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Research Paper

Higher social distress and lower psycho-social wellbeing: examining the coping capacity and health of people with hearing impairment

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Pages 2070-2075 | Received 18 Jun 2014, Accepted 05 Dec 2014, Published online: 06 Jan 2015
 

Abstract

Purpose: The objectives of this paper are as follows: (1) propose an explanatory model as to how hearing disability may impact on health and (2) examine the model’s utility. Methods: Data were collected on the psycho-social wellbeing, disability and physical health of farmers (n = 56) participating in an intervention to manage the social impacts of hearing disability. Two models were proposed and examined using multiple hierarchical linear regression. Model 1 used self-rated quality of life and model 2 used capacity to manage hearing and listening impairments, as dependent variables. Results: The analyses found that physical measures of hearing impairment (audiograms) were not correlated with physical or mental health outcomes. However, in model 1, self-confidence and self-rated ability to manage hearing impairment were most closely associated with reduced quality of life (anxiety and diastolic blood pressure were positively associated with quality of life). In model 2, higher anxiety and reduced self-confidence were associated with decreasing ability to successfully manage one’s hearing impairment. Conclusions: The findings support the explanatory model that stress is higher and wellbeing lower when the fit between the person’s coping capacity and environmental demands is poor.

    Implications for Rehabilitation

  • This paper demonstrates that anxiety is associated with coping with the psycho-social aspects of hearing disability.

  • This finding has important implications for the many hearing services, which only provide assessment and devices.

  • To negate anxiety and its long-term impacts, rehabilitation providers need to ensure people with hearing disability have the capacity to manage the psycho-social aspects of communication breakdown.

Acknowledgements

The authors thank the farm men and women who participated in this project and research associates Tracey Hatherell and Corrina Lee.

Declaration of interest

This project was funded by the National Health and Medicine Research Council (NHRMRC) Project Grant GNT 1033151. Research partners include the National Centre for Farmer Health, Deakin University, University of Canberra and the National Acoustic Laboratories. The contents of this publication do not reflect the views of the NHMRC.

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