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Aanondsen CM, Jozefiak T, Lydersen S, Heiling K, Rimehaug T. Deaf and hard-of-hearing children and adolescents' mental health, Quality of Life and communication. BMC Psychiatry 2023; 23:297. [PMID: 37118705 PMCID: PMC10148557 DOI: 10.1186/s12888-023-04787-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/03/2022] [Accepted: 04/11/2023] [Indexed: 04/30/2023] Open
Abstract
Mental health problems and lower Quality of Life (QoL) are more common in deaf and hard-of-hearing - (D)HH - children than in typically hearing (TH) children. Communication has been repeatedly linked to both mental health and QoL. The aims of this study were to compare mental health and QoL between signing deaf and hard-of-hearing (DHH), hard-of-hearing (HH) and TH children and to study associations between mental health/QoL and severity of hearing loss and communication. 106 children and adolescents (mean age 11;8; SD = 3.42), 59 of them DHH and 47 HH, and their parents reported child mental health and QoL outcomes. Parents also provided information about their children's communication, hearing loss and education while their children's cognitive ability was assessed. Although (D)HH and their parents rated their mental health similar to their TH peers, about twice as many (D)HH children rated themselves in the clinical range. However, (D)HH children rated their QoL as similar to their TH peers, while their parents rated it significantly lower. Associations between communicative competence, parent-reported mental health and QoL were found, whereas severity of hearing loss based on parent-report had no significant association with either mental health or QoL. These results are in line with other studies and emphasise the need to follow up on (D)HH children's mental health, QoL and communication.
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Affiliation(s)
- Chris Margaret Aanondsen
- Regional Centre for Child and Youth Mental Health and Child Welfare (RKBU Central Norway), Department of Mental Health, Faculty of Medicine and Health Sciences, NTNU - Norwegian University of Science and Technology, RKBU Midt-Norge, NTNU Postboks 8905 MTFS, 7491, Trondheim, Norway.
- Unit for Deaf and Hard-of-Hearing Children and Adolescents in Central Norway, Department of Child and Adolescent Psychiatry, St. Olavs Hospital, Trondheim, Norway.
| | - Thomas Jozefiak
- Regional Centre for Child and Youth Mental Health and Child Welfare (RKBU Central Norway), Department of Mental Health, Faculty of Medicine and Health Sciences, NTNU - Norwegian University of Science and Technology, RKBU Midt-Norge, NTNU Postboks 8905 MTFS, 7491, Trondheim, Norway
| | - Stian Lydersen
- Regional Centre for Child and Youth Mental Health and Child Welfare (RKBU Central Norway), Department of Mental Health, Faculty of Medicine and Health Sciences, NTNU - Norwegian University of Science and Technology, RKBU Midt-Norge, NTNU Postboks 8905 MTFS, 7491, Trondheim, Norway
| | | | - Tormod Rimehaug
- Regional Centre for Child and Youth Mental Health and Child Welfare (RKBU Central Norway), Department of Mental Health, Faculty of Medicine and Health Sciences, NTNU - Norwegian University of Science and Technology, RKBU Midt-Norge, NTNU Postboks 8905 MTFS, 7491, Trondheim, Norway
- Department of Child and Adolescent Psychiatry, Nord-Trøndelag Hospital Trust, Levanger, Norway
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Overgaard KR, Oerbeck B, Wagner K, Friis S, Øhre B, Zeiner P. Youth with hearing loss: Emotional and behavioral problems and quality of life. Int J Pediatr Otorhinolaryngol 2021; 145:110718. [PMID: 33887550 DOI: 10.1016/j.ijporl.2021.110718] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/06/2020] [Revised: 03/08/2021] [Accepted: 04/08/2021] [Indexed: 10/21/2022]
Abstract
OBJECTIVES To compare parent- and self-reported emotional and behavioral problems and quality of life (QoL) among youth with hearing loss (HL) to norms, and to investigate possible associations between emotional and behavioral problems and QoL among youth with HL. METHODS We used the Strengths and Difficulties questionnaire (SDQ) and the Inventory of Life Quality in Children and Adolescents (ILC) to measure emotional and behavioral problems and QoL in youth with HL (n = 317, ages 6-18), where 78% had bilateral HL, 22% unilateral HL, 16% had cochlear implants, and 59% conventional hearing aids. RESULTS The youth with HL had significantly more parent-reported (but not self-reported) emotional and behavioral problems and poorer parent- and self-reported QoL than hearing youth. SDQ and ILC total scores were significantly correlated (-0.47 to -0.63). Conclusion Emotional and behavioral problems and poor QoL appear closely related in youth with HL, suggesting that attending to these problems may improve QoL.
