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The psychological process from avoidance to acceptance in adults with acquired hearing impairment
Östergötlands Läns Landsting, Anaesthetics, Operations and Specialty Surgery Center, Department of Otorhinolaryngology in Linköping.
Linköping University, Department of Clinical and Experimental Medicine, Division of Neuroscience. Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Anaesthetics, Operations and Specialty Surgery Center, Department of Otorhinolaryngology in Linköping.
Swedish Institute for Disability Research, School of Health and Medical Science, Linnaeus Centre HEAD, Örebro University.
Linköping University, Department of Behavioural Sciences and Learning, Disability Research. Linköping University, Faculty of Arts and Sciences. Linköping University, The Swedish Institute for Disability Research. Eriksholm Research Centre, Oticon A/S, Snekkersten, Denmark. (Linnaeus Centre HEAD)
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2014 (English)In: Hearing, Balance and Communication, ISSN 2169-5717, Vol. 12, no 1, 27-35 p.Article in journal (Refereed) Published
Abstract [en]

Objective: This study explored the psychological process from avoidance to acceptance in adults with acquired hearing impairment. Study design: A descriptive qualitative interview study was conducted in Sweden in 2010. Participants were 18 adults with an acquired sensorineural hearing impairment aged 50-70 years, who had recently obtained hearing aids at the Audiology Clinic of the Örebro University Hospital. The sample included both first-time hearing aid users (n = 10) and experienced hearing aid users (n = 8). Each participant took part in one semi-structured interview. Qualitative content analysis was performed on the manifest content of the interview transcripts. Results: Participants described the process from avoidance to acceptance as a slow and gradual process rooted in the awareness of the frequency and severity of hearing disability and of its psychological consequences. Facilitators included adaptive coping mechanisms, other peoples comments and positive experiences, accessibility of help-seeking and routine health assessments. In contrast, barriers included maladaptive coping mechanisms and stigma. Conclusions: Participants described the process of acceptance as a personal process that involved, to some extent, their social network of family, friends and colleagues. It was also a trade-off between the consequences of untreated hearing impairment and the threat to normal identity that, through stigma, hearing impairment carries. Further studies are needed to fully investigate the role of access to information on hearing impairment acceptance. How professionals and society can facilitate the process of acceptance should also be a focus of future research efforts. 

Place, publisher, year, edition, pages
Taylor & Francis, 2014. Vol. 12, no 1, 27-35 p.
Keyword [en]
Acceptance; Avoidance; Coping; Hearing impairment; Help-seeking; Qualitative interview
National Category
Clinical Medicine Basic Medicine
Identifiers
URN: urn:nbn:se:liu:diva-110523DOI: 10.3109/21695717.2013.875243Scopus ID: 2-s2.0-84896787828OAI: oai:DiVA.org:liu-110523DiVA: diva2:748228
Available from: 2014-09-18 Created: 2014-09-12 Last updated: 2017-01-18Bibliographically approved

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Öberg, MarieLunner, ThomasLaplante-Lévesque, ArianeAndersson, Gerhard

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Öberg, MarieLunner, ThomasLaplante-Lévesque, ArianeAndersson, Gerhard
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Department of Otorhinolaryngology in LinköpingDivision of NeuroscienceFaculty of Health SciencesDisability ResearchFaculty of Arts and SciencesThe Swedish Institute for Disability ResearchPsychology
Clinical MedicineBasic Medicine

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