{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,20]],"date-time":"2025-09-20T19:23:24Z","timestamp":1758396204332,"version":"3.37.3"},"reference-count":37,"publisher":"Springer Science and Business Media LLC","issue":"5","license":[{"start":{"date-parts":[[2020,7,15]],"date-time":"2020-07-15T00:00:00Z","timestamp":1594771200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2020,7,15]],"date-time":"2020-07-15T00:00:00Z","timestamp":1594771200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Eur Arch Otorhinolaryngol"],"published-print":{"date-parts":[[2021,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Purpose<\/jats:title>\n                <jats:p> The present study investigated adults with partial deafness (PD) and asked them to rate the benefits of their cochlear implant (CI), their general level of satisfaction with it, and their level of psychological distress. Of particular interest was the role of gender.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>The study comprised 71 participants (41 females) with PD who had been provided with a CI. The <jats:italic>Nijmegen Cochlear Implant Questionnaire<\/jats:italic> (NCIQ) was used to assess the benefits of their CI. Satisfaction with their CI was measured using a visual analog scale. The severity of mental distress was assessed with the <jats:italic>General Health Questionnaire<\/jats:italic> (GHQ-28).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>On various NCIQ scales, the average benefits of a CI were rated at 66%. Females gave a lower rating than males. The mental distress experienced by the group was significantly higher than in the general population. Females had more severe symptoms of anxiety and insomnia than males. There was a significant relationship between psychological distress and CI benefit, but only in females. Besides general distress, the most affected spheres were related to psychosocial functioning\u2014\u201cself-esteem\u201d, \u201cactivity limitation\u201d, and \u201csocial interaction\u201d. Contrary to expectations, there was no relationship between mental distress and CI satisfaction.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>The perceived benefits of a CI in subjects with PD relate mostly to the level of mental distress, although gender is an important factor. For females, their emotional state affects how beneficial their CI is perceived. Due to the higher levels of mental distress, females tend to need more psychological intervention and support.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00405-020-06199-x","type":"journal-article","created":{"date-parts":[[2020,7,15]],"date-time":"2020-07-15T18:03:41Z","timestamp":1594836221000},"page":"1387-1394","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Cochlear implants in adults with partial deafness: subjective benefits but associated psychological distress"],"prefix":"10.1007","volume":"278","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8939-4381","authenticated-orcid":false,"given":"Joanna","family":"Kobosko","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8404-0672","authenticated-orcid":false,"given":"W. Wiktor","family":"Jedrzejczak","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna","family":"Barej","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Agnieszka","family":"Pankowska","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna","family":"Geremek-Samsonowicz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7141-9851","authenticated-orcid":false,"given":"Henryk","family":"Skarzynski","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2020,7,15]]},"reference":[{"key":"6199_CR1","doi-asserted-by":"publisher","first-page":"2110","DOI":"10.1002\/lary.25848","volume":"126","author":"KJ Contrera","year":"2016","unstructured":"Contrera KJ, Betz J, Li L et al (2016) Quality of life after intervention with a cochlear implant or hearing aid. Laryngoscope 126:2110\u20132115","journal-title":"Laryngoscope"},{"key":"6199_CR2","doi-asserted-by":"publisher","first-page":"47","DOI":"10.2174\/1874428101004010047","volume":"4","author":"C Loeffler","year":"2010","unstructured":"Loeffler C, Aschendorff A, Burger T et al (2010) Quality of life measurements after cochlear implantation. Open Otorhinolaryngol J 4:47\u201354","journal-title":"Open Otorhinolaryngol J"},{"key":"6199_CR3","doi-asserted-by":"publisher","first-page":"721","DOI":"10.3766\/jaaa.19.9.7","volume":"19","author":"H Ou","year":"2008","unstructured":"Ou H, Dunn CC, Bentler RA, Zhang X (2008) Measuring cochlear implant satisfaction in postlingually deafened adults with the SADL inventory. J Am Acad Audiol 19:721\u2013734","journal-title":"J Am Acad Audiol"},{"issue":"4","key":"6199_CR4","doi-asserted-by":"crossref","first-page":"31","DOI":"10.17431\/1002752","volume":"6","author":"J Kobosko","year":"2017","unstructured":"Kobosko J, Pankowska A, Olszewski L et al (2017) Subjective and objective assessment of cochlear implant benefit in adults with the prelingual onset partial deafness [in Polish]. Now Audiofonol 6(4):31\u201342","journal-title":"Now Audiofonol"},{"key":"6199_CR5","doi-asserted-by":"publisher","first-page":"5","DOI":"10.1186\/1477-7525-12-5","volume":"12","author":"H Lloyd","year":"2014","unstructured":"Lloyd H, Jenkinson C, Hadi M et al (2014) Patient reports of the outcomes of treatment: a structured review of approaches. Health Qual Life Outcomes 12:5","journal-title":"Health Qual Life Outcomes"},{"key":"6199_CR6","doi-asserted-by":"publisher","first-page":"756","DOI":"10.1067\/mhn.2000.108203","volume":"123","author":"JB Hinderink","year":"2000","unstructured":"Hinderink JB, Krabbe PF, Van Den Broek P (2000) Development and application of a health-related quality-of-life instrument for adults with cochlear implants: the Nijmegen Cochlear Implant Questionnaire. Otolaryngol Head Neck Surg 123:756\u2013765","journal-title":"Otolaryngol Head Neck Surg"},{"key":"6199_CR7","doi-asserted-by":"publisher","first-page":"605","DOI":"10.1097\/AUD.0000000000000179","volume":"36","author":"J Kobosko","year":"2015","unstructured":"Kobosko J, Jedrzejczak WW, Pilka E et al (2015) Satisfaction with cochlear implants in postlingually deaf adults and its nonaudiological predictors: psychological distress, coping strategies, and self-esteem. Ear Hear 36:605\u2013618","journal-title":"Ear Hear"},{"key":"6199_CR8","doi-asserted-by":"publisher","first-page":"253","DOI":"10.1097\/MAO.0b013e3182a4758e","volume":"35","author":"LV Straatman","year":"2014","unstructured":"Straatman LV, Huinck WJ, Langereis MC et al (2014) Cochlear implantation in late-implanted prelingually deafened adults: changes in quality of life. Otol Neurotol 35:253\u2013259","journal-title":"Otol Neurotol"},{"key":"6199_CR9","doi-asserted-by":"publisher","first-page":"357","DOI":"10.1016\/j.otohns.2007.10.019","volume":"138","author":"A Hirschfelder","year":"2008","unstructured":"Hirschfelder A, Grabel S, Olze H (2008) The impact of cochlear implantation on quality of life: the role of audiologic performance and variables. Otolaryngol Head Neck Surg 138:357\u2013362","journal-title":"Otolaryngol Head Neck Surg"},{"key":"6199_CR10","doi-asserted-by":"publisher","first-page":"16","DOI":"10.1080\/14992027.2016.1227482","volume":"56","author":"T Le Roux","year":"2017","unstructured":"Le Roux T, Vinck B, Butler I et al (2017) Predictors of health-related quality of life in adult cochlear implant recipients in South Africa. Int J Audiol 56:16\u201323","journal-title":"Int J