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Affiliation(s)
- Kristin Romvig Overgaard
- Oslo University Hospital, Division of Mental Health and Addiction, Department of Research and Innovation, Norway; University of Oslo, Institute of Clinical Medicine, Norway.
| | - Beate Oerbeck
- Oslo University Hospital, Division of Mental Health and Addiction, Department of Research and Innovation, Norway
| | - Karine Wagner
- Oslo University Hospital, Division of Mental Health and Addiction, Norwegian National Unit for Hearing Impairment and Mental Health, Norway
| | - Svein Friis
- Oslo University Hospital, Division of Mental Health and Addiction, Department of Research and Innovation, Norway; University of Oslo, Institute of Clinical Medicine, Norway
| | - Beate Øhre
- Oslo University Hospital, Division of Mental Health and Addiction, Norwegian National Unit for Hearing Impairment and Mental Health, Norway
| | - Pål Zeiner
- Oslo University Hospital, Division of Mental Health and Addiction, Department of Research and Innovation, Norway; University of Oslo, Institute of Clinical Medicine, Norway
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Aanondsen CM, Jozefiak T, Heiling K, Lydersen S, Rimehaug T. Psychometric properties of the Inventory of Life Quality in children and adolescents in Norwegian Sign Language. BMC Psychol 2021; 9:89. [PMID: 34044895 PMCID: PMC8161577 DOI: 10.1186/s40359-021-00590-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2020] [Accepted: 05/12/2021] [Indexed: 04/03/2024] Open
Abstract
BACKGROUND Several studies have assessed the Quality of Life (QoL) in Deaf and hard-of-hearing (DHH) children and adolescents. The findings from these studies, however, vary from DHH children reporting lower QoL than their typically hearing (TH) peers to similar QoL and even higher QoL. These differences have been attributed to contextual and individual factors such as degree of access to communication, the participants' age as well as measurement error. Using written instead of sign language measures has been shown to underestimate mental health symptoms in DHH children and adolescents. It is expected that translating generic QoL measures into sign language will help gain more accurate reports from DHH children and adolescents, thus eliminating one of the sources for the observed differences in research conclusions. Hence, the aim of the current study is to translate the Inventory of Life Quality in Children and Adolescents into Norwegian Sign Language (ILC-NSL) and to evaluate the psychometric properties of the self-report of the ILC-NSL and the written Norwegian version (ILC-NOR) for DHH children and adolescents. The parent report was included for comparison. Associations between child self-report and parent-report are also provided. METHODS Fifty-six DHH children completed the ILC-NSL and ILC-NOR in randomized order while their parents completed the parent-report of the ILC-NOR and a questionnaire on hearing- and language-related information. Internal consistency was examined using Dillon-Goldstein's rho and Cronbach's alpha, ILC-NSL and ILC-NOR were compared using intraclass correlation coefficients. Construct validity was examined by partial least squares structural equation modeling (PLS-SEM). RESULTS Regarding reliability, the internal consistency was established as acceptable to good, whereas the comparison of the ILC-NSL with the ILC-NOR demonstrated closer correspondence for the adolescent version of the ILC than for the child version. The construct validity, as evaluated by PLS-SEM, resulted in an acceptable fit for the proposed one-factor model for both language versions for adolescents as well as the complete sample. CONCLUSION The reliability and validity of the ILC-NSL seem promising, especially for the adolescent version, even though the validation was based on a small sample of DHH children and adolescents.
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Affiliation(s)
- Chris Margaret Aanondsen
- Unit for Deaf and Hard-of-Hearing Children and Adolescents in Central Norway, Department of Child and Adolescent Psychiatry, St. Olavs Hospital Trondheim University Hospital, Trondheim, Norway.
