Psychological Change following 18 Months of Cochlear Implant Use

Abstract

Consecutive recipients of multichannel cochlear implants participated in preimplant as well as 9-month and 18-month psychological evaluations. Before receiving a cochlear implant, psychological tests indicated that the implant recipients were more depressed, suspicious, socially isolated, lonely, and socially anxious than was the general population. After 18 months of implant use, there was a significant reduction in depression, loneliness, social anxiety, social isolation, and suspiciousness. These changes in psychological state did not correlate with improved performance on audiological measures. The data suggest that although cochlear implants can have a positive effect on the emotional and behavioral status of persons with acquired postlingual profound deafness, the psychological outcome of implants is not simply a function of the audiological benefit assessed with standardized speech-based audiological tests.

Keywords

audiological tests cochlear implant psychological change

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References

Mykelbust

. The psychological effects of deafness. Am Ann Deaf 1960; 105: 372–85.

Rosen

. Psychological and social aspects of the evaluation of acquired hearing impairment. Audiology 1979; 18: 238–52.

Thomas

. Acquired deafness and mental health. Br J Med Psychol 1981; 54: 219–29.

Thomas

. Acquired hearing loss: psychological and psychosocial implications. London, England: Academic Press, 1984.

Mykelbust

. The psychology of deafness: sensory deprivation, learning and adjustment. New York, NY: Grune & Stratton, 1966.

Cooper

Cunz

. The pathology of deafness in the paranoid and affective psychoses of later life. J Psychosom Res 1976; 20: 97–105.

Crary

Berliner

Wexler

Miller

. Psychometric studies and clinical interviews with cochlear implant patients. Ann Otol Rhinol Laryngol 1982; 91 (suppl 91): 55–81.

Waltzman

Cohen

Shapiro

. Long-term effects of multichannel cochlear implant usage. Laryngoscope 1986; 96: 1083–7.

Dorman

Hannley

Dankowski

Smith

McCandles

. Word recognition by 50 patients fitted with the Symbion multichannel cochlear implant. Ear Hear 1979; 10: 44–9.

10.

Tyler

Tye-Murray

Moore

BCJ

McCabe

. Synthetic two-formant vowel perception by some of the better cochlear-implant patients. Audiology 1989; 28: 301–15.

11.

Kaplan

. Behavior as the central outcome in health care. Am Psychol 1990; 45: 1211–20.

12.

Tyler

Preece

Tye-Murray

. The Iowa Phoneme and Sentence Test. Iowa City, Iowa: University of Iowa, 1986.

13.

Blarney

Dowell

Clark

Seligman

. Acoustic parameters measured by a formant-estimating speech processor for a multiple-channel cochlear implant. J Acoust Soc Am 1987; 82: 38–47.

14.

Eddington

. Speech discrimination in deaf subjects with cochlear implants. J Acoust Soc Am 1980; 68: 885–91.

15.

McKenna

. The psychological assessment of cochlear implant patients. Br J Audiol 1986; 20: 29–34.

16.

Hathaway

McKinley

. The Minnesota multiphasic personality schedule. Minneapolis, Minn: University of Minnesota Press, 1943.

17.

Beck

Ward

Mendelson

Mock

Erbaugh

. An inventory for measuring depression. Arch Gen Psychiatry 1961; 4: 561–71.

18.

Russell

. The measurement of loneliness. In: Peplau

Perlman

, eds. Loneliness: a sourcebook of current theory, research, and therapy. New York, NY: Wiley Interscience, 1982: 81–104.

19.

Russell

Peplau

Cutrona

. The revised UCLA loneliness scale: concurrent and discriminant validity evidence. J Pers Soc Psychol 1980; 39: 472–80.

20.

Watson

Friend

. Measurement of social-evaluative anxiety. J Consult Clin Psychol 1969; 33: 448–57.

21.

Tyler

Kelsay

. Advantages and disadvantages reported by some of the better cochlear-implant patients. Am J Otol 1990; 11: 282–9.