A Study of Anxiety Levels Among Parents of Children With Hearing Impairment Before and After Receiving Auditory Intervention at Ramathibodi Hospital

Rada Dara; Pitchulee Uayporn; Duangkamon Srihakun; Teerapat Phuyodnil; Nareerat Khamnung; Jitpakorn Pichaitanaporn

doi:10.33165/rmj.48.01.e270368

Authors

Rada Dara Department of Communication Sciences and Disorders, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
Pitchulee Uayporn Department of Communication Sciences and Disorders, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
Duangkamon Srihakun Department of Communication Sciences and Disorders, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand / Ear Nose Throat Center, Sunpasit Hospital, Ubon Ratchathani, Thailand
Teerapat Phuyodnil Department of Communication Sciences and Disorders, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand / Ear Nose Throat Center, Udon Thani Hospital, Udon Thani, Thailand
Nareerat Khamnung Department of Communication Sciences and Disorders, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
Jitpakorn Pichaitanaporn Department of Communication Sciences and Disorders, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand https://orcid.org/0009-0006-5392-9915

DOI:

https://doi.org/10.33165/rmj.48.01.e270368

Keywords:

Parental anxiety, Hearing-impaired children, Auditory intervention, Aural rehabilitation

Abstract

Background: Hearing loss in children impacts their communication ability and daily living. Research has shown a correlation between hearing loss in children and parent’s mental health problems. Although anxiety is a common mental health problem globally, few studies have examined anxiety levels among parents of children with hearing impairments.

Objective: To evaluate anxiety levels among parents of children with hearing impairments before and after children received auditory interventions.

Methods: The study recruited 35 parents of children with hearing impairments who received auditory interventions at Ramathibodi Hospital. Parental anxiety levels were evaluated using STAI Form Y-1 (Thai version), supplemented with structured interviews. Parental anxiety levels before and after children received the intervention were compared using paired t tests, and content analysis was used to analyze qualitative data from structured interviews.

Results: Most participants were female parents of children with bilateral sensorineural hearing loss (SNHL) using hearing aids (mean age; parents = 41 years, and children = 6 years). The results showed a significant decrease in parental anxiety levels after children received an auditory intervention. Consistent with previous literature, parental anxiety levels were reduced after children received auditory interventions. Reduction in parental anxiety might be associated with a better understanding of children’s hearing status, treatment plans, and improvements in children’s speech and language development.

Conclusions: This study suggests that appropriate auditory interventions reduce parental anxiety. The interventions should be carefully planned to support children’s development and parents’ mental well-being.

References

World Health Organization. Addressing the rising prevalence of hearing loss. World Health Organization; 2018. Accessed 23 October 2024. https://iris.who.int/bitstream/handle/10665/260336/9789241550260-eng.pdf?sequence=1&ua=1

Department of Empowerment of Persons and Disability, Ministry of Social Development and Human Security. Disabled Person Situation: Situation of people with disabilities in Thailand. Department of Empowerment of Persons and Disability; 2024. 31 August 2024. Accessed 23 October 2024. https://dep.go.th/images/uploads/files/31082567.pdf

Hyde ML. Newborn hearing screening programs: overview. J Otolaryngol. 2005;34 Suppl 2:S70-S78.

Kasai N, Fukushima K, Omori K, Sugaya A, Ojima T. Effects of early identification and intervention on language development in Japanese children with prelingual severe to profound hearing impairment. Ann Otol Rhinol Laryngol Suppl. 2012;202:16-20. doi:10.1177/000348941212100402

Yoshinaga-Itano C. Levels of evidence: universal newborn hearing screening (UNHS) and early hearing detection and intervention systems (EHDI). J Commun Disord. 2004;37(5):451-465. doi:10.1016/j.jcomdis.2004.04.008

Yoshinaga-Itano C, Sedey AL, Wiggin M, Chung W. Early hearing detection and vocabulary of children with hearing loss. Pediatrics. 2017;140(2):e20162964. doi:10.1542/peds.2016-2964

Babaroglu A. Aggression behaviors in children with and without hearing impairment. Intl J Psychol Stud. 2016;8(2):14-27. doi:10.5539/ijps.v8n2p14

Moeller MP, Tomblin JB, Yoshinaga-Itano C, Connor CM, Jerger S. Current state of knowledge: language and literacy of children with hearing impairment. Ear Hear. 2007;28(6):740-753. doi:10.1097/AUD.0b013e318157f07f

Most T. The effects of degree and type of hearing loss on children’s performance in class. Deafness Educ Int. 2004;6(3):154-166. doi:10.1179/146431504790560528

Dammeyer J, Hansen AT, Crowe K, Marschark M. Childhood hearing loss: Impact on parents and family life. Int J Pediatr Otorhinolaryngol. 2019;120:140-145. doi:10.1016/j.ijporl.2019.02.027

Meinzen-Derr J, Lim LH, Choo DI, Buyniski S, Wiley S. Pediatric hearing impairment caregiver experience: impact of duration of hearing loss on parental stress. Int J Pediatr Otorhinolaryngol. 2008;72(11):1693-1703. doi:10.1016/j.ijporl.2008.08.005

Munoz KF, Ong CW, Twohig MP. Engaging parents of children with mild bilateral or unilateral hearing loss: counseling considerations. J Early Hear Detect Interv. 2019;4(3):20-25. doi:10.26077/prd1-2728

Syed IH, Awan WA, Syeda UB. Caregiver burden among parents of hearing impaired and intellectually disabled children in Pakistan. Iran J Public Health. 2020;49(2):249-256.

