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抑郁症状会影响人工耳蜗使用者的短期和长期言语识别结果。

Depressive symptoms affect short- and long-term speech recognition outcome in cochlear implant users.

机构信息

CICERO-Cochlear Implant Centrum, ENT-Clinic, Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU), Waldstr. 1, 91054, Erlangen, Germany.

出版信息

Eur Arch Otorhinolaryngol. 2021 Feb;278(2):345-351. doi: 10.1007/s00405-020-06096-3. Epub 2020 Jun 5.

DOI:10.1007/s00405-020-06096-3
PMID:32504200
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7826306/
Abstract

PURPOSE

To investigate the impact of the amount of depressive symptoms in cochlear implant (CI) recipients on the development of speech recognition after CI-activation up to 2 years.

DESIGN

Retrospective data analysis of a German short form of the Beck Depression Inventory given at initial activation of the implant in relation to monosyllabic word recognition score at conversational level at initial activation and at 3 months, 1 and 2-year follow-up measurements.

STUDY SAMPLE

Thirty-one CI-patients (11 female, 20 male) aged between 41 and 83 (M = 64.77, SD = 10.43) who were German native speakers, postlingually deafened, with severe hearing loss in both sides but unilaterally implanted (19 right-sided, 12 left-sided).

RESULTS

The amount of depressive symptoms at initial activation was negatively correlated with the monosyllabic recognition score after 3 months and after 1 year of implant use.

CONCLUSION

The psychological status in terms of depressive symptoms is an important parameter regarding the rehabilitative outcome of CI-patients. Care staff and CI-users should be sensitized to the link between depressive symptoms and the development of speech recognition with CI.

摘要

目的

调查植入人工耳蜗(CI)后患者抑郁症状的严重程度对 CI 激活后 2 年内言语识别能力发展的影响。

设计

对德国 Beck 抑郁量表短表在人工耳蜗初始激活时的评估结果与初始激活和 3 个月、1 年及 2 年随访时会话水平的单音节词识别得分进行相关性分析。

研究样本

31 名 CI 患者(11 名女性,20 名男性),年龄在 41 至 83 岁之间(M=64.77,SD=10.43),均为母语为德语、后天失聪、双耳重度听力损失但单侧植入(19 名右侧,12 名左侧)。

结果

初始激活时的抑郁症状严重程度与 3 个月后和 1 年后的单音节识别得分呈负相关。

结论

在考虑 CI 患者康复结果时,抑郁症状等心理状况是一个重要参数。医护人员和 CI 用户应意识到抑郁症状与 CI 言语识别能力发展之间的联系。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2681/7826306/b806dc674aaa/405_2020_6096_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2681/7826306/b806dc674aaa/405_2020_6096_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2681/7826306/b806dc674aaa/405_2020_6096_Fig1_HTML.jpg

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Otol Neurotol. 2019 Aug;40(7):e686-e693. doi: 10.1097/MAO.0000000000002248.
2
Maximum preimplantation monosyllabic score as predictor of cochlear implant outcome.植入前最大单音节评分作为人工耳蜗植入效果的预测指标。
HNO. 2019 Jun;67(Suppl 2):62-68. doi: 10.1007/s00106-019-0648-0.
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Cortical auditory evoked potentials in cochlear implant listeners via single electrode stimulation in relation to speech perception.
人工耳蜗植入者通过单电极刺激产生的皮质听觉诱发电位与言语感知的关系。
Int J Audiol. 2018 Dec;57(12):933-940. doi: 10.1080/14992027.2018.1514469. Epub 2018 Oct 8.
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[Subjective improvement of hearing through cochlear implantation].[通过人工耳蜗植入实现听力的主观改善]
HNO. 2018 Aug;66(8):613-620. doi: 10.1007/s00106-018-0529-y.
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Three challenges for future research on cochlear implants.人工耳蜗未来研究面临的三大挑战。
World J Otorhinolaryngol Head Neck Surg. 2018 Jan 2;3(4):240-254. doi: 10.1016/j.wjorl.2017.12.010. eCollection 2017 Dec.
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Meta-analysis of Cochlear Implantation Outcomes Evaluated With General Health-related Patient-reported Outcome Measures.采用一般健康相关患者报告结局指标评估人工耳蜗植入效果的Meta分析。
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