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Cochlear implants in adults with partial deafness: subjective benefits but associated psychological distress

PURPOSE: The present study investigated adults with partial deafness (PD) and asked them to rate the benefits of their cochlear implant (CI), their general level of satisfaction with it, and their level of psychological distress. Of particular interest was the role of gender. METHODS: The study comp...

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Autores principales: Kobosko, Joanna, Jedrzejczak, W. Wiktor, Barej, Anna, Pankowska, Agnieszka, Geremek-Samsonowicz, Anna, Skarzynski, Henryk
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8057983/
https://www.ncbi.nlm.nih.gov/pubmed/32671540
http://dx.doi.org/10.1007/s00405-020-06199-x
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author Kobosko, Joanna
Jedrzejczak, W. Wiktor
Barej, Anna
Pankowska, Agnieszka
Geremek-Samsonowicz, Anna
Skarzynski, Henryk
author_facet Kobosko, Joanna
Jedrzejczak, W. Wiktor
Barej, Anna
Pankowska, Agnieszka
Geremek-Samsonowicz, Anna
Skarzynski, Henryk
author_sort Kobosko, Joanna
collection PubMed
description PURPOSE: The present study investigated adults with partial deafness (PD) and asked them to rate the benefits of their cochlear implant (CI), their general level of satisfaction with it, and their level of psychological distress. Of particular interest was the role of gender. METHODS: The study comprised 71 participants (41 females) with PD who had been provided with a CI. The Nijmegen Cochlear Implant Questionnaire (NCIQ) was used to assess the benefits of their CI. Satisfaction with their CI was measured using a visual analog scale. The severity of mental distress was assessed with the General Health Questionnaire (GHQ-28). RESULTS: On various NCIQ scales, the average benefits of a CI were rated at 66%. Females gave a lower rating than males. The mental distress experienced by the group was significantly higher than in the general population. Females had more severe symptoms of anxiety and insomnia than males. There was a significant relationship between psychological distress and CI benefit, but only in females. Besides general distress, the most affected spheres were related to psychosocial functioning—“self-esteem”, “activity limitation”, and “social interaction”. Contrary to expectations, there was no relationship between mental distress and CI satisfaction. CONCLUSIONS: The perceived benefits of a CI in subjects with PD relate mostly to the level of mental distress, although gender is an important factor. For females, their emotional state affects how beneficial their CI is perceived. Due to the higher levels of mental distress, females tend to need more psychological intervention and support.
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spelling pubmed-80579832021-05-05 Cochlear implants in adults with partial deafness: subjective benefits but associated psychological distress Kobosko, Joanna Jedrzejczak, W. Wiktor Barej, Anna Pankowska, Agnieszka Geremek-Samsonowicz, Anna Skarzynski, Henryk Eur Arch Otorhinolaryngol Otology PURPOSE: The present study investigated adults with partial deafness (PD) and asked them to rate the benefits of their cochlear implant (CI), their general level of satisfaction with it, and their level of psychological distress. Of particular interest was the role of gender. METHODS: The study comprised 71 participants (41 females) with PD who had been provided with a CI. The Nijmegen Cochlear Implant Questionnaire (NCIQ) was used to assess the benefits of their CI. Satisfaction with their CI was measured using a visual analog scale. The severity of mental distress was assessed with the General Health Questionnaire (GHQ-28). RESULTS: On various NCIQ scales, the average benefits of a CI were rated at 66%. Females gave a lower rating than males. The mental distress experienced by the group was significantly higher than in the general population. Females had more severe symptoms of anxiety and insomnia than males. There was a significant relationship between psychological distress and CI benefit, but only in females. Besides general distress, the most affected spheres were related to psychosocial functioning—“self-esteem”, “activity limitation”, and “social interaction”. Contrary to expectations, there was no relationship between mental distress and CI satisfaction. CONCLUSIONS: The perceived benefits of a CI in subjects with PD relate mostly to the level of mental distress, although gender is an important factor. For females, their emotional state affects how beneficial their CI is perceived. Due to the higher levels of mental distress, females tend to need more psychological intervention and support. Springer Berlin Heidelberg 2020-07-15 2021 /pmc/articles/PMC8057983/ /pubmed/32671540 http://dx.doi.org/10.1007/s00405-020-06199-x Text en © The Author(s) 2020 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Otology
Kobosko, Joanna
Jedrzejczak, W. Wiktor
Barej, Anna
Pankowska, Agnieszka
Geremek-Samsonowicz, Anna
Skarzynski, Henryk
Cochlear implants in adults with partial deafness: subjective benefits but associated psychological distress
title Cochlear implants in adults with partial deafness: subjective benefits but associated psychological distress
title_full Cochlear implants in adults with partial deafness: subjective benefits but associated psychological distress
title_fullStr Cochlear implants in adults with partial deafness: subjective benefits but associated psychological distress
title_full_unstemmed Cochlear implants in adults with partial deafness: subjective benefits but associated psychological distress
title_short Cochlear implants in adults with partial deafness: subjective benefits but associated psychological distress
title_sort cochlear implants in adults with partial deafness: subjective benefits but associated psychological distress
topic Otology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8057983/
https://www.ncbi.nlm.nih.gov/pubmed/32671540
http://dx.doi.org/10.1007/s00405-020-06199-x
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