Third-party disability in cochlear implant users

Völter, Christiane; Götze, Lisa; Ballasch, Isabel; Harbert, Lisa; Dazert, Stefan; Thomas, Jan Peter

doi:10.1080/14992027.2022.2125913

Cited by 3 publications

(2 citation statements)

References 51 publications

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“…The negative association with extraversion may be attributed to communication breakdowns, implying that the impairment is likely to affect frequent communication partners. This discussion contends that the influence of the impairment on others constitutes a concept referred to as "Third-Party Disability" [35]. Contrary to Bender et al [3], neither hearing loss nor facial paresis showed associations with any of the GBI scores.…”

Section: Associations Among Age Hearing Loss and Pain-related Mental ...mentioning

confidence: 76%

Perceived Health Benefits in Vestibular Schwannoma Patients with Long-Term Postoperative Headache: Insights from Personality Traits and Pain Coping—A Cross-Sectional Study

Thomas,

Führes,

Scheer

et al. 2024

JPM

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Postoperative headaches (POHs) following retrosigmoid microsurgery for vestibular schwannoma (VS) can significantly impact patients’ perceived health benefits (PHBs). In this cross-sectional observational study, 101 VS patients were investigated. For the assessment of pain, the Rostock Headache Compendium (RoKoKo) and the German pain processing questionnaire (FESV) were used. The perceived health benefits (PHBs) were assessed by the Glasgow Benefit Inventory (GBI) and Big Five personality traits were measured using the Ten-Item Personality Inventory (TIPI-G). We showed that 55% of the participants experienced POHs, leading to a marked reduction in overall PHBs compared to those without POHs. The correlation analysis revealed an association between decreased PHBs and elevated levels of pain-related helplessness, depression, anxiety, and anger. Positive correlations were identified between PHBs and action-planning competence, cognitive restructuring, and the experience of competence. Low emotional stability and openness yielded associations with pain-related psychological impairment. Hearing loss and facial paresis did not exert a significant impact on PHBs. The study highlights the influence of pain-related coping strategies on PHBs in long-term POH patients. Thus, coping mechanisms and personality traits should be assessed even before surgery for post-surgery pain prevention. The limitations of this study include a relatively small sample size, potential biases introduced by the overrepresentation of female patients, and the use of an online survey methodology. In conclusion, this research highlights that the interplay between headaches, PHBs, and psychological factors is also relevant in VS patients undergoing microsurgery. Short-term psychological interventions should therefore be taken into account to improve post-surgery adaptive coping strategies.

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Section: Associations Among Age Hearing Loss and Pain-related Mental ...mentioning

confidence: 76%

Perceived Health Benefits in Vestibular Schwannoma Patients with Long-Term Postoperative Headache: Insights from Personality Traits and Pain Coping—A Cross-Sectional Study

Thomas,

Führes,

Scheer

et al. 2024

JPM

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“…In the field of CI, the NCIQ is a well-established, valid and reliable disease-specific questionnaire [8,[15][16][17][18][19][20][21]. Most of the benefit in cognitive domains, memory and the quality of life in adult postlingually deafened patients is already achieved at 6 months of CI use [4,22]. Thus, two time-points for investigation were chosen: preoperative and 6 months after CI-use.…”

Section: Introductionmentioning

confidence: 99%

Response shift in hearing related quality of life after cochlear implantation – effect size and clinical significance: a then-test study

Brill

Stark

Wigers

et al. 2023

Health Qual Life Outcomes

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Background Quality of life questionnaires are often used in the assessment of rehabilitation of hearing-impaired patients with a cochlear implant. However, a prospective study with a systematic retrospective evaluation of the preoperative quality of life after surgery has not yet been conducted and may reveal a change in internal standards, such as a response shift, due to the implantation and hearing rehabilitation. Methods The Nijmegen Cochlear Implant Questionnaire (NCIQ) was used for assessing hearing related quality of life. It has three general domains (physical, psychological and social) and six subdomains. Seventeen patients were tested before (t0) and retrospectively (then-test; pre-t1) and acutely postoperative (post-t1) after cochlear implantation. Observed changes, then-test changes, response shifts and effect sizes were calculated. Non-parametric statistical methods were used. Results The NCIQ total score was 52.32 ± 18.69 (mean, standard deviation) for t0, 59.29 ± 14.06 for pre-t1 and 67.65 ± 26.02 for post-t1 questioning. The observed change was statistically significant in all domains but in speech production. Response shift was statistically significant in the total score and in part of the domains. The effect sizes for the response shift were moderate (> 0.5) in the total score, psychological, social general scores and subdomains. Conclusions In this study we found that response shift does exist in adults with severe to profound hearing loss undergoing cochlear implantation. By advising the participants to deactivate the implant for the then-test, recall bias and noise were minimized. The clinical significance of the response shift was present in the total score and in the social and psychological domains. Trial Registration This study was retrospectively registered with the German Clinical Trial Register, TRN DRKS00029467, on 07/08/2022.

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Impact of Hearing Loss and Auditory Rehabilitation on Dyads: A Microsocial Perspective

Völter,

Oberländer,

Brüne

et al. 2024

J Nonverbal Behav

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Hearing loss severely hampers verbal exchange and thus social interaction, which puts a high burden on hearing-impaired and their close partners. Until now, nonverbal interaction in hearing-impaired dyads has not been addressed as a relevant factor for well-being or quality of social relationships. Nonverbal synchrony of head- and body-movement was analysed in N = 30 dyads of persons with hearing impairment (PHI) and their significant others (SO). In a 10-minute conversation before (T1) and 6 months after cochlear implantation (T2), Motion Energy Analysis (MEA) automatically quantified head- and body-movement. Self-report measures of both dyad members were used to assess aspects of quality of life and closeness in the partnership. After cochlear implantation, nonverbal synchrony showed a downward trend and was less distinct from pseudosynchrony. Higher synchrony was associated with worse hearing-related quality of life, shorter duration of hearing impairment and less closeness in the relationship. This negative association was interpreted as an indication for the effort one has to make to cope with difficulties in a dyad`s relationship. Endorsing a holistic approach in auditory rehabilitation, we propose the assessment of nonverbal synchrony as a suitable tool to detect subtle imbalances in the interpersonal relation between PHI and SO outside conscious control and to provide cues for possible therapeutical strategies.

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Third-party disability in cochlear implant users

Cited by 3 publications

References 51 publications

Perceived Health Benefits in Vestibular Schwannoma Patients with Long-Term Postoperative Headache: Insights from Personality Traits and Pain Coping—A Cross-Sectional Study

Perceived Health Benefits in Vestibular Schwannoma Patients with Long-Term Postoperative Headache: Insights from Personality Traits and Pain Coping—A Cross-Sectional Study

Response shift in hearing related quality of life after cochlear implantation – effect size and clinical significance: a then-test study

Impact of Hearing Loss and Auditory Rehabilitation on Dyads: A Microsocial Perspective

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