“…Spouses experience numerous effects as a result of their partners' hearing impairment, including difficulties communicating with their partner in background noise, difficulties coping with the high volume of the television or radio, having to respond on behalf of their partners, and having to repeat during conversation (Brooks et al, 2001;Hétu et al, 1993Hétu et al, , 1988Scarinci et al, 2008;Stark & Hickson, 2004;Stephens et al, 1995). Younger female spouses have also reported a range of social restrictions as a result of their husbands' hearing loss, and emotional effects including increased effort, irritation, stress, and anxiety (Hétu et al, 1993).…”