Phonak AG, Stäfa, Switzerland.
Department of Psychology, Ryerson University, Toronto, Canada.
Ear Hear. 2019 Mar/Apr;40(2):260-271. doi: 10.1097/AUD.0000000000000611.
The objectives of this research were to develop and evaluate a self-report questionnaire (the Emotional Communication in Hearing Questionnaire or EMO-CHeQ) designed to assess experiences of hearing and handicap when listening to signals that contain vocal emotion information.
Study 1 involved internet-based administration of a 42-item version of the EMO-CHeQ to 586 adult participants (243 with self-reported normal hearing [NH], 193 with self-reported hearing impairment but no reported use of hearing aids [HI], and 150 with self-reported hearing impairment and use of hearing aids [HA]). To better understand the factor structure of the EMO-CHeQ and eliminate redundant items, an exploratory factor analysis was conducted. Study 2 involved laboratory-based administration of a 16-item version of the EMO-CHeQ to 32 adult participants (12 normal hearing/near normal hearing (NH/nNH), 10 HI, and 10 HA). In addition, participants completed an emotion-identification task under audio and audiovisual conditions.
In study 1, the exploratory factor analysis yielded an interpretable solution with four factors emerging that explained a total of 66.3% of the variance in performance the EMO-CHeQ. Item deletion resulted in construction of the 16-item EMO-CHeQ. In study 1, both the HI and HA group reported greater vocal emotion communication handicap on the EMO-CHeQ than on the NH group, but differences in handicap were not observed between the HI and HA group. In study 2, the same pattern of reported handicap was observed in individuals with audiometrically verified hearing as was found in study 1. On the emotion-identification task, no group differences in performance were observed in the audiovisual condition, but group differences were observed in the audio alone condition. Although the HI and HA group exhibited similar emotion-identification performance, both groups performed worse than the NH/nNH group, thus suggesting the presence of behavioral deficits that parallel self-reported vocal emotion communication handicap. The EMO-CHeQ was significantly and strongly (r = -0.64) correlated with performance on the emotion-identification task for listeners with hearing impairment.
The results from both studies suggest that the EMO-CHeQ appears to be a reliable and ecologically valid measure to rapidly assess experiences of hearing and handicap when listening to signals that contain vocal emotion information.
本研究旨在开发并评估一种自我报告问卷（情绪沟通听力问卷或 EMO-CHeQ），用于评估听力和听力障碍患者在聆听包含言语情绪信息的信号时的体验。
研究 1 通过互联网向 586 名成年参与者（243 名自我报告正常听力[NH]，193 名自我报告听力障碍但未报告使用助听器[HI]，150 名自我报告听力障碍且使用助听器[HA]）发放了 42 项 EMO-CHeQ 版本。为了更好地理解 EMO-CHeQ 的因子结构并消除冗余项目，进行了探索性因子分析。研究 2 通过实验室向 32 名成年参与者（12 名正常听力/接近正常听力[NH/nNH]，10 名 HI，10 名 HA）发放了 16 项 EMO-CHeQ 版本。此外，参与者在音频和视听条件下完成了情绪识别任务。
在研究 1 中，探索性因子分析得出了一个可解释的解决方案，其中出现了四个因子，共解释了 EMO-CHeQ 表现的 66.3%的方差。项目删除导致了 16 项 EMO-CHeQ 的构建。在研究 1 中，HI 和 HA 组在 EMO-CHeQ 上报告的言语情绪沟通障碍均大于 NH 组，但 HI 和 HA 组之间的障碍差异不显著。在研究 2 中，在经过听力验证的个体中观察到了与研究 1 相同的报告障碍模式。在情绪识别任务中，在视听条件下没有观察到组间差异，但在仅音频条件下观察到了组间差异。尽管 HI 和 HA 组表现出相似的情绪识别表现，但两组的表现均不如 NH/nNH 组，这表明存在与自我报告的言语情绪沟通障碍平行的行为缺陷。EMO-CHeQ 与听力障碍患者在聆听包含言语情绪信息的信号时的情绪识别任务表现显著且强烈相关（r=-0.64）。
两项研究的结果均表明，EMO-CHeQ 似乎是一种可靠且具有生态效度的测量方法，可快速评估听力和听力障碍患者在聆听包含言语情绪信息的信号时的体验。