Stroebe M, Schut H, Boerner K. Cautioning health-care professionals. Omega (Westport). 2017;74(4):455-473. doi:10.1177/0030222817691870

Talebi H, Habibi Z, Abtahi H, Tork N. Parental anxiety in cochlear implanted children’s family. Hear Balance Commun. 2018;16(1):17-20. doi:10.1080/21695717.2018.1426298

Continisio GI, D'Errico D, Toscano S, et al. Parenting stress in mothers of children with permanent hearing impairment. Children (Basel). 2023;10(3):517. doi:10.3390/children10030517

Gurbuz MK, Kaya E, Incesulu A, et al. Parental anxiety and influential factors in the family with hearing impaired children: before and after cochlear implantation. Int Adv Otol. 2013;9(1):46-54.

Fitzpatrick E, Grandpierre V, Durieux-Smith A, et al. Children with mild bilateral and unilateral hearing loss: parents’ reflections on experiences and outcomes. J Deaf Stud Deaf Educ. 2016;21(1):34-43. doi:10.1093/deafed/env047

Muñoz K, Olson WA, Twohig MP, Preston E, Blaiser K, White KR. Pediatric hearing aid use: parent-reported challenges. Ear Hear. 2015;36(2):279-287. doi:10.1097/AUD.0000000000000111

Kurtzer-White E, Luterman D. Families and children with hearing loss: grief and coping. Ment Retard Dev Disabil Res Rev. 2003;9(4):232-235. doi:10.1002/mrdd.10085

Moeller MP, Carr G, Seaver L, Stredler-Brown A, Holzinger D. Best practices in family-centered early intervention for children who are deaf or hard of hearing: an international consensus statement. J Deaf Stud Deaf Educ. 2013;18(4):429-445. doi:10.1093/deafed/ent034

Pipp-Siegel S, Sedey AL, Yoshinaga-Itano C. Predictors of parental stress in mothers of young children with hearing loss. J Deaf Stud Deaf Educ. 2002;7(1):1-17. doi:10.1093/deafed/7.1.1

Meadow-Orlans KP. Stress, support, and deafness: perceptions of infants’ mothers and fathers. J Early Interv. 1994;18(1):91-102. doi:10.1177/105381519401800108

Meadow-Orlans KP, Smith-Gray S, Dyssegaard B. Infants who are deaf or hard of hearing, with and without physical/cognitive disabilities. Am Ann Deaf. 1995;140(3):279-286. doi:10.1353/aad.2012.0605

National Institute of Mental Health. I’m So Stressed Out! Fact Sheet. Accessed 23 October 2024. https://www.nimh.nih.gov/health/publications/so-stressed-out-fact-sheet

American Psychological Association. What’s the difference between stress and anxiety? Published 28 October 2019. Updated 14 February 2022. Accessed 23 October 2024. https://www.apa.org/topics/stress/anxiety-difference

Spielberger CD, Gonzalez-Reigosa F, Martinez-Urrutia A, Natalicio LF, Natalicio DS. The State-trait anxiety inventory. Interam J Psychol. 1971;5(3-4):145-158.

Hashemi SB, Monshizadeh L. A comparison between the mothers of cochlear implanted children and mothers of children with hearing aid in the level of depression, anxiety-implanted children and mothers of children with hearing aids in the level of depression, anxiety, and stress. Biomed Pharmacol J. 2012;5(2):241-245.

Horsch U, Weber C, Bertram B, Detrois P. Stress experienced by parents of children with cochlear implants compared with parents of deaf children and hearing children. Am J Otol. 1997;18(6 Suppl):S161-S163.

Lindstrand P, Brodin J, Lind L. Parental expectations from three different perspectives: what are they based on? Int J Rehabil Res. 2002;25(4):261-269. doi:10.1097/00004356-200212000-00003

Lederberg AR, Golbach T. Parenting stress and social support in hearing mothers of deaf and hearing children: a longitudinal study. J Deaf Stud Deaf Educ. 2002;7(4):330-345. doi:10.1093/deafed/7.4.330

Theunissen SC, Rieffe C, Kouwenberg M, et al. Behavioral problems in school-aged hearing-impaired children: the influence of sociodemographic, linguistic, and medical factors. Eur Child Adolesc Psychiatry. 2014;23(4):187-196. doi:10.1007/s00787-013-0444-4

Feldman SS, Quatman T. Factors influencing age expectations for adolescent autonomy: a study of early adolescents and parents. J Early Adolesc. 1988;8(4):325-343. doi:10.1177/0272431688084002

Schroedel JG, Carnahan S. Parental involvement in career development. JADARA. 2019;25(2). Accessed 23 October 2024. https://nsuworks.nova.edu/jadara/vol25/iss2/6

Thapinta D. Reduction of Anxiety of Staff Nurse Working with Aids Patients Through Cognitive Recon structuring and Mindfulness Training. Dissertation. Chulalongkorn University; 1992. doi:10.14457/CU.the.1992.548