Hallberg Lillemor R M, Hallberg Ulrika, Kramer Sophia E
School of Social and Health Sciences, Halmstad University, Sweden.
Disabil Rehabil. 2008;30(3):203-12. doi: 10.1080/09638280701228073.
The aims were to (i) translate the Amsterdam Inventory for Auditory Disability and Handicap (AIADH) into Swedish and evalute its usefulness, (ii) describe hearing difficulties and psychological well-being (quality of life) and (iii) explore variables related to psychological well-being in a Swedish population.
Seventy-nine consecutive patients, referred to the hearing clinic for hearing examination and audiological rehabilitation, formed the study sample. Along with pure-tone audiometry, the AIADH, the Psychological General Well-being index and the Communication Strategies Scale were used.
Men had significantly worse hearing on the high frequencies (2, 3, 4 and 6 kHz) than women but their quality of life was significantly higher than for women. Men scored significantly lower on 'auditory localization' and adopted non-verbal communication strategies less often than women. A stepwise regression analysis showed that 'maladaptive behaviours' and 'intelligibility in quiet' explained 48% of the variance in quality of life.
Psychosocial consequences of hearing loss, such as lowered quality of life, cannot be predicted from audiometric data alone. The adverse relationship between maladaptive behaviour and quality of life emphasizes the relevance of developing training programs aiming to improve coping with the consequences of a hearing impairment. The AIADH may be useful in assessing self-reported difficulties among patients with hearing problems, but needs to be further developed in terms of psychometric evaluations and reliability testings based on a larger representative sample.
旨在（i）将阿姆斯特丹听觉残疾与障碍量表（AIADH）翻译成瑞典语并评估其效用，（ii）描述听力困难与心理健康（生活质量），以及（iii）在瑞典人群中探索与心理健康相关的变量。
连续79名转诊至听力诊所进行听力检查和听力学康复的患者构成了研究样本。除纯音听力测试外，还使用了AIADH、心理总体幸福感指数和沟通策略量表。
男性在高频（2、3、4和6千赫）的听力明显比女性差，但他们的生活质量明显高于女性。男性在“听觉定位”方面得分显著较低，且比女性更少采用非言语沟通策略。逐步回归分析表明，“适应不良行为”和“安静环境下的可懂度”解释了生活质量差异的48%。
听力损失的心理社会后果，如生活质量降低，不能仅从听力测量数据中预测。适应不良行为与生活质量之间的不利关系强调了制定旨在改善应对听力障碍后果的培训计划的相关性。AIADH可能有助于评估听力问题患者自我报告的困难，但需要基于更大的代表性样本在心理测量评估和可靠性测试方面进一步完善。
