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Internet-based acceptance and commitment therapy for psychological distress experienced by people with hearing problems: a pilot randomized controlled trial
Linköping University, Department of Behavioural Sciences and Learning, Disability Research. Linköping University, Faculty of Arts and Sciences.
Linköping University, Department of Behavioural Sciences and Learning, Psychology. Linköping University, Faculty of Arts and Sciences.ORCID iD: 0000-0002-9736-8228
Linköping University, Department of Behavioural Sciences and Learning. Linköping University, Faculty of Arts and Sciences. Narhalsan, Sweden.
Linköping University, Department of Behavioural Sciences and Learning. Linköping University, Faculty of Arts and Sciences.
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2018 (English)In: Cognitive Behaviour Therapy, ISSN 1650-6073, E-ISSN 1651-2316, Vol. 47, no 2, p. 169-184Article in journal (Refereed) Published
Abstract [en]

Psychological distress is common among people with hearing problems, but treatments that specifically target this aspect have been almost non-existent. In this pilot randomized controlled trial, an eight-week long Internet-based treatment, informed by Acceptance and Commitment Therapy, was administered to explore the feasibility and efficacy of such a treatment. Included participants were randomized to either treatment (n=31) or wait-list control (n=30) condition. All participants were measured prior to randomization and immediately after treatment ended using standardized self-report instruments measuring hearing-related emotional and social adjustment (Hearing Handicap Inventory for the Elderly - S, HHIE-S), quality of life (Quality of Life Inventory, QOLI), and symptoms of depression and anxiety (Patient health Questionnaire, PHQ-9 and Generalized Anxiety Disorder scale, GAD-7). Linear mixed effects regression analysis using the full intention-to-treat sample demonstrated that the treatment had superior outcomes on the main outcome measure as compared with the control group, Cohens d=0.93, 95% CI [0.24, 1.63]. The benefits of treatment over control were also evident in scores of depression, Cohens d=0.61, 95% CI [0.04, 1.19], and quality of life, Cohens d=0.88, 95% CI [0.14, 1.61]. The results provide preliminary support for Internet-delivered acceptance and commitment therapy as a potentially effective treatment of psychological symptoms associated with hearing problems.

Place, publisher, year, edition, pages
ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD , 2018. Vol. 47, no 2, p. 169-184
Keywords [en]
Hearing; distress; acceptance and commitment therapy; acceptance; randomized controlled trial
National Category
Applied Psychology
Identifiers
URN: urn:nbn:se:liu:diva-145251DOI: 10.1080/16506073.2017.1365929ISI: 000424157000006PubMedID: 28895787OAI: oai:DiVA.org:liu-145251DiVA, id: diva2:1184456
Note

Funding Agencies|Swedish council for Working Life and Social Research [2009-0055]

Available from: 2018-02-21 Created: 2018-02-21 Last updated: 2018-12-12
In thesis
1. From Detection to Intervention Psychological Aspects of Online Hearing Rehabilitation
Open this publication in new window or tab >>From Detection to Intervention Psychological Aspects of Online Hearing Rehabilitation
2018 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Hearing problems are among the most common causes of disability worldwide for adults. It is currently classified as one of the top five causes of years lived with disability. Between the years 2005 and 2015 the global prevalence of hearing loss increased with about 26 %. The negative impact of hearing loss on those affected is not limited to communication problems, as a range of other negative effects can be present, such as increased levels of social isolation, problems in the work-place and psychological distress.

The different studies of the thesis can be summarized in three overall research questions. The first question was if hearing loss can be detected through automated online screening procedures, and what are the characteristics of those who participate in online screening (Study I and II)? The second question focused on development and testing of a measure dealing with psychological acceptance of hearing loss (Study III). Finally, the third research question concerned if online administered guided self-help based on Acceptance and Commitment Therapy could help persons with hearing loss and psychological distress (Study IV)?

In the screening studies (Study I and II) an online speech-in-noise hearing test was initially developed and later updated. Screening for hearing problems with this test was found to be feasible, and 16.7 (Study I) and 19% (Study II) of the participants were recommended to seek professional care for their potential hearing loss. These participants had more cognitive problems, were more likely to be of male gender, and had lower levels of education than those without measured hearing problems. Study III showed that it was possible to measure hearing-related acceptance with a new questionnaire and that this measure was a better predictor of disability than instruments measuring anxiety, depression, or measured hearing performance. In Study IV, people with hearing loss and comorbid psychological distress were offered an eight-week long internet-based therapist-guided self-help treatment inspired by ACT. After treatment ended, the intervention group had lower levels of perceived hearing disability, increased ratings of quality of life and reduced depressive symptoms in relation to the wait-list control group. This thesis suggests that the internet can be used to assist early detection, measuring acceptance of hearing loss and finally as a treatment modality for persons who experience distress in relation to their hearing loss.

Place, publisher, year, edition, pages
Linköping: Linköping University Electronic Press, 2018. p. 82
Series
Linköping Studies in Arts and Sciences, ISSN 0282-9800 ; 751Studies from the Swedish Institute for Disability Research, ISSN 1650-1128 ; 92
Keywords
Hearing, Screening, Cognition, Acceptance and Commitment Therapy
National Category
Public Health, Global Health, Social Medicine and Epidemiology Otorhinolaryngology Psychology
Identifiers
urn:nbn:se:liu:diva-152429 (URN)10.3384/diss.diva-152429 (DOI)9789176852262 (ISBN)
Public defence
2018-09-26, VAL, Hus Vallfarten, Campus Valla, Linköping, 13:00 (Swedish)
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Supervisors
Available from: 2018-10-30 Created: 2018-10-30 Last updated: 2019-09-26Bibliographically approved

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