PSYCHOSOCIAL AND BEHAVIORAL ADJUSTMENT TO HEARING LOSS

针对听力损失的社会心理和行为调整

• 批准号: 2126252
• 负责人: MARILYN E DEMOREST
• 金额: $ 20.39万
• 依托单位: UNIVERSITY OF MARYLAND BALTIMORE
• 依托单位国家: 美国
• 财政年份: 1993
• 资助国家: 美国
• 起止时间: 1993-04-01 至 1997-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/2126252
• 关键词: adult human (21+); angers; anxiety; audiometry; belief; case history; communication disorders; coping; data collection; deafness; depression; dyadic interaction; emotional adjustment; hearing aids; hearing disorders; human subject; human therapy evaluation; longitudinal human study; marriage /marital status; problem solving; psychological tests; psychosocial rehabilitation; questionnaires; social adjustment; spouses; statistics /biometry

The long-range goal of this research is to provide a scientific basis for rehabilitation of individuals with hearing impairment. Although it is known that hearing loss has detrimental effects on communication and psychosocial functioning, there are no systematic or comprehensive studies of psychosocial and behavioral adjustment to hearing impairment. To address this need, we will establish a multi-center clinical database on a heterogeneous population of hearing-impaired adults. Study 1 will assess communication handicap, environmental factors that exacerbate communication problems, behavioral coping strategies, and personal adjustment in a representative sample of 2,500 hearing-impaired adults. Normative data will be compiled as a function of audiometric and demographic factors. In Study 2, 1,000 cases from Study 1 will be reassessed 9 to 15 months after their initial evaluation. The follow-up samples will include individuals who have received no formal treatment intervention during that period as well as those who have acquired hearing aids and/or participated in a program of aural rehabilitation. Outcome measures will include reassessment of communication and adjustment problems and evaluation of hearing-aid benefit. Characteristics of the treatments received and individual differences assessed in Study 1 will be related to the outcome measures. Study 3 addresses the specificity of adjustment problems associated with hearing loss by obtaining concurrent measures of selected psychological constructs on a sample of 650 cases. These will include assessment of depression, anxiety, social avoidance and distress, loneliness, anger, irrational beliefs, coping styles, and personal problem-solving. In Study 4, 550 hearing-impaired individuals and their spouses will provide independent reports of problems resulting from hearing loss. This assessment of communication and adjustment problems will be related to interpersonal communication styles and overall marital satisfaction and marital adjustment. Taken together, these four studies will contribute significantly to the base of scientific knowledge on behavioral, environmental and psychosocial aspects of adjustment to hearing loss. They will also permit prediction of individual differences in adjustment and will provide a foundation for the development of comprehensive and effective methods of treatment.

这项研究的长远目标是提供科学依据 用于听力障碍人士的康复。 虽然 众所周知，听力损失会对沟通产生不利影响 和心理社会功能，没有系统或全面的 听力心理社会和行为调整的研究 损害。 为了满足这一需求，我们将建立一个多中心 异质听力障碍人群的临床数据库 成年人。 研究 1 将评估沟通障碍、环境 加剧沟通问题、行为应对的因素 2,500 名代表性样本中的策略和个人调整 有听力障碍的成年人。 规范数据将被编译为函数 听力测定和人口统计因素。 在研究 2 中，1,000 个案例来自 研究 1 将在初次评估后 9 至 15 个月进行重新评估 评估。 后续样本将包括具有以下特征的个人： 在此期间也没有接受正式的治疗干预 如那些已获得助听器和/或参加过助听器的人 听力康复计划。 结果措施将包括 重新评估沟通和调整问题并进行评估 的助听器福利。 所接受治疗的特点和 研究 1 中评估的个体差异将与 结果措施。 研究 3 讨论了调整的特殊性 通过采取并行措施解决与听力损失相关的问题 650 个案例样本中选定的心理结构。 这些 将包括对抑郁、焦虑、社交回避和社交回避的评估 痛苦、孤独、愤怒、非理性信念、应对方式以及 个人问题解决。 在研究 4 中，550 名听力障碍人士 及其配偶将提供问题的独立报告 由听力损失引起的。 此次评估沟通和 调整问题会与人际沟通有关 风格和整体婚姻满意度和婚姻调整。采取 这四项研究共同将为基础做出重大贡献 有关行为、环境和社会心理的科学知识 听力损失调整的各个方面。 他们还将允许 预测调整中的个体差异，并将提供 为制定全面有效的方法奠定基础 的治疗。