Characteristics of Youths With Hearing Loss Admitted to Substance Abuse Treatment

Titus, Janet C.; Schiller, James A.; Guthmann, Debra

doi:10.1093/deafed/enm068

Cited by 35 publications

(18 citation statements)

References 43 publications

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“…81,82 Abusive experiences Surveys of adults in Norway and North America suggest that deaf children are between two and three times more likely to be sexually abused than hearing children, and less likely to disclose their abuse. 83 These experiences may lead to subsequent substance misuse behaviours and negative mental health outcomes, 84 and abuse is in general associated with higher rates of negative mental health outcomes. 85…”

Section: Emotional Development and Theory Of Mindmentioning

confidence: 99%

Translation into British Sign Language and validation of the Strengths and Difficulties Questionnaire

Roberts

Wright

Moore

et al. 2015

Health Services and Delivery Research

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BackgroundThere are an estimated 125,000 deaf people in the UK who use British Sign Language (BSL) as their main form of communication, but there are no child mental health screening instruments that are accessible to deaf children whose first or main language is BSL (or to deaf adults reporting on children). This study sought to develop a new BSL translation of a commonly used mental health screening tool (Strengths and Difficulties Questionnaire, SDQ), with versions available for deaf young people (aged 11–16 years), parents and teachers. The psychometric properties of this translation, and its validity for use with the deaf signing UK population, were also investigated.Objectives(1) To translate the SDQ into BSL; and (2) to use this new version with a cohort of deaf children, deaf parents and deaf teachers fluent in BSL across England, and validate it against a ‘gold standard’ clinical interview.MethodsThis study was split into two broad phases: translation and validation. The BSL SDQ was developed using a rigorous translation/back-translation methodology with additional checks, and we have defined high-quality standards for the translation of written/oral to visual languages. We compared all three versions of the SDQ (deaf parent, deaf teacher and deaf young person) with a gold standard clinical interview by child mental health clinicians experienced in working with deaf children. We also carried out a range of reliability and validity checks.ResultsThe SDQ was successfully translated using a careful methodology that took into account the linguistic and cultural aspects of translating a written/verbal language to a visual one. We recruited 144 deaf young people (aged 11–16 years), 191 deaf parents of a child aged either 4–10 or 11–16 years (the child could be hearing or deaf) and 77 deaf teachers and teaching assistants. We sought deaf people whose main or preferred language was BSL. We also recruited hearing participants to aid cross-validation. We found that the test–retest reliability, factor analysis and internal consistency of the three new scales were broadly similar to those of other translated versions of the SDQ. We also found that using the established multi-informant SDQ scoring algorithm there was good sensitivity (76%) and specificity (73%) against the gold standard clinical interview assessment. The SDQ was successfully validated and can now be used in clinical practice and research. Factor analysis suggests that the instrument is good for screening for mental health problems but not for the identification of specific disorders, and so should be used as a screening instrument. It will also enable outcomes to be monitored.ConclusionsA BSL version of the SDQ can now be used for national studies screening for mental health problems in deaf children. This will help us better understand the needs of deaf children and will enable earlier detection of mental health difficulties. It can also be used within clinical settings to monitor outcomes.Future workFuture work may focus on using the SDQ in epidemiological research, and developing new assessment instruments for deaf children to improve assessment methods in the deaf population.FundingThe National Institute for Health Research Health Services and Delivery Research programme.

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Section: Emotional Development and Theory Of Mindmentioning

confidence: 99%

Translation into British Sign Language and validation of the Strengths and Difficulties Questionnaire

Roberts

Wright

Moore

et al. 2015

Health Services and Delivery Research

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“…Therefore, similar to previous epidemiological research, individuals from the deaf population were excluded from the current sample, unless they were individuals with mild hearing loss and/or effective assistive technology (i.e., hearing aids, cochlear implants) that allowed them access to the spoken English interview. Given recent findings that deaf individuals experience higher rates of trauma, PTSD, and SUD than hearing individuals, future epidemiological research should ensure access for this severely underserved population (Anderson, Leigh, & Samar, ; Schild & Dalenberg, ; Titus, Schiller, & Guthmann, ).…”

Section: Discussionmentioning

confidence: 99%

Posttraumatic Stress Disorder and Substance Use Disorder Comorbidity Among Individuals With Physical Disabilities:Findings From the National Comorbidity Survey Replication

Anderson

Ziedonis

Najavits

2014

Journal of Traumatic Stress

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Co-occurring posttraumatic stress disorder (PTSD) and substance use disorder (SUD) affects multiple domains of functioning and presents complex challenges to recovery. Using data from the National Comorbidity Study Replication, a national epidemiological study of mental disorders (weighted N = 4,883), the current study sought to determine the prevalence of PTSD and SUD, the symptom presentation of these disorders, and help-seeking behaviors in relation to PTSD and SUD among individuals with physical disabilities (weighted n = 491; nondisabled weighted n = 4,392). Results indicated that individuals with physical disabilities exhibited higher rates of PTSD, SUD, and comorbid PTSD/SUD than nondisabled individuals. For example, they were 2.6 times more likely to meet criteria for lifetime PTSD, 1.5 times more likely for lifetime SUD, and 3.6 times more likely for lifetime PTSD/SUD compared to their nondisabled peers. Additionally, individuals with physical disabilities endorsed more recent/severe PTSD symptoms and more lifetime trauma events than nondisabled individuals with an average of 5 different trauma events compared to 3 in the nondisabled group. No significant pattern of differences was noted for SUD symptom presentation, or for receipt of lifetime or past-year PTSD or SUD treatment. Implications of these findings and recommendations for future research are discussed.

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“…Taube leiden demnach ähnlich wie Hörende v. a. unter affektiven und Angststörungen [10]. Substanzmissbrauch ist bei tauben Menschen ähnlich häufig wie bei hörenden, beginnt aber häufig früher und erreicht einen höheren Schweregrad [12]. Statistiken zur psychotherapeutischen Versorgung tauber Menschen in Deutschland fehlen.…”

Section: Introductionunclassified

Psychotherapie für taube Patienten durch hörende Psychotherapeuten mittels Gebärdensprachdolmetscher – ein Systematisches Literaturreview zu Forschungsbefunden und Empfehlungen

Schmidt

2019

Gesundheitswesen

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ZusammenfassungIn Deutschland haben taube Patienten Anspruch auf Gebärdensprachdolmetscher in der Psychotherapie. Datenbanksuchen ergaben weltweit 1184 Studien zum Thema, von denen 10 in ein systematisches Literaturreview eingeschlossen wurden. Untersucht wurden 1–85 taube Patienten (7–60 J.). Neun Studien zeigten Therapieerfolge. Identifiziert wurden Empfehlungen zu Wissen, Einstellungen, Fähigkeiten und Rahmenbedingungen für hörende Psychotherapeuten und Dolmetscher. Die Datenlage zur Psychotherapie mit Gebärdensprachdolmetscher ist trotz klinischer Relevanz gering und methodisch limitiert.

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Characteristics of Youths With Hearing Loss Admitted to Substance Abuse Treatment

Cited by 35 publications

References 43 publications

Translation into British Sign Language and validation of the Strengths and Difficulties Questionnaire

Translation into British Sign Language and validation of the Strengths and Difficulties Questionnaire

Posttraumatic Stress Disorder and Substance Use Disorder Comorbidity Among Individuals With Physical Disabilities:Findings From the National Comorbidity Survey Replication

Psychotherapie für taube Patienten durch hörende Psychotherapeuten mittels Gebärdensprachdolmetscher – ein Systematisches Literaturreview zu Forschungsbefunden und Empfehlungen

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