From isolation and dependence to autonomy – expectations before and experiences after cochlear implantation in adult cochlear implant users and their significant others

Mäki‐Torkko, Elina; Vestergren, Sara; Harder, Henrik; Lyxell, Björn

doi:10.3109/09638288.2014.935490

Cited by 43 publications

(55 citation statements)

References 22 publications

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“…Benefits of cochlear implantation on neuropsychiatric outcomes may be even greater: a recent prospective observational study found that cochlear implantation but not hearing aid treatment was associated with significant decreases in self-reported loneliness, particularly in those with high levels of baseline loneliness (77). Cochlear implantation also has been reported to improve cognitive performance, personal well-being, and life satisfaction (78, 79). …”

Section: Treating Hearing Impairment To Prevent or Reverse Adverse Nementioning

confidence: 99%

Sensation and Psychiatry: Linking Age-Related Hearing Loss to Late-Life Depression and Cognitive Decline

Rutherford

Brewster

Golub

et al. 2018

AJP

309

249

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Recent research has linked age-related hearing loss to impaired performance across cognitive domains and increased risk for dementia diagnosis. The data linking hearing impairment to incident late-life depression are more mixed but suggest that diminished hearing does increase risk for depression. Behavioral mechanisms may explain these associations, such as the withdrawal of older adults from situations in which they may have difficulty hearing and communicating, which may contribute to the development of social isolation, loneliness, and consequent cognitive decline and depression. At a neural level, chronic hearing loss leads to reduced activation in central auditory pathways, resulting in compensatory increased activation in the cognitive control network, dysfunctional auditory–limbic connectivity, and deafferentation-induced atrophy in frontal brain regions. These pathologic changes decrease cognitive performance and increase depression risk by reducing cognitive reserve, increasing executive dysfunction, and disrupting normative emotion reactivity and regulation. Based on the available data and informed by this model, evidence-based suggestions are proposed for clinicians treating older adults, and a research agenda is advanced to facilitate the development of rationally designed and age-appropriate psychiatric treatments for older adults with age-related hearing loss. First and foremost, treating hearing loss should be investigated as a means of improving cognitive and depressive outcomes in well-designed studies incorporating comprehensive psychiatric assessments, randomization, objective documentation of compliance, and analyses of treatment mediators that will facilitate further therapeutic development. Multimodal neuroimaging studies integrating audiometric, neuropsychological, and clinical assessments also are needed to further evaluate the model proposed.

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Section: Treating Hearing Impairment To Prevent or Reverse Adverse Nementioning

confidence: 99%

Sensation and Psychiatry: Linking Age-Related Hearing Loss to Late-Life Depression and Cognitive Decline

Rutherford

Brewster

Golub

et al. 2018

AJP

309

249

View full text Add to dashboard Cite

show abstract

“…Patients described their satisfaction as having living in two different worlds (one with the auditory stimulation and one without), showing importante increasing in well-being and satisfaction with their devices. A large part of living social life was improved by communication and results showed that the satisfaction was not limited only to the users, but also to their significant others [31].…”

Section: Discussionmentioning

confidence: 99%

“…Another study, by Nardo et al [31], used two questionnaires to evaluate the health status (SF-36), CI-related effects on daily activities and personal satisfaction (Questionnaire for selfevaluation of CI benefit with SADL scale modification), to compare the benefits of unilateral cochlear implant in patients over 60 with a control group of younger CI recipients. Although there were some different responses to the questionnaire between groups, both showed very good result and satisfaction with CI.…”

Section: Discussionmentioning

confidence: 99%

Stylomastoid Foramen Osteoma Unique Challenges for Appropriate Management

Haidar¹

2015

JOENTR

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Introduction: Satisfaction questionnaires are efficient means to assess whether the device dispensed to the patient met their expectations and improved their quality of life. They reveal what is beyond the hearing aid performance. They reveal what is beyond the hearing aid performance showing the patient's perceptions of the device use in everyday communication situations, social life return, self-esteem improvement and overall health.

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“…Adult patients have also reported a desire for information about the timescale from operation to being able to differentiate between sounds and first-hand information from others about what to expect at the different stages of the process (Maki-Torkko et al, 2014).…”

Section: Weeks and Go To Southampton Up At Cochlear Implant To Switchmentioning

confidence: 99%

“…Pre-operative expectations and post-operative experiences were recently explored in 101 post-lingually deafened adult cochlear implant users (Maki-Torkko et al, 2014).…”

Section: Adult Cochlear Implant Usersmentioning

confidence: 99%

Exploring the experiences of teenagers with cochlear implants

Watson

Verschuur

Lathlean

2016

Cochlear Implants International

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Whilst much research has focused on the general health needs of adolescents, little is known about the specific needs of teenagers who wear cochlear implants. Thus it is important to widen the knowledge base regarding the experiences of this population, and to assist professionals to support this age group more effectively.This qualitative study investigated teenage cochlear implant users' perceptions of deafness, surgery, fitting of the device and life as a cochlear implant wearer in order to gain a more comprehensive understanding of teenagers' experiences of living with a cochlear implant by putting their perspectives at the heart of the research. This was achieved by working with the teenagers collaboratively throughout the research.Phase one of the study involved engaging with a small group of teenagers with cochlear implants to develop a website that would allow them to share their experiences. In phase two, ten semi-structured interviews were undertaken and nine were analysed using template analysis. Some teenagers experienced great preoperative anxiety and significant post-operative pain. Anxiety and pain are physiologically linked so strategies for reducing their anxiety are discussed. There was also a mismatch between their expectations and the disappointing reality of adjusting to the device. Disconfirmation-expectancy theory suggests that expectations counselling may narrow this gap. However, over time they experienced significant functional and psychosocial benefits as a result of their lives being easier. Almost all described complex, flexible identities where they felt connections with both the hearing and deaf world. Theoretical models of deaf identity support this 'bicultural' state. However, the hearing world sometimes posed difficulties for them when the listening environment was challenging. By giving prominence to the teenagers' voices this study has added new knowledge concerning their experience of surgery. The findings also more fully revealed the challenges of adjusting to the device and the impact of having a cochlear implant on the teenagers' identities.ii iii

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From isolation and dependence to autonomy – expectations before and experiences after cochlear implantation in adult cochlear implant users and their significant others

Cited by 43 publications

References 22 publications

Sensation and Psychiatry: Linking Age-Related Hearing Loss to Late-Life Depression and Cognitive Decline

Sensation and Psychiatry: Linking Age-Related Hearing Loss to Late-Life Depression and Cognitive Decline

Stylomastoid Foramen Osteoma Unique Challenges for Appropriate Management

Exploring the experiences of teenagers with cochlear implants

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