David Dana, Zoizner Gil, Werner Perla
Department of Community Mental Health, University of Haifa, Israel.
Kaplan Medical Center, Rehovot, Israel.
Am J Audiol. 2018 Mar 8;27(1):126-136. doi: 10.1044/2017_AJA-17-0050.
This study explored experiences of self-stigma among older persons with age-related hearing loss (ARHL) using Corrigan's conceptualization of self-stigma process formation and the attribution model as its theoretical framework.
In-depth semistructured interviews were conducted with 11 older persons (mean age = 81 years) with ARHL.
Self-stigma was present in the lives of the participants. Analysis revealed the existence of 3 stages of self-stigma in which the 3 core dimensions of stigma (cognitive attributions: being old, stupid, and crippled; emotional reactions: shame, pity, and feeling ridiculed; and behavioral reactions: concealment, distancing, and adapting to hearing aids) were observed. Hearing devices emerged as having a significant influence on stigmatic experiences in all stages and dimensions of self-stigma.
The study contributes to the theoretical and practical understanding of self-stigma regarding ARHL as well as to the understanding of the role of hearing devices in the development of this stigma.
本研究以科里根的自我污名化过程形成概念化及归因模型为理论框架，探讨了老年年龄相关性听力损失（ARHL）患者的自我污名化经历。
对11名患有ARHL的老年人（平均年龄 = 81岁）进行了深入的半结构化访谈。
自我污名化存在于参与者的生活中。分析揭示了自我污名化的3个阶段，其中观察到污名化的3个核心维度（认知归因：年老、愚蠢和残疾；情绪反应：羞耻、怜悯和被嘲笑的感觉；行为反应：隐瞒、疏远和适应助听器）。听力设备在自我污名化的所有阶段和维度中对污名化经历都有显著影响。
该研究有助于从理论和实践上理解与ARHL相关的自我污名化，以及理解听力设备在这种污名化形成过程中的作用。
