Knutson J F, Lansing C R
University of Iowa, Iowa City.
J Speech Hear Disord. 1990 Nov;55(4):656-64. doi: 10.1044/jshd.5504.656.
Communication strategies, accommodations to deafness, and perceptions of the communication environment by profoundly deaf subjects were correlated with indices of psychosocial adjustment to determine whether accommodations to deafness could play a role in the presence of psychological difficulties among deaf persons. Persons with postlingually acquired profound deafness were administered the Communication Profile for the Hearing Impaired (CPHI) and several standardized tests of psychological functioning and adjustment. Inadequate communication strategies and poor accommodations to deafness reported on the CPHI were associated with depression, social introversion, loneliness, and social anxiety. Limited communication performance at home and with friends was related to both social introversion and the experience of loneliness; perceived attitudes and behaviors of others correlated with depression as well as loneliness. In general, the pattern of correlations obtained suggests that specific communication strategies and accommodations to deafness, rather than deafness per se, may contribute to the presence of some psychological difficulties in individuals.
极重度失聪者的沟通策略、对失聪的适应情况以及对沟通环境的认知与心理社会适应指标相关联，以确定对失聪的适应在失聪者心理困难的存在中是否能发挥作用。对语后获得性极重度失聪者进行了听力障碍沟通概况量表（CPHI）以及多项心理功能和适应的标准化测试。CPHI上报告的沟通策略不足和对失聪的适应不良与抑郁、社交内向、孤独和社交焦虑相关。在家中和与朋友相处时有限的沟通表现与社交内向和孤独体验都有关；他人的感知态度和行为与抑郁以及孤独都相关。总体而言，所获得的相关模式表明，特定的沟通策略和对失聪的适应，而非失聪本身，可能导致个体出现一些心理困难。
