These tools are for educational purposes only and do not constitute medical diagnosis.