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Journal of Speech and Hearing Disorders Vol.55 656-664 November 1990.
© American Speech-Language-Hearing Association
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The Relationship between Communication Problems and Psychological Difficulties in Persons with Profound Acquired Hearing Loss

John F. Knutson 1 and Charissa R. Lansing 1

1 University of Iowa, Iowa City

Communication strategies, accommodations to deafness, and perceptions of the communication environment by profoundly deaf subjects were correlated with indices of psychosocial adjustment to determine whether accommodations to deafness could play a role in the presence of psychological difficulties among deaf persons. Persons with postlingually acquired profound deafness were administered the Communication Profile for the Hearing Impaired (CPHI) and several standardized tests of psychological functioning and adjustment. Inadequate communication strategies and poor accommodations to deafness reported on the CPHI were associated with depression, social introversion, loneliness, and social anxiety. Limited communication performance at home and with friends was related to both social introversion and the experience of loneliness; perceived attitudes and behaviors of others correlated with depression as well as loneliness. In general, the pattern of correlations obtained suggests that specific communication strategies and accommodations to deafness, rather than deafness per se, may contribute to the presence of some psychