Department of Communicative Disorders and Deaf Education, Utah State University, Logan, Utah.
School of Speech Language Pathology and Audiology, University of Akron, Akron, Ohio.
J Am Acad Audiol. 2021 Feb;32(2):83-89. doi: 10.1055/s-0040-1718928. Epub 2020 Dec 9.
Psychosocial well-being can interfere with engagement in activities of daily life. Consideration of psychosocial domains within hearing health care can expand audiologists' ability to understand treatment barriers and provide an opportunity to jointly address challenges.
This study explored psychosocial well-being and predictors among adults who are deaf or hard of hearing (DHH).
Cross-sectional survey.
Two-hundred and sixty-nine surveys were included in the analysis.
Data were collected online. Backward elimination regression analyses were used to identify significant predictors of psychosocial well-being.
Findings indicated most (∼70-80%) of the respondents' scores were below clinical cut-off for psychological distress, self-efficacy, quality of life, overall well-being, functioning, and relationship satisfaction, with the remainder falling between mild to severe clinical cut-offs. Psychological distress was predicted by more psychological inflexibility, presence of additional disabilities, and younger age. Increased functional impairment was predicted by psychological inflexibility.
The majority of adults who are DHH in this study had positive indicators for psychosocial well-being. Screening patients for psychological flexibility could be included in standard hearing health care practices to help clinicians identify individuals who may benefit from additional or different support.
心理社会健康状况会干扰日常生活活动的参与。在听力保健中考虑心理社会领域,可以扩展听力学家理解治疗障碍的能力,并提供共同解决挑战的机会。
本研究探讨了聋人或重听成年人的心理社会幸福感及其预测因素。
横断面调查。
分析中纳入了 269 份调查。
数据通过在线收集。采用向后逐步淘汰回归分析来确定心理社会幸福感的显著预测因素。
研究结果表明,大多数(约 70-80%)受访者的心理困扰、自我效能感、生活质量、整体幸福感、功能和关系满意度得分低于临床临界值,其余得分介于轻度至重度临床临界值之间。心理不灵活性、存在其他残疾和年龄较小预测心理困扰。功能障碍增加由心理不灵活性预测。
在这项研究中,大多数聋人或重听成年人的心理社会幸福感都有积极的指标。在标准听力保健实践中,可以对患者进行心理灵活性筛查,以帮助临床医生识别可能需要额外或不同支持的个体。