Department of Otolaryngology and Communication Sciences, Medical College of Wisconsin.
Medical College of Wisconsin.
Otol Neurotol. 2022 Sep 1;43(8):e888-e894. doi: 10.1097/MAO.0000000000003621.
To characterize the degree to which individual coping strategies may influence speech perception after cochlear implantation.
Retrospective cohort study.
Tertiary referral center.
Adult, postlingually deaf cochlear implant recipients.
The Coping Orientation to Problems Experience inventory, a validated, multidimensional self-reported coping scale, was administered preoperatively.
Speech perception was measured using consonant-nucleus-consonant (CNC) phoneme and word scores, AzBio sentence accuracy in quiet and noise, and Hearing in Noise Test sentences in quiet preoperatively and at 1, 3, and 6 months postoperatively. Quality of life was measured with the Hearing Implant Sound Quality Index and the Nijmegen Cochlear Implant Questionnaire.
Thirty-six patients were included in this study. Mean age at surgery was 70.7 ± 11.4 years. Acceptance was associated with a decreased AzBio in noise score in the 6 months after CI (regression coefficient b = -0.05; 95% confidence interval [CI], -0.07 to -0.03; p < 0.01). Denial was associated with a decreased AzBio in quiet score (b = -0.05; 95% CI, -0.09 to -0.01; p < 0.05), whereas humor was associated with an increased AzBio in quiet score (b = 0.02; 95% CI, 0.01 to 0.04; p < 0.05). Humor was also associated with an increased Hearing in Noise Test score (b = 0.05; 95% CI, 0.02 to 0.07; p < 0.05). Denial was associated with decreased CNC word (b = -0.04; 95% CI, -0.06 to -0.02; p < 0.01) and phoneme (b = -0.04; 95% CI, -0.07 to -0.02; p < 0.01) scores, whereas substance use was associated with increased CNC word (b = 0.03; 95% CI, 0.01 to 0.05, p < 0.01) and phoneme (b = 0.04; 95% CI, 0.02 to 0.06; p < 0.01) scores. Scores on self-reported quality of life measures were not significantly correlated with coping strategies.
A variety of adaptive and maladaptive coping strategies are used by postlingually deaf adult cochlear implant users. Denial and acceptance may be more predictive of poor speech performance, whereas humor and substance use may be more predictive of improved speech performance.
描述个体应对策略在多大程度上可能影响人工耳蜗植入后的言语感知。
回顾性队列研究。
三级转诊中心。
成年后天聋的人工耳蜗植入者。
在术前使用应对方式量表（一种经过验证的多维自我报告应对量表）进行评估。
在术前及术后 1、3 和 6 个月，使用辅音-核-辅音（CNC）音位和单词得分、安静和噪声中的 AzBio 句子准确率以及安静中的噪声下测试句子来测量言语感知。使用人工耳蜗声音质量指数和奈梅亨人工耳蜗问卷来测量生活质量。
本研究共纳入 36 例患者。手术时的平均年龄为 70.7 ± 11.4 岁。接受与植入后 6 个月的噪声环境下的 AzBio 得分下降相关（回归系数 b = -0.05；95%置信区间 [CI]，-0.07 至 -0.03；p < 0.01）。否认与安静环境下的 AzBio 得分下降相关（b = -0.05；95% CI，-0.09 至 -0.01；p < 0.05），而幽默与安静环境下的 AzBio 得分增加相关（b = 0.02；95% CI，0.01 至 0.04；p < 0.05）。幽默与噪声下测试的得分增加相关（b = 0.05；95% CI，0.02 至 0.07；p < 0.05）。否认与 CNC 单词（b = -0.04；95% CI，-0.06 至 -0.02；p < 0.01）和音位（b = -0.04；95% CI，-0.07 至 -0.02；p < 0.01）得分降低有关，而物质使用与 CNC 单词（b = 0.03；95% CI，0.01 至 0.05，p < 0.01）和音位（b = 0.04；95% CI，0.02 至 0.06；p < 0.01）得分增加有关。自我报告的生活质量指标得分与应对策略无显著相关性。
后天聋的成年人工耳蜗植入者使用各种适应性和不适应性的应对策略。否认和接受可能与言语表现较差相关，而幽默和物质使用可能与言语表现提高相关。
