Department of Otolaryngology-Head and Neck Surgery, section Ear & Hearing, Amsterdam Public Health research institute, VU University Medical Center, Amsterdam, The Netherlands.
Clin Otolaryngol. 2018 Jun;43(3):828-834. doi: 10.1111/coa.13055. Epub 2018 Feb 19.
This study aimed to examine the psychosocial health status of adult cochlear implant (CI) users, compared to that of hearing aid (HA) users, hearing-impaired adults without hearing aids and normally hearing adults.
Cross-sectional observational study, using both self-reported survey data and a speech-in-noise test.
Data as collected within the Netherlands Longitudinal Study on Hearing (NL-SH) between September 2011 and June 2016 were used.
Data from 1254 Dutch adults (aged 23-74), selected in a convenience sample design, were included for analyses.
Psychosocial health measures included emotional and social loneliness, anxiety, depression, distress and somatisation. Psychosocial health, hearing status, use of hearing technology and covariates were measured by self-report; hearing ability was assessed through an online digit triplet speech-in-noise test.
After adjusting for the degree of hearing impairment, HA users (N = 418) and hearing-impaired adults (N = 247) had significantly worse scores on emotional loneliness than CI users (N = 37). HA users had significantly higher anxiety scores than CI users in some analyses. Non-significant differences were found between normally hearing (N = 552) and CI users for all psychosocial outcomes.
Psychosocial health of CI users is not worse than that of hearing-impaired adults with or without hearing aids. CI users' level of emotional loneliness is even lower than that of their hearing-impaired peers using hearing aids. A possible explanation is that CI patients receive more professional and family support, and guidance along their patient journey than adults who are fitted with hearing aids.
本研究旨在比较成人人工耳蜗（CI）使用者与助听器（HA）使用者、未使用助听器的听力受损成年人和正常听力成年人的社会心理健康状况。
使用自我报告调查数据和噪声下言语测试的横断面观察性研究。
使用 2011 年 9 月至 2016 年 6 月期间在荷兰听力纵向研究（NL-SH）中收集的数据。
对便利样本设计中选择的 1254 名荷兰成年人（年龄 23-74 岁）的数据进行了分析。
社会心理健康测量包括情感和社交孤独感、焦虑、抑郁、痛苦和躯体化。社会心理健康、听力状况、听力技术的使用和协变量通过自我报告进行测量；听力能力通过在线数字三音节噪声下言语测试进行评估。
在调整听力损伤程度后，HA 使用者（N=418）和听力受损成年人（N=247）的情感孤独感评分明显比 CI 使用者（N=37）差。在某些分析中，HA 使用者的焦虑评分明显高于 CI 使用者。在所有社会心理结果中，正常听力者（N=552）与 CI 使用者之间未发现显著差异。
CI 使用者的社会心理健康状况并不比使用助听器或未使用助听器的听力受损成年人差。CI 使用者的情感孤独感水平甚至低于使用助听器的听力受损同龄人。一种可能的解释是，CI 患者在其患者旅程中比佩戴助听器的成年人获得更多的专业和家庭支持以及指导。
