Effectiveness of the auditory training in patients with
the partial deafness after cochlear implantation in the
assessment of patients and speech therapists

Purpose The present study investigated adults with partial deafness (PD) and asked them to rate the benefits of their cochlear implant (CI), their general level of satisfaction with it, and their level of psychological distress. Of particular interest was the role of gender. Methods The study comprised 71 participants (41 females) with PD who had been provided with a CI. The Nijmegen Cochlear Implant Questionnaire (NCIQ) was used to assess the benefits of their CI. Satisfaction with their CI was measured using a visual analog scale. The severity of mental distress was assessed with the General Health Questionnaire (GHQ-28). Results On various NCIQ scales, the average benefits of a CI were rated at 66%. Females gave a lower rating than males. The mental distress experienced by the group was significantly higher than in the general population. Females had more severe symptoms of anxiety and insomnia than males. There was a significant relationship between psychological distress and CI benefit, but only in females. Besides general distress, the most affected spheres were related to psychosocial functioning—“self-esteem”, “activity limitation”, and “social interaction”. Contrary to expectations, there was no relationship between mental distress and CI satisfaction. Conclusions The perceived benefits of a CI in subjects with PD relate mostly to the level of mental distress, although gender is an important factor. For females, their emotional state affects how beneficial their CI is perceived. Due to the higher levels of mental distress, females tend to need more psychological intervention and support.

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Cochlear implants in adults with partial deafness: subjective benefits but associated psychological distress

Kobosko

Jędrzejczak

Barej

et al. 2020

Eur Arch Otorhinolaryngol

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Self-esteem in the deaf who have become cochlear implant users as adults

et al. 2018

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ObjectiveSelf-esteem is a good predictor of mental health and is crucial for well-being and psychological functioning. It is especially important in situations where there are potential mental health problems, such as in people suffering from hearing loss or total deafness. This study aims to gauge the level of self-esteem in adults with hearing problems, in particular those who, in adulthood, had received a cochlear implant (CI). The subjects had different onset (pre-lingual/post-lingual) and amount (deafness/partial deafness) of hearing loss, and their current level of self-esteem was compared to that of the general population. The association of self-esteem with other deafness-related variables (e.g. satisfaction with their CI or whether they also used a hearing aid) and sociodemographic factors was also investigated.MethodsData were obtained from questionnaires mailed to patients who, when adult, had received a CI. The subjects were divided into four subgroups: subjects with pre-lingual deafness, post-lingual deafness, pre-lingual partial deafness, and post-lingual partial deafness. To evaluate their self-esteem, the Rosenberg Self-Esteem Scale (RSES) was used. For data on sociodemographic status and information related to deafness and CI, we used our own Information Inquiry form. For statistical analysis of the results, we compared means (t-test, ANOVA), investigated correlations, and applied linear regression.ResultsThe self-esteem of deaf and partially deaf CI users was significantly lower than in the general population, especially for post-lingually deafened subjects. The only factor related to deafness and CIs that explained self-esteem was self-rated satisfaction with the CI–meaning that higher satisfaction was associated with higher self-esteem. The major sociodemographic factor that explained self-esteem was marital/partnership status (being in a relationship was helpful). Also men had higher self-esteem than women. Those with higher levels of education, and those working or studying, had higher self-esteem than those who did not. RSES was found to have a single-factor structure.ConclusionDeafness and partial deafness appear to be risk factors for lower self-esteem, a finding that rehabilitation, medical, educational, and employment communities should be made aware of. Medical intervention in the form of a CI supplies the person with improved hearing, but it is not a panacea: their self-esteem is still vulnerable, and reinforcement of self-esteem is an aspect that professionals should focus on. Psychological, psycho-educational, and psychotherapeutic interventions have important roles to play for CI recipients.

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Subjective and objective assessment of cochlear implant benefit in adults with the prelingual onset partial deafness

Kobosko¹,

Pankowska²,

Olszewski³

et al. 2020

Now Audiofonol

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Wstęp: Z dotychczasowych badań wynika, że nie ma związku między ocenami subiektywnymi a obiektywnym pomiarem korzyści z implantu ślimakowego (CI) u osób zaopatrzonych w ten typ protez słuchu bądź związek ten jest słaby. Cel: W pracy podjęto zagadnienie zależności między subiektywną oceną korzyści z implantu ślimakowego a obiektywną ich oceną dokonywaną w badaniach audiometrycznych i obserwacjach logopedycznych w szerszym kontekście, jaki tworzą: ocena psychologiczna dokonana na podstawie np. pomiaru kwestionariuszowego, jak i inne wybrane informacje zawarte w dokumentacji medycznej, dotyczące pacjenta z CI, np. posiadane choroby somatyczne czy psychiczne. Materiał i metoda: Do analizy jakościowej wybrano 4 przypadki kliniczne osób z częściową głuchotą o początku prelingwalnym według kryterium subiektywnej oceny korzyści z CI dokonanej za pomocą kwestionariusza NCIQ. Dwie osoby, które ogółem wysoko oceniały te korzyści, oraz dwie osoby, które oceniały je jako bardzo niskie. W analizie jakościowej każdej z osób uwzględniono rezultaty wybranych badań audiometrycznych, informacje o ich funkcjonowaniu językowym i komunikacyjnym, a także psychologicznym, uwzględniając wyniki kwestionariuszy: SES, GHQ-28, Mini COPE. Wyniki: Okazało się, że oceny subiektywne i obiektywne, a także obserwacja logopedyczna i ocena psychologiczna tworzą spójny obraz w przypadku dwóch osób, a w odniesieniu do kolejnych dwóch osób (w tym jednej oceniającej wysoko, a jednej nisko korzyści z CI) ocena subiektywna i obiektywna są w różnym stopniu rozbieżne. Rozbieżność tę można wyjaśnić m.in. uwarunkowaniami psychologicznymi, co starano się pokazać w omówieniu rezultatów każdej z osób. Wnioski: Klinicyści pracujący z osobami głuchymi i słabosłyszącymi, które otrzymały implant ślimakowy, powinni szczególnie wnikliwie analizować sytuacje rozbieżności oceny subiektywnej i obiektywnej korzyści z CI, poddając wieloaspektowej analizie jakościowej otrzymane rezultaty. Ważna rola przypada w niej konsultacji psychologicznej czy psychoterapeutycznej ze względu na znaczenie pozaudiologicznej motywacji do implantu ślimakowego i jej ewentualnych konsekwencji u osób już zaimplantowanych. Słowa kluczowe: częściowa głuchota • implant ślimakowy • subiektywna ocena korzyści z implantu ślimakowego • obiektywna ocena korzyści z implantu ślimakowego • pozaaudiologiczna motywacja do implantu ślimakowego

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Effectiveness of the auditory training in patients with the partial deafness after cochlear implantation in the assessment of patients and speech therapists

Cited by 8 publications

References 5 publications

Cochlear implants in adults with partial deafness: subjective benefits but associated psychological distress

Cochlear implants in adults with partial deafness: subjective benefits but associated psychological distress

Self-esteem in the deaf who have become cochlear implant users as adults

Subjective and objective assessment of cochlear implant benefit in adults with the prelingual onset partial deafness

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