Kricos Patricia B, Erdman Sue, Bratt Gene W, Williams David W
Center for Gerontological Studies and Department of Communication Sciences and Disorders, University of Florida, P.O. Box 117420, Gainesville, FL 32611-7420, USA.
J Am Acad Audiol. 2007 Apr;18(4):304-22. doi: 10.3766/jaaa.18.4.5.
Despite considerable evidence regarding the detrimental effects of untreated hearing loss, there continues to be an underutilization of hearing aids by adults. The Long Term Follow-Up of Patients in the National Institute on Deafness and Other Communication Disorders/Veterans Affairs (NIDCD/VA) Hearing Aid Clinical Trial (Cooperative Studies Program [CSP] 418-A) provided the opportunity to compare a number of potential psychosocial influences and outcomes for hearing aid users and nonusers from the original CSP 418 study. The Communication Profile for the Hearing Impaired (CPHI) results provide compelling evidence of hearing aid benefit. Mean Communication Performance (CP) scores for hearing aid users on the Social, Work, and Home scales improved significantly from the original CSP 418 administration. For nonusers, there were no significant CPHI changes from the previous administration. Although hearing aid users and nonusers did not differ in optimism, this parameter was correlated with personal adjustment, measured via the CPHI. Hearing aid use was associated with the perception of major life events, such as illness, retirement, and so forth.
尽管有大量证据表明未经治疗的听力损失会产生有害影响，但成年人对助听器的使用仍然不足。美国国立耳聋及其他交流障碍研究所/退伍军人事务部（NIDCD/VA）助听器临床试验（合作研究项目[CSP]418-A）中的患者长期随访，提供了一个机会，来比较原始CSP 418研究中助听器使用者和非使用者的一些潜在心理社会影响及结果。听力受损者交流概况（CPHI）的结果提供了助听器有益效果的有力证据。在社交、工作和家庭量表上，助听器使用者的平均交流表现（CP）得分相比原始CSP 418测试时有显著提高。对于非使用者，与上一次测试相比，CPHI没有显著变化。尽管助听器使用者和非使用者在乐观程度上没有差异，但这个参数与通过CPHI测量的个人适应情况相关。使用助听器与对重大生活事件的认知有关，如疾病、退休等。
