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Severe to profound hearing impairment: quality of life, psychosocial consequences and audiological rehabilitation
Department of otorhioloaryngology, Central hospital, Karlstad, Sweden; Audiological Research Center, Örebro University Hospital, Örebro, Sweden.ORCID iD: 0000-0001-6667-9923
Örebro University, School of Health and Medical Sciences, Örebro University, Sweden. Audiological Research Center, Örebro university hospital, Örebro, Sweden.
Clinical epidemiology and biostatistics unit, Örebro university hospital, Örebro, Sweden.
Department of audiology, Karolinska University hospital, Stockholm, Sweden.
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2014 (English)In: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 37, no 20, p. 1849-1856Article in journal (Refereed) Published
Abstract [en]

Purpose: To study the quality of life (QoL) and psychosocial consequences in terms of sick leave and audiological rehabilitation given to patients with severe to profound hearing impairment.

Method: A retrospective study of data on 2319 patients with severe to profound hearing impairment in The Swedish Quality Register of Otorhinolaryngology, followed by a posted questionnaire including The Hospital Anxiety and Depression Scale (HADS). 

Results: The results indicate greater levels of anxiety and depression among patients with severe or profound hearing impairment than in the general population, and annoying tinnitus and vertigo had strong negative effects on QoL. The proportion of sick leave differed between the studied dimensions in the study. The proportion of patients who received extended audiological rehabilitation was 38% in the present study. 

Conclusions: Treatment focused on anxiety, depression, tinnitus and vertigo must be given early in the rehabilitation process in patients with severe or profound hearing impairment. Because sick leave differs greatly within this group of patients, collaboration with the regional Social Insurance Agency is crucial part of the rehabilitation. The study also shows that presently, only a small proportion of patients in Sweden with severe to profound hearing impairment receive extended audiological rehabilitation. Implications for Rehabilitation

  • Greater levels of anxiety and depression have been found among patients with severe or profound hearing impairment than in the general population, and annoying tinnitus and vertigo have strong negative effects on QoL in this group of patients.

  • Only a small proportion of patients with severe to profound hearing impairment receive extended audiological rehabilitation today, including medical, technical and psychosocial efforts.

  • Extended audiological rehabilitation focused on anxiety, depression, tinnitus and vertigo must be given, together with technical rehabilitation, early in the rehabilitation process in patients with severe or profound hearing impairment.

Place, publisher, year, edition, pages
Oxon, United Kingdom: Taylor & Francis, 2014. Vol. 37, no 20, p. 1849-1856
Keywords [en]
EuroQoL 5D, sick leave, the hospital anxiety and depression scale, the problems impact rating scale, tinnitus, vertigo
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Other Health Sciences
Identifiers
URN: urn:nbn:se:oru:diva-39690DOI: 10.3109/09638288.2014.982833ISI: 000361330300007PubMedID: 25391816Scopus ID: 2-s2.0-84939812063OAI: oai:DiVA.org:oru-39690DiVA, id: diva2:771744
Note

Funding Agencies:

Regional Research Council in Uppsala - Örebro

Hearing Foundation in Sweden

Available from: 2014-12-15 Created: 2014-12-15 Last updated: 2019-03-01Bibliographically approved

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Carlsson, Per-IngeHjaldahl, JennieSkagerstrand, Åsa

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