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Acquired Hearing Loss and Psychiatric Symptoms

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Author(s): Aytül Gürsu HARİRİ | Gülcan ÖZER | Mehmet Emin CEYLAN

Journal: Nöropsikiyatri Arşivi
ISSN 1300-0667

Volume: 46;
Issue: 4;
Start page: 149;
Date: 2009;
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Keywords: Acquired hearing loss/impairment | psychiatric symptoms | musical hallucinations | paranoia | depression

ABSTRACT
Objective: World Health Organization (WHO) defines hearing loss as an impairment in perception, attention and organisation as well as in speaking, In this study, on the base of biopsychosocial theory, we aimed to determine both psychiatric symptoms of the patients who have acquired (but ideopathic) hearing impairment/loss, and also, if there was, an association between this physical illness and psychiatric symptoms. Methods: The groups of patients with mild, moderate and severe hearing impairment and a healthy control group were enrolled in the study. Each group contained 30 persons. A sociodemographic questionnaire, the Symptom Check List 90-Revised Form (SCL-90-R) and the Non-Patients Form of Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders (SCID-NP) were used. Results: The psychopathology that have been found in our study was 35.6% in patients group versus 20% in controls. 30-50% of patients with hearing loss reported both social and psychological problems. According to SCL-90-R, in the patients’ groups who had especially moderate and severe hearing loss were more paranoid and depressive; they had more eating and sleeping difficulties; also they complained more from musical hallucinations (25%) and their scores of positive symptoms and of additional scales in SCL-90-R were higher than the controls (p< 0.001). In SCID-NP, especially the hallucination, the paranoia and the depression scores were higher in patients with hearing loss. Conclusion: The reasons for psychiatric symptoms in the patients with hearing impairment or loss are multiethiological and it is known that disability is the major ethiological factor. The results of our study showed us that the psychiatry and the other medical disciplines should always work together. (Archives of Neuropsychiatry 2009; 46: 149-56)

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