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

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

JOURNAL=Frontiers in Psychology

VOLUME=14

YEAR=2023

URL=https://www.frontiersin.org/journals/psychology/articles/10.3389/fpsyg.2023.1006349

DOI=10.3389/fpsyg.2023.1006349

ISSN=1664-1078

ABSTRACT=<p>This study presents the executive disruption model (EDM) of tinnitus distress and subsequently validates it statistically using two independent datasets (the Construction Dataset: <italic>n</italic> = 96 and the Validation Dataset: <italic>n</italic> = 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: <italic>β</italic> = −3.50, <italic>p</italic> = 0.13 and the Validation Dataset: <italic>β</italic> = −3.71, <italic>p</italic> = 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.</p>