{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T19:03:59Z","timestamp":1774551839240,"version":"3.50.1"},"reference-count":25,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2018,2,19]],"date-time":"2018-02-19T00:00:00Z","timestamp":1518998400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"Sonova AG, Switzerland financially supported the data collection of the second measurement round of the Netherlands Longitudinal Study on Hearing."}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clinical Otolaryngology"],"published-print":{"date-parts":[[2018,6]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>This study aimed to examine the psychosocial health status of adult cochlear implant (<jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>) users, compared to that of hearing aid (<jats:styled-content style=\"fixed-case\">HA<\/jats:styled-content>) users, hearing\u2010impaired adults without hearing aids and normally hearing adults.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Cross\u2010sectional observational study, using both self\u2010reported survey data and a speech\u2010in\u2010noise test.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Data as collected within the Netherlands Longitudinal Study on Hearing (<jats:styled-content style=\"fixed-case\">NL<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">SH<\/jats:styled-content>) between September 2011 and June 2016 were used.<\/jats:p><\/jats:sec><jats:sec><jats:title>Participants<\/jats:title><jats:p>Data from 1254 Dutch adults (aged 23\u201074), selected in a convenience sample design, were included for analyses.<\/jats:p><\/jats:sec><jats:sec><jats:title>Mean outcome measures<\/jats:title><jats:p>Psychosocial health measures included emotional and social loneliness, anxiety, depression, distress and somatisation. Psychosocial health, hearing status, use of hearing technology and covariates were measured by self\u2010report; hearing ability was assessed through an online digit triplet speech\u2010in\u2010noise test.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>After adjusting for the degree of hearing impairment, <jats:styled-content style=\"fixed-case\">HA<\/jats:styled-content> users (N\u00a0=\u00a0418) and hearing\u2010impaired adults (N\u00a0=\u00a0247) had significantly worse scores on emotional loneliness than <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> users (N\u00a0=\u00a037). <jats:styled-content style=\"fixed-case\">HA<\/jats:styled-content> users had significantly higher anxiety scores than <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> users in some analyses. Non\u2010significant differences were found between normally hearing (N\u00a0=\u00a0552) and <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> users for all psychosocial outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Psychosocial health of <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> users is not worse than that of hearing\u2010impaired adults with or without hearing aids. <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> users\u2019 level of emotional loneliness is even lower than that of their hearing\u2010impaired peers using hearing aids. A possible explanation is that <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> patients receive more professional and family support, and guidance along their patient journey than adults who are fitted with hearing aids.<\/jats:p><\/jats:sec>","DOI":"10.1111\/coa.13055","type":"journal-article","created":{"date-parts":[[2017,12,27]],"date-time":"2017-12-27T19:06:42Z","timestamp":1514401602000},"page":"828-834","source":"Crossref","is-referenced-by-count":23,"title":["Psychosocial health of cochlear implant users compared to that of adults with and without hearing aids: Results of a nationwide cohort study"],"prefix":"10.1111","volume":"43","author":[{"given":"J.R.","family":"Bosdriesz","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery, section Ear &amp; Hearing Amsterdam Public Health research institute VU University Medical Center Amsterdam The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6828-9056","authenticated-orcid":false,"given":"M.","family":"Stam","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery, section Ear &amp; Hearing Amsterdam Public Health research institute VU University Medical Center Amsterdam The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C.","family":"Smits","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery, section Ear &amp; Hearing Amsterdam Public Health research institute VU University Medical Center Amsterdam The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S.E.","family":"Kramer","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery, section Ear &amp; Hearing Amsterdam Public Health research institute VU University Medical Center Amsterdam The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,2,19]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2012.04150.x"},{"key":"e_1_2_9_3_1","first-page":"299","article-title":"Systematic review of the literature on the clinical effectiveness of the cochlear implant procedure in adult patients","volume":"31","author":"Berrettini S","year":"2011","journal-title":"Acta Otorhinolaryngol Ital"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.3310\/hta13610"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.12659\/MSM.896869"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2004.03.026"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0385-8146(98)00066-2"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/AUD.0b013e31819c6e01"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/0898264314529329"},{"key":"e_1_2_9_10_1","first-page":"488","article-title":"Impact of cochlear implantation on speech understanding, depression, and loneliness in the elderly","volume":"37","author":"Poissant SF","year":"2008","journal-title":"J Otolaryngol Head Neck Surg"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1159\/000448352"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003446-200504000-00006"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2016.0700"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.26424"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/AUD.0000000000000332"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1080\/14992020400050004"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1177\/014662168500900307"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1080\/0267837042000297535"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0023477"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003446-199806000-00003"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.3109\/09638288.2014.935490"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1080\/14670100.2015.1102456"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1080\/14992020400050016"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215116008197"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0036-1584411"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2016-015012"}],"container-title":["Clinical Otolaryngology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fcoa.13055","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/coa.13055","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,6]],"date-time":"2023-09-06T03:57:16Z","timestamp":1693972636000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/coa.13055"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,2,19]]},"references-count":25,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2018,6]]}},"alternative-id":["10.1111\/coa.13055"],"URL":"https:\/\/doi.org\/10.1111\/coa.13055","archive":["Portico"],"relation":{},"ISSN":["1749-4478","1749-4486"],"issn-type":[{"value":"1749-4478","type":"print"},{"value":"1749-4486","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,2,19]]}}}