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Elderly hearing-impaired persons’ coping behavior

Abstract

Little is known about the coping behaviors associated with hearing impairment. In this study, 24 elderly hearing-impaired participants participated in a structured video interview including communication faults (provocations) presented in association with sounds. The participants also completed measures of self-perceived hearing handicap, optimism, and depression. Several behaviors were coded independently by two observers using a rating scale that reached an average Cohen’s kappa of .75. A more conservative estimate resulted in a kappa of .50. Results showed that the provocations affected behavior differently. Especially problematic for the participants was a provocation in which the interviewer talked with his hand in front of his mouth. With one exception, no gender differences were found. Few significant relations between the assessed behaviors and self-assessed handicap, optimism, and depression were found. Hearing measurements (pure tone average and speech recognition) were not clearly related with the coping behaviors assessed, Behavioral observation techniques designed for the elderly hearing impaired should be further studied.

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References

  • Andersson, G. (1995), Hearing as behaviour. Psychological aspects of acquired hearing impairment in the elderly. Comprehensive summaries of Uppsala dissertations from the Faculty of Social Sciences, 53. Uppsala, Sweden: Acta Universitas Upsaliensis.

    Google Scholar 

  • Andersson, G., Melin, L., Lindberg, P., & Scott, B. (1995). Development of a short scale for self-assessment of experiences of hearing impairment: The Hearing Coping Assessment. Scandinavian Audiotogy, 24, 147–154.

    Google Scholar 

  • Andersson, G., Melin, L., Scott, B., & Lindberg, P. (1995). An evaluation of a behavioural treatment approach to hearing impairment. Behaviour Research and Therapy, 33, 283–292.

    PubMed  Article  Google Scholar 

  • Bakeman, R., & Gottman, J. M. (1986). Observing interaction: An introduction to sequential analysis Cambridge, England: Cambridge University Press.

    Google Scholar 

  • Beck, A. T., Steer, R. A., & Garbin, M. G. (1988). Psychometric properties of the Beck Depression Inventory: Twenty-five years of evaluation. Clinical Psychology Review, 8, 77–100.

    Article  Google Scholar 

  • Beck, A. T., Ward, C. H., Mendelson, M., Mock, J., & Erbaugh, J. (1961), An inventory for measuring depression. Archives of General Psychiatry, 4, 561–571.

    PubMed  Google Scholar 

  • Brooks, D. N. (1989). Attitude factors and hearing-aid orientation. In D. N. Brooks (Ed.), Adult aura rehabilitation (pp. 68-B4). London: Chapman and Hall.

    Google Scholar 

  • Byrne, D. (1989). Technical aspects of hearing aids. In D. N. Brooks (Ed.), Adult aural rehabilitation (pp. 48–67). London: Chapman and Hall.

    Google Scholar 

  • Calvani, D. (1985). How well do your clients cope with hearing loss? Journal of Gerontological Nursing, 11, 16–20.

    PubMed  Google Scholar 

  • Davis, A. C. (1989). The prevalence of hearing impairment and reported hearing disability among adults in Great Britain. International Journal of Epidemiology, 18, 911–917.

    PubMed  Article  Google Scholar 

  • Demorest, M. E., & Erdman, S. A. (1986). Scale composition and item analysis of the communication profile for the hearing impaired. Journal of Speech and Hearing Research, 29, 515–535.

    PubMed  Google Scholar 

  • Demorest, M. E., & Erdman, S. A. (1989). Relationships among behavioral, environmental, and affective communication variables: A canonical analysis of the CPHI. Journal of Speech and Hearing Disorders, 54, 180–188.

    PubMed  Google Scholar 

  • Dowrick, P. W. (1991). Practical guide to using video in the behavioral sciences. New York: Wiley.

    Google Scholar 

  • Evans, B. J., Stanley, R. O., Coman, G. J., & Sinnott, V. (1992). Measuring medical students communication skills: Development and evaluation of an interview rating scale. Psychology and Health, 6, 213–225.

    Article  Google Scholar 

  • Gallagher, D., Nies, G., & Thompson, L. W. (1982). Reliability of the Beck Depression Inventory with older adults. Journal of Consulting and Clinical Psychology, 50, 152–153.

    PubMed  Article  Google Scholar 

  • Hallberg, L. R. M. (1992) Hearing impairment, coping and perceived handicap in middle-aged individuals with acquired hearing loss: An interactional perspective. Unpublished doctoral dissertation, Department of Psychology, University of Göteborg, Sweden.

    Google Scholar 

  • Hallberg, L. R. M., & Carlsson, S. G. (1991a), Hearing impairment, coping and perceived hearing handicap in middle-aged subjects with acquired hearing loss. British Journal of Audiology, 25, 323–330.

    PubMed  Article  Google Scholar 

  • Hallberg, L. R. M., & Carlsson, S. G. (1991b). A qualitative study of strategies for managing a hearing impairment. British Journal of Audiology, 25, 201–211.

    PubMed  Article  Google Scholar 

  • Hétu, R., Lalande, M., & Getty, L. (1987). Psychological disadvantages associated with occupational hearing loss as experienced in the family. Audiology, 26, 141–152.

    PubMed  Article  Google Scholar 

  • Hétu, R., Riverin, L., Getty, L., Lalande, N., & St-Cyr, C. (1990). The reluctance to acknowledge hearing difficulties among bearing-impaired workers. British Journal of Audiology, 24, 265–276.