Audiol"},{"key":"6199_CR11","doi-asserted-by":"publisher","first-page":"e430","DOI":"10.1097\/MAO.0000000000002008","volume":"40","author":"SM H\u00e4u\u00dfler","year":"2019","unstructured":"H\u00e4u\u00dfler SM, Knopke S, Wiltner P et al (2019) Long-term benefit of unilateral cochlear implantation on quality of life and speech perception in bilaterally deafened patients. Otol Neurotol 40:e430\u2013e440","journal-title":"Otol Neurotol"},{"key":"6199_CR12","doi-asserted-by":"publisher","first-page":"418","DOI":"10.1097\/AUD.0000000000000626","volume":"40","author":"F Muigg","year":"2019","unstructured":"Muigg F, Bliem H, Holzner B et al (2019) Do personality factors assessed before cochlear implantation predict hearing-related quality of life after cochlear implantation in postlingually deafened adults? Ear Hear 40:418\u2013425","journal-title":"Ear Hear"},{"key":"6199_CR13","doi-asserted-by":"publisher","first-page":"982","DOI":"10.1002\/lary.26738","volume":"28","author":"TR McRackan","year":"2018","unstructured":"McRackan TR, Bauschard M, Hatch JL et al (2018) Meta-analysis of quality-of-life improvement after cochlear implantation and associations with speech recognition abilities. Laryngoscope 28:982\u2013990","journal-title":"Laryngoscope"},{"key":"6199_CR14","doi-asserted-by":"publisher","first-page":"699","DOI":"10.1002\/lary.25525","volume":"26","author":"NR Capretta","year":"2016","unstructured":"Capretta NR, Moberly AC (2016) Does quality of life depend on speech recognition performance for adult cochlear implant users? Laryngoscope 26:699\u2013706","journal-title":"Laryngoscope"},{"key":"6199_CR15","first-page":"CS20","volume":"9","author":"H Skarzynski","year":"2003","unstructured":"Skarzynski H, Lorens A, Piotrowska A (2003) A new method of partial deafness treatment. Med Sci Monit 9:CS20\u2013CS24","journal-title":"Med Sci Monit"},{"key":"6199_CR16","first-page":"209","volume-title":"Mental health and deafness","author":"M du Feu","year":"2014","unstructured":"du Feu M (2014) Deafened people. In: du Feu M, Chovaz C (eds) Mental health and deafness. Oxford University Press, Oxford, pp 209\u2013215"},{"key":"6199_CR17","doi-asserted-by":"publisher","first-page":"1849","DOI":"10.3109\/09638288.2014.982833","volume":"37","author":"PI Carlsson","year":"2015","unstructured":"Carlsson PI, Hjaldahl J, Magnuson A et al (2015) Severe to profound hearing impairment: quality of life, psychosocial consequences and audiological rehabilitation. Disabil Rehabil 37:1849\u20131856","journal-title":"Disabil Rehabil"},{"key":"6199_CR18","doi-asserted-by":"publisher","first-page":"132","DOI":"10.7874\/jao.2015.19.3.132","volume":"19","author":"V Manchaiah","year":"2015","unstructured":"Manchaiah V, Stein G, Danermark B et al (2015) Positive, neutral, and negative connotations associated with social representation of\u2019 \u2018hearing loss\u2019 and \u2018hearing aids\u2019. J Audiol Otol 19:132\u2013137","journal-title":"J Audiol Otol"},{"key":"6199_CR19","doi-asserted-by":"publisher","first-page":"61","DOI":"10.1097\/00006842-200201000-00009","volume":"64","author":"R de Graaf","year":"2002","unstructured":"de Graaf R, Bijl RV (2002) Determinants of mental distress in adults with a severe auditory impairment: differences between prelingual and postlingual deafness. Psychosom Med 64:61\u201370","journal-title":"Psychosom Med"},{"key":"6199_CR20","doi-asserted-by":"publisher","first-page":"1037","DOI":"10.1016\/S0140-6736(11)61143-4","volume":"379","author":"J Fellinger","year":"2012","unstructured":"Fellinger J, Holzinger D, Pollard R (2012) Mental health of deaf people. Lancet 379:1037\u20131044","journal-title":"Lancet"},{"key":"6199_CR21","doi-asserted-by":"publisher","first-page":"572","DOI":"10.3109\/00016489.2015.1006336","volume":"135","author":"MS