Lucas Laura, Katiri Roulla, Kitterick Pádraig Thomas
a National Institute for Health Research Nottingham Biomedical Research Centre , Nottingham , UK.
b Otology and Hearing Group, Division of Clinical Neuroscience, School of Medicine , University of Nottingham , Nottingham , UK , and.
Int J Audiol. 2018 Jan;57(1):21-30. doi: 10.1080/14992027.2017.1398420. Epub 2017 Nov 13.
This study examined the subjective psychological and social effects of highly asymmetric hearing loss (single-sided deafness [SSD]) in adults.
Three group interviews were conducted using the critical incident technique and analysed using an inductive thematic analysis.
Eight adults with a clinical diagnosis of a moderately severe hearing loss or greater in one ear and normal or near-normal hearing in the other ear.
A range of functional hearing difficulties associated with SSD including impaired speech in background noise and reduced spatial awareness were reported to affect social and psychological well-being. Social consequences of SSD resulted from activity limitations and participation restrictions including withdrawal from and within situations. Participants reported psychological effects including worrying about losing the hearing in their other ear, embarrassment related to the social stigma attached to hearing loss and reduced confidence and belief in their abilities to participate.
Single-sided deafness can be associated with many negative consequences. Counselling may help overcome the psychological consequences of hearing loss regardless of whether technological support such as a hearing aid is prescribed. The audiological management of these individuals should support the development of listening strategies and set appropriate expectations for participation in everyday listening situations.
本研究调查了成人高度不对称听力损失（单侧耳聋[SSD]）的主观心理和社会影响。
采用关键事件技术进行了三组访谈，并使用归纳主题分析法进行分析。
八名临床诊断为一只耳朵中度严重或更严重听力损失且另一只耳朵听力正常或接近正常的成年人。
据报告，一系列与SSD相关的功能性听力困难，包括背景噪声中言语受损和空间感知能力下降，会影响社会和心理健康。SSD的社会后果源于活动受限和参与受限，包括在各种情况下退缩。参与者报告了心理影响，包括担心另一只耳朵听力丧失、因听力损失的社会耻辱感而感到尴尬，以及对自己参与能力的信心和信念下降。
单侧耳聋可能与许多负面后果相关。无论是否开具助听器等技术支持，咨询可能有助于克服听力损失的心理后果。对这些个体的听力学管理应支持听力策略的发展，并为参与日常听力情境设定适当期望。
