Psychosocial impacts of a hearing loss

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  • Psychosocial impacts of having a hearing loss
    • The effects on the family
      • Factors
        • strength of the relationship
          • close are more inclined
        • family roles
          • spouse, child, parent
        • Age of children
          • adult children have a greater responsibility
      • Effect for carer
        • increased dependency
          • could create strain if they dont have the patience or time
      • changes in social or working life
        • might not want to see friends or go to parties
          • partner doesnt want to go byself
        • might have to give up job
          • may feel worthless
          • partner may have a greater financial importance
      • Effect on children
        • role changes
          • for younger
            • confusion and adaption
          • older
            • embarrassment, strain
              • may have children of their own
            • resent parents
      • Stephens et al 2004 positive experiences for partner
        • 45% listed one or more positive
        • realised the importance of their own hearing
        • their help was appreciated
        • developed their communication skills
    • Depression
      • Hogan 2001. barlow et al 2007
        • greater levels that general population
          • cause and effect not established
          • reductionist
        • higher than other long term illnesses
          • eg diabetes as it doesn't effect communication
      • Gilhome 1980
        • significant relationship
        • relationship did not correlate to severity of hearing loss
      • Barlow et al 2007
        • rare but some reported suicidal feelings
    • Isolation
      • mosley and Bally 1996
        • mixed response
        • could be due to support groups eg deaf awareness
    • Loneliness
      • Thomas et al 1980
        • 24% lonely compared to 14% control group
        • age bias
    • Relationships
      • increase in strain
        • Kyle and wood 1987
      • Glass et al 1992
        • higher rates of divorce
    • Jobs
      • Barlow et al 2007
        • increase in people having to change jobs
        • Reduction in quality of life
      • Thomas et al 1980
        • less happy at work
    • Stephens et al 2003
      • positive impacts for Hearing impaired person
        • Cognitive changes
          • eg increased ability to concentrate
        • using hearing loss to advantage
          • eg opting out of situations that dont want to be in
        • self management
          • eg listening with good ear
            • proud of self
        • Technical facilitators
          • assistive devices
          • increase quality of life
      • interview
        • subject to social desirability
    • reduced awareness of environment
      • used for
        • localisation
        • awarenness
        • safety
        • enjoyment
      • Psychosocial effects
        • stress or anxiety
          • rosenham and freidman 1976
        • detachment
          • depression
            • ramsdell 1962
        • reliant on friends and family
          • loss of independence
            • barlow et al 2007
              • lost sense of self
          • burden
        • fear of being alone
          • loss of sleep

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