Shin","year":"2015","unstructured":"Shin MS, Song JJ, Han KH et al (2015) The effect of psychosocial factors on outcomes of cochlear implantation. Acta Otolaryngol 135:572\u2013577","journal-title":"Acta Otolaryngol"},{"key":"6199_CR22","doi-asserted-by":"publisher","first-page":"293","DOI":"10.1001\/jamaoto.2014.42","volume":"140","author":"CM Li","year":"2014","unstructured":"Li CM, Zhang X, Hoffman HJ et al (2014) Hearing impairment associated with depression in US adults. National Health and Nutrition Examination Survey 2005\u20132010. JAMA Otolaryngol Head Neck Surg 140:293\u2013302","journal-title":"JAMA Otolaryngol Head Neck Surg"},{"key":"6199_CR23","doi-asserted-by":"publisher","first-page":"243","DOI":"10.1111\/j.1600-0447.2006.00976.x","volume":"115","author":"J Fellinger","year":"2007","unstructured":"Fellinger J, Holzinger D, Gerich J et al (2007) Mental distress and quality of life in the hard of hearing. Acta Psychiatr Scand 115:243\u2013245","journal-title":"Acta Psychiatr Scand"},{"key":"6199_CR24","doi-asserted-by":"publisher","first-page":"767","DOI":"10.1007\/s00405-015-3713-7","volume":"273","author":"K Ciesla","year":"2016","unstructured":"Ciesla K, Lewandowska M, Skar\u017cy\u0144ski H (2016) Health-related quality of life and mental distress in patients with partial deafness: preliminary findings. Eur Arch Otorhinolaryngol 273:767\u2013776","journal-title":"Eur Arch Otorhinolaryngol"},{"key":"6199_CR25","doi-asserted-by":"publisher","first-page":"e0179973","DOI":"10.1371\/journal.pone.0179973","volume":"12","author":"SY Kim","year":"2017","unstructured":"Kim SY, Kim H-J, Park E-K et al (2017) Severe hearing impairment and risk of depression: a national cohort study. PLoS ONE 12:e0179973","journal-title":"PLoS ONE"},{"key":"6199_CR26","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1093\/deafed\/enl015","volume":"12","author":"MH Kvam","year":"2007","unstructured":"Kvam MH, Loeb M, Tambs K (2007) Mental health in deaf adults: symptoms of anxiety and depression among hearing and deaf individuals. J Deaf Stud Deaf Educ 12:1\u20137","journal-title":"J Deaf Stud Deaf Educ"},{"key":"6199_CR27","doi-asserted-by":"publisher","first-page":"e004226","DOI":"10.1136\/bmjopen-2013-004226","volume":"4","author":"LJ Williams","year":"2014","unstructured":"Williams LJ, Berk M, Henry MJ et al (2014) Depression following fracture in women: a study of age-matched cohorts. BMJ Open 4:e004226","journal-title":"BMJ Open"},{"key":"6199_CR28","doi-asserted-by":"publisher","first-page":"828","DOI":"10.1111\/coa.13055","volume":"43","author":"JR Bosdriesz","year":"2018","unstructured":"Bosdriesz JR, Stam M, Smits C et al (2018) Psychosocial health of cochlear implant users compared to that of adults with and without hearing aids: results of a nationwide cohort study. Clin Otolaryngol 43:828\u2013834","journal-title":"Clin Otolaryngol"},{"key":"6199_CR29","doi-asserted-by":"publisher","first-page":"226","DOI":"10.3389\/fnhum.2017.00226","volume":"11","author":"P Br\u00fcggemann","year":"2017","unstructured":"Br\u00fcggemann P, Szczepek AJ, Klee K et al (2017) In patients undergoing cochlear implantation, psychological burden affects tinnitus and the overall outcome of auditory rehabilitation. Front Hum Neurosci 11:226","journal-title":"Front Hum Neurosci"},{"key":"6199_CR30","doi-asserted-by":"publisher","first-page":"3","DOI":"10.3109\/00016489.2013.869059","volume":"564","author":"H Skarzynski","year":"2013","unstructured":"Skarzynski H, van de Heyning P, Agrawal S et al (2013) Towards a consensus on a hearing preservation classification system. Acta Otolaryngol Suppl 564:3\u201313","journal-title":"Acta Otolaryngol Suppl"},{"key":"6199_CR31","first-page":"56","volume":"48","author":"A Pruszewicz","year":"1994","unstructured":"Pruszewicz