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Psychological well-being of adults with acquired hearing impairment
Authors:Helvik Anne-Sofie  Jacobsen Geir  Hallberg Lillemor R-M
Institution:  a Ear, Nose and Throat Department, St Olav's University Hospital of Trondheim, Norway b Department of Public Health and General Practice, Faculty of Medicine, Norwegian University of Science and Technology, Trondheim c School of Social and Health Sciences, Halmstad University, Sweden
Abstract:Aim. To study psychological well-being (health-related quality of life) in a population of adults 20 years and over with hearing impairment (HI) and its relation to audiological factors, consequences of the HI, sense of humour, and use of communication strategies.

Subjects and methods. Consecutive adults (n = 343) at the outpatient Unit of Audiology of a Norwegian university hospital answered the Psychological General Well-being inventory (PGWB), Hearing Disability and Handicap Scale (HDHS), Sense of Humour Questionnaire-6 (SHQ-6), and Communication Strategies Scale (CSS) in relation to an audiological examination and medical consultation.

Results. Mean PGWB index for the whole sample was 81.4 (SD 14.3) and females reported a significantly lower psychological well-being. In multiple linear regression analyses well-being was negatively associated with high levels of activity limitation and participation restriction. PGWB index was positively associated with high sense of humour, but was neither explained by audiological factors nor use of communication strategies.

Conclusions. Psychological well-being was associated with the outcome of a standard HI assessment of activity limitation and participation restriction, but not with degree of HI and use of communication strategies.
Keywords:Hearing impairment  audiology  health-related quality of life  activity limitation  participation restriction  coping  sense of humour  communication strategies
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