- Department of Mental Health, Faculty of Medicine and Health Sciences, NTNU-Norwegian University of Science and Technology, Trondheim, Norway.
| | - Thomas Jozefiak
- Department of Mental Health, Faculty of Medicine and Health Sciences, NTNU-Norwegian University of Science and Technology, Trondheim, Norway
| | - Kerstin Heiling
- Department of Child and Adolescent Psychiatry, IKVL, Psychiatry Skåne, Lund University, Lund, Sweden
| | - Stian Lydersen
- Department of Mental Health, Faculty of Medicine and Health Sciences, NTNU-Norwegian University of Science and Technology, Trondheim, Norway
| | - Tormod Rimehaug
- Department of Mental Health, Faculty of Medicine and Health Sciences, NTNU-Norwegian University of Science and Technology, Trondheim, Norway
- Department of Child and Adolescent Psychiatry, Nord-Trøndelag Hospital Trust, Levanger, Norway
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Kulawiak PR, Wilbert J, Schlack R, Börnert-Ringleb M. Prediction of child and adolescent outcomes with broadband and narrowband dimensions of internalizing and externalizing behavior using the child and adolescent version of the Strengths and Difficulties Questionnaire. PLoS One 2020; 15:e0240312. [PMID: 33035264 PMCID: PMC7546492 DOI: 10.1371/journal.pone.0240312] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2020] [Accepted: 09/23/2020] [Indexed: 11/18/2022] Open
Abstract
The Strengths and Difficulties Questionnaire (SDQ) is a frequently used screening instrument for behavioral problems in children and adolescents. There is an ongoing controversy—not only in educational research—regarding the factor structure of the SDQ. Research results speak for a 3-factor as well as a 5-factor structure. The narrowband scales (5-factor structure) can be combined into broadband scales (3-factor structure). The question remains: Which factors (narrowband vs. broadband) are better predictors? With the prediction of child and adolescent outcomes (academic grades, well-being, and self-belief), we evaluated whether the broadband scales of internalizing and externalizing behavior (3-factor structure) or narrowband scales of behavior (5-factor structure) are better suited for predictive purposes in a cross-sectional study setting. The sample includes students in grades 5 to 9 (N = 4642) from the representative German Health Interview and Examination Survey for Children and Adolescents (KiGGS study). The results of model comparisons (broadband scale vs. narrowband scales) did not support the superiority of the broadband scales with regard to the prediction of child and adolescent outcomes. There is no benefit from subsuming narrowband scales (5-factor structure) into broadband scales (3-factor structure). The application of narrowband scales, providing a more differentiated picture of students’ academic and social situation, was more appropriate for predictive purposes. For the purpose of identifying students at risk of struggling in educational contexts, using the set of narrowband dimensions of behavior seems to be more suitable.
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Affiliation(s)
- Pawel R. Kulawiak
- Department of Inclusive Education, University of Potsdam, Potsdam, Germany
- Department of Special Education and Rehabilitation, University of Cologne, Cologne, Germany
- * E-mail:
| | - Jürgen Wilbert
- Department of Inclusive Education, University of Potsdam, Potsdam, Germany
| | - Robert Schlack
- Department of Epidemiology and Health Monitoring, Robert Koch Institute, Berlin, Germany
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Xue J, Zhou Z, Zhang L, Majeed S. Do Brand Competence and Warmth Always Influence Purchase Intention? The Moderating Role of Gender. Front Psychol 2020; 11:248. [PMID: 32153466 PMCID: PMC7046750 DOI: 10.3389/fpsyg.2020.00248] [Citation(s) in RCA: 27] [Impact Index Per Article: 6.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2019] [Accepted: 02/03/2020] [Indexed: 11/23/2022] Open
Abstract
Consumers' perceptions of a brand (e.g., competence or warmth) may directly affect their brand trust, purchase intention, and ability to achieving corporate goals of sustainability. However, gender acts as a moderator in the influence of brand perception on purchase intention. This study examined the main effects of brand perception on purchase intention, the moderating effect of gender, and the mediating effect of brand trust by conducting two experiments and a path analysis. Findings from experiment 1 show that perceived warmth and perceived competence exert significant positive effects on purchase intention with brand trust as a mediator. Findings from experiment 2 indicate that perceived warmth is influential only for female customers, not for male customers, that is, gender moderates the relationship between perceived warmth and purchase intention. However, gender does not moderate the influence of perceived competence on purchase intention. The results of the path analysis are consistent with the experimental results, indicating that the conclusions of the study are robust and reliable. Finally, theoretical contributions and managerial implications are discussed.
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Affiliation(s)
- Jianping Xue
- College of Management, Shenzhen University, Shenzhen, China
- College of Economics and Management, Yibin University, Yibin, China
| | - Zhimin Zhou
- College of Management, Shenzhen University, Shenzhen, China
| | - Liangbo Zhang
- College of Management, Shenzhen University, Shenzhen, China
| | - Salman Majeed
- College of Management, Shenzhen University, Shenzhen, China
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