心理灵活性与健康状况作为成人听力损失者感知助听器获益的预测因素
Psychological flexibility and health status as predictors of perceived hearing aid benefit in adults with hearing loss.
文献信息
| PMID | 42790324 |
|---|---|
| 原文 | 在 PubMed 查看原文 ↗ |
| 发表日期 | 2026 |
| 作者 | Ümit Can Çetinkaya |
| 作者单位 | İstanbul Aydın University, Faculty of Health Sciences, Department of Audiology, Istanbul, Türkiye. Electronic address: ucancetinkaya@aydin.edu.tr. |
| 期刊 | Journal of communication disorders |
| SCI 分区 | Q1 |
| IF | 2.7 |
| 研究类型 | 临床研究 · 临床 |
| 所属专科 | 耳科 |
中文摘要
目的： 本研究探讨了老年人对听力损失的心理接受度与感知助听器获益之间的关系，并检验了在考虑人口学、听力学和临床因素后，心理灵活性是否仍是获益的显著预测因素。
方法： 本研究纳入了159名助听器使用者（平均年龄 = 62.66 ± 15.66岁），他们完成了土耳其版成人听力损失接受与行动问卷（AAQ-AHL）和简版助听器获益概况（APHAB）。采用组间比较、协方差分析（ANCOVA）、偏相关分析和多元线性回归，评估心理、听力学和临床变量对感知助听器获益的独立贡献。
结果： 在初步分析中，双耳助听器使用者和患有慢性共病的参与者报告了显著更高的感知获益。在控制年龄和听力损失严重程度后，这两种关联在ANCOVA模型中仍显著。然而，多元回归分析显示，心理接受度与感知助听器获益无独立关联（β = .114，p = .172）。在所考察的变量中，共病状态是唯一在完全调整模型中显著预测感知获益的因素（β = .204，p = .011）。
结论： 在考虑人口学、听力学和临床特征后，对听力损失的心理接受度与感知助听器获益无独立关联。相反，慢性共病的存在与更大的放大获益感知相关。这些发现表明，助听器结局可能除传统听力学因素外还受更广泛临床特征的影响，并支持对听觉康复采取更整体的方法。
英文摘要
PURPOSE: This study investigated the relationship between psychological acceptance of hearing loss and perceived hearing aid benefit in older adults and examined whether psychological flexibility remains a significant predictor of benefit after accounting for demographic, audiological, and clinical factors.
METHOD: In this study, 159 hearing aid users (mean age = 62.66 ± 15.66 years) completed the Turkish version of the Acceptance and Action Questionnaire-Adult Hearing Loss (AAQ-AHL) and the Abbreviated Profile of Hearing Aid Benefit (APHAB). Group comparisons, analyses of covariance (ANCOVA), partial correlation analyses, and multiple linear regression were conducted to evaluate the independent contributions of psychological, audiological, and clinical variables to perceived hearing aid benefit.
RESULTS: Bilateral hearing aid users and participants with chronic comorbid conditions reported significantly greater perceived benefit in preliminary analyses. After controlling for age and hearing loss severity, both associations remained significant in ANCOVA models. However, multiple regression analyses revealed that psychological acceptance was not independently associated with perceived hearing aid benefit (β = .114, p = .172). Among the variables examined, comorbidity status emerged as the only significant predictor of perceived benefit in the fully adjusted model (β = .204, p = .011).
CONCLUSIONS: Psychological acceptance of hearing loss was not independently associated with perceived hearing aid benefit after accounting for demographic, audiological, and clinical characteristics. In contrast, the presence of chronic comorbid conditions was associated with greater perceived benefit from amplification. These findings suggest that hearing aid outcomes may be influenced by broader clinical characteristics in addition to traditional audiological factors and support a more holistic approach to auditory rehabilitation.