A, Demenko G, Richter L et al (1994) New articulation lists for speech audiometry. Part II [in Polish]. Otolaryngol Pol 48:56\u201362","journal-title":"Otolaryngol Pol"},{"key":"6199_CR32","doi-asserted-by":"publisher","first-page":"391","DOI":"10.1177\/0194599816679126","volume":"156","author":"JB Hinderink","year":"2017","unstructured":"Hinderink JB, Krabbe PF, Van Den Broek P (2017) Corrigendum. Otolaryngol Head Neck Surg 156:391","journal-title":"Otolaryngol Head Neck Surg"},{"key":"6199_CR33","volume-title":"Mental health assessment using Goldberg\u2019s questionnaires, Part 2 [in Polish]","author":"Z Makowska","year":"2001","unstructured":"Makowska Z, Merecz D (2001) Polish adaptation of Goldberg\u2019s general health questionnaires GHQ-12 and GHQ-28. In: Makowska Z, Merecz D (eds) Mental health assessment using Goldberg\u2019s questionnaires, Part 2 [in Polish]. Oficyna Wydawnicza IMP, \u0141\u00f3d\u017a"},{"issue":"1","key":"6199_CR34","doi-asserted-by":"crossref","first-page":"31","DOI":"10.17431\/882779","volume":"1","author":"J Solnica","year":"2012","unstructured":"Solnica J, Kobosko J, Pankowska A et al (2012) Effectiveness of the auditory training in patients with the partial deafness after cochlear implantation in the assessment of patients and speech therapists [in Polish]. Now Audiofonol 1(1):31\u201337","journal-title":"Now Audiofonol"},{"key":"6199_CR35","doi-asserted-by":"publisher","first-page":"e0203680","DOI":"10.1371\/journal.pone.0203680","volume":"13","author":"J Kobosko","year":"2018","unstructured":"Kobosko J, J\u0119drzejczak WW, Gos E et al (2018) Self-esteem in the deaf who have become cochlear implant users as adults. PLoS ONE 13:e0203680","journal-title":"PLoS ONE"},{"key":"6199_CR36","doi-asserted-by":"publisher","first-page":"637","DOI":"10.1037\/pspp0000143","volume":"114","author":"U Orth","year":"2018","unstructured":"Orth U (2018) The family environment in early childhood has a long-term effect on self-esteem: a longitudinal study from birth to age 27 years. J Pers Soc Psychol 114:637\u2013655","journal-title":"J Pers Soc Psychol"},{"key":"6199_CR37","doi-asserted-by":"publisher","first-page":"e441","DOI":"10.1097\/MAO.0000000000002179","volume":"40","author":"S Knopke","year":"2019","unstructured":"Knopke S, H\u00e4ussler S, Gr\u00e4bel S et al (2019) Age-dependent psychological factors influencing the outcome of cochlear implantation in elderly patients. Otol Neurotol 40:e441\u2013e453","journal-title":"Otol Neurotol"}],"container-title":["European Archives of Oto-Rhino-Laryngology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00405-020-06199-x.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00405-020-06199-x\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00405-020-06199-x.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,7,14]],"date-time":"2021-07-14T23:51:06Z","timestamp":1626306666000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00405-020-06199-x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,7,15]]},"references-count":37,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2021,5]]}},"alternative-id":["6199"],"URL":"https:\/\/doi.org\/10.1007\/s00405-020-06199-x","relation":{},"ISSN":["0937-4477","1434-4726"],"issn-type":[{"type":"print","value":"0937-4477"},{"type":"electronic","value":"1434-4726"}],"subject":[],"published":{"date-parts":[[2020,7,15]]},"assertion":[{"value":"13 May 2020","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"7 July 2020","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"15 July 2020","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Compliance with ethical standards"}},{"value":"The authors declare that they have no conflict of interest.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}]}}