    PubMed  Article  Google Scholar 

  • Johansson, K., Rönnberg, J., & Lyxell, B. (1991). Contrasting subjective judgment and objective tests in the hearing impaired. Scandinavian Audiology, 20, 91–99.

    PubMed  Google Scholar 

  • Kaplan, R. M. (1990). Behavior as the central outcome in health care. American Psychologist, 45, 1211–1220.

    PubMed  Article  Google Scholar 

  • Kirk, R. E. (1982). Experimental design: Procedures for the behavioral sciences (2nd ed). Pacific Grove, CA: Brooks/Cole.

    Google Scholar 

  • Kyle, J. G., Jones, L. G., & Wood, P. L. (1985). Adjustment to acquired hearing loss: A working model. In H. Orlans (Ed), Adjustment to adult hearing loss (pp. 119–138). London: Taylor & Francis.

    Google Scholar 

  • La Rue, A., & McCreary, C. (1991), Emerging issues in the care of the elderly. In J. J. Sweel, R. H. Rozensky, & S. M. Tovian (Eds.), Handbook of clinical psychology in medical settings (pp. 223–248). New York: Plenum.

    Google Scholar 

  • Lazarus, R. S. (1993). Coping theory and research: Past, present, and future. Psychosomatic Medicine, 55, 234–247.

    PubMed  Google Scholar 

  • Lazarus, R. S., & Folkman, S. (1984). Coping and adaption. In W. D. Gentry (Ed.), Handbook of behavioral medicine (pp. 282–325). New York: Guilford.

    Google Scholar 

  • Lidén, G., & Arlinger, S. (1985). Hörselmätningsmetoder [Methods of hearing measurement]. In G. Lidén (Ed.), Audiologi (pp. 85–148). Stockholm: Almqvist & Wiksell.

    Google Scholar 

  • Lyxell, B., & Rönnberg, J. (1985). Guessing and speechreading. British Journal of Audiology, 21, 13–20.

    Article  Google Scholar 

  • Nadol, J. B. (1993). Medical progress. Hearing loss. New England Journal of Medicine, 329(15), 1092–1102.

    PubMed  Article  Google Scholar 

  • Palumbo, M. V. (1990). Hearing access 2000. Increasing awareness of the hearing impaired. Journal of Gerontological Nursing, 16, 26–31

    PubMed  Google Scholar 

  • Perry, J. C. (1992). Problems and considerations in the valid assessment of personality disorders. American Journal of Psychiatry, 149, 1645–1653.

    PubMed  Google Scholar 

  • Scheier, M. R., & Carver, C. S. (1985). Optimism, coping, and health: Assessment and implications of generalized outcome expectancies. Health Psychology, 4, 219–247.

    PubMed  Article  Google Scholar 

  • Scheier, M. F.,& Carver, C. S. (1992). Effects of optimism on psychological and physical well-being: Theoretical overview and empirical update. Cognitive Therapy and Research, 16, 210–228.

    Article  Google Scholar 

  • Schow, R. L., & Gatehouse, S. (1990). Fundamental issues in self-assessment of hearing. Ear and Hearing, 11, 6–16.

    Google Scholar 

  • Scott, B., Lindberg, P., Melin, L., & Lyttkens, L. (1994). Control and dispositional style among the hearing impaired in communication situations. Audiology, 33, 177–184.

    PubMed  Article  Google Scholar 

  • Shimon, D. A. (1992), Coping with hearing loss and hearing aids. San Diego, CA: Singular Publishing Group, Inc.

    Google Scholar 

  • Stephens, D., & Hem, R. (1991). Impairment, disability, and handicap in audiology: Towards a consensus. Audiology, 30, 185–200.

    PubMed  Article  Google Scholar 

  • Stephens, S. D. G., Lewis, P. A., Charny, M. C., Farrow, S. C., & Francis, M. (1990). Characteristics of self-reported hearing problems in a community survey. Audiology, 29, 93–100.

    PubMed  Article  Google Scholar 

  • Tyler, R. S., Baker, L. J., & Armstrong-Bednall, G. (1983). Difficulties experienced by hearing-aid candidates and hearing-aid usere. British Journal of Audiology, 17, 191–201.

    PubMed  Article  Google Scholar 

  • Ward, W. D. (1983). The American Medical Association/American Academy of Otolaryngology formula for determination of hearing handicap. Audiology, 22, 313–324.

    PubMed  Article  Google Scholar 

  • Wilson, P. H., Henry, J., Bowen, M., & Haralambous, G. (1991). Tinnitus reaction questionnaire: Psychometric properties of a measure of distress associated with tinnitus. Journal of Speech and Hearing Research, 34, 197–201.

    PubMed  Google Scholar 

  • WHO (1980). International classification of impairments, disabilities, and handicaps. Geneva, Switzerland: World Health Organization.

    Google Scholar 

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Correspondence to Gerhard Andersson.

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This work was supported by the Swedish Council for Social Research. We thank Mikael Nyqvist for editing the video clips

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Andersson, G., Melin, L., Lindberg, P. et al. Elderly hearing-impaired persons’ coping behavior. Int. J. Behav. Med. 3, 303–320 (1996). https://doi.org/10.1207/s15327558ijbm0304_2

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  • DOI: https://doi.org/10.1207/s15327558ijbm0304_2

Key words

  • hearing impairment
  • elderly
  • communication
  • coping
  • structured intervie