{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T14:16:35Z","timestamp":1782310595382,"version":"3.54.5"},"reference-count":28,"publisher":"American Academy of Audiology","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["j am acad audiol"],"published-print":{"date-parts":[[2025,7,1]]},"abstract":"<jats:p>\n                    <jats:bold>Purpose:<\/jats:bold>\n                    Current literature is conflicting and unclear when comparing perceived stress and anxiety with hearing loss. This study assesses the relationship of standard audiometric measurements to perceived stress, anxiety, and hearing impairment.\n                    <jats:bold>Research Design:<\/jats:bold>\n                    All participants were seen for a comprehensive audiological evaluation. Participants\u2019 best pure tone average (PTA) and high-frequency pure tone average (HF-PTA) were calculated from measured behavioral thresholds to pure tones of 500\u20108000 Hz. Word recognition scores (WRS)\n were obtained for each ear. Participants completed the Reduced Hearing Handicap Index Screening (RHHI-S), Perceived Stress Scale (PSS), and Generalized Anxiety Disorder \u2010 7 item (GAD-7) questionnaires.\n                    <jats:bold>Study Sample:<\/jats:bold>\n                    Sixty-two participants seen for audiological evaluations\n participated in this study. The mean age of participant was 62.6 (\u00b116.8) years.\n                    <jats:bold>Data Collection and Analysis:<\/jats:bold>\n                    Participants were grouped into age categories and analyses of variance were used to determine whether a significant difference existed among the questionnaires\n across the four age groups. Pearson\u2019s\n                    <jats:italic>r<\/jats:italic>\n                    correlation coefficients were used to determine a relationship between all measurements, and\n                    <jats:italic>t<\/jats:italic>\n                    tests were used to determine whether a difference in questionnaire score existed between previous hearing aid users and non-hearing aid\n users. Hierarchical regression analyses were applied to determine whether perceived stress or perceived hearing loss has a significant predictor in audiometric testing.\n                    <jats:bold>Results:<\/jats:bold>\n                    RHHI scores were significantly higher in those with hearing loss and the participant group containing\n those with hearing loss that wore hearing aids compared to those who did not. Additionally, GAD-7 scores significantly predicted PSS scores. All other comparisons were nonsignificant.\n                    <jats:bold>Conclusions:<\/jats:bold>\n                    The results from this study suggest that insights into stress and anxiety\n may be beneficial for counseling, but they do not seem to be related to severity of hearing impairment or speech in quiet performance.\n                    <jats:bold>Clinical Relevance Statement:<\/jats:bold>\n                    Questionnaires can provide significant insight into the perceptions of patients seeking clinical care. The\n findings from this study find that the RHHI-S significantly correlates with common behavioral measurements of hearing. Questionnaires that reflect on anxiety and perceived stress levels have no correlation to these measurements.\n                  <\/jats:p>","DOI":"10.3766\/jaaa.240129","type":"journal-article","created":{"date-parts":[[2025,7,25]],"date-time":"2025-07-25T06:05:41Z","timestamp":1753423541000},"page":"278-284","source":"Crossref","is-referenced-by-count":1,"title":["Exploring the Link Between Clinical Hearing Loss and Perceptions of Stress and Anxiety"],"prefix":"10.3766","volume":"36","author":[{"given":"Aaron Michael","family":"Roman","sequence":"first","affiliation":[{"name":"*Osborne College of Audiology, Salus at Drexel University, Elkins Park, PA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth","family":"Sedunov","sequence":"additional","affiliation":[{"name":"*Osborne College of Audiology, Salus at Drexel University, Elkins Park, PA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2087","reference":[{"issue":"(1)","key":"c1","first-page":"95","article-title":"The revised hearing handicap inventory and screening tool based on psychometric reevaluation of the hearing handicap inventories for the elderly and adults","volume":"41","year":"2020","journal-title":"Ear Hearing"},{"issue":"(4)","key":"c2","first-page":"385","article-title":"A global measure of perceived stress","volume":"24","year":"1983","journal-title":"J Health Social Behav"},{"key":"c3","first-page":"31","volume-title":"The Social Psychology of Health","year":"1988"},{"issue":"(1)","key":"c4","first-page":"172","article-title":"Association of hearing impairment and anxiety in older adults","volume":"29","year":"2017","journal-title":"J Aging Health"},{"issue":"(6)","key":"c5","first-page":"e0304428","article-title":"Hearing loss and psychosocial outcomes: influences of social emotional aspects and personality","volume":"19","year":"2024","journal-title":"PLoS ONE"},{"issue":"(11)","key":"c6","article-title":"Five-point Likert items: t test versus Mann\u2013Whitney\u2013Wilcoxon. 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