McKenna L
Br J Audiol. 1986 Feb;20(1):29-34. doi: 10.3109/03005368609078995.
The use of a cochlear implant (CI) to restore some acoustical input to patients with complete acquired hearing loss may be expected to result in changes in their psychological functioning. CI programmes should therefore include a careful psychological screening of all candidates and subsequent psychological assessments of patients who receive implants. Procedures used in the psychological assessment of CI candidates and patients outlined in the literature, as well as those used in the Royal Ear Hospital (REH) programme, are discussed. It is concluded that standard psychological tests of personality and intellectual functioning are of limited value in the screening of CI candidates and the postoperative evaluation of patients. It is proposed that more useful information be obtained by an analysis of the possible functional value of the implant to each individual candidate and by assessment of actual postoperative changes in the patient's behaviour. Unless an implant leads to improvements in the patient's psychosocial functioning, the device is unlikely to be used. Examples of this approach in assessing the REH candidates and patients are given.
使用人工耳蜗（CI）为完全后天性听力丧失患者恢复一些声学输入，可能会导致其心理功能发生变化。因此，人工耳蜗项目应包括对所有候选人进行仔细的心理筛查，并对接受植入的患者进行后续心理评估。本文将讨论文献中概述的用于人工耳蜗候选人和患者心理评估的程序，以及皇家耳科医院（REH）项目中使用的程序。得出的结论是，人格和智力功能的标准心理测试在人工耳蜗候选人的筛查和患者的术后评估中价值有限。建议通过分析植入物对每个个体候选人的可能功能价值以及评估患者术后行为的实际变化来获取更有用的信息。除非植入物能改善患者的心理社会功能，否则该设备不太可能被使用。文中给出了在评估REH候选人和患者时这种方法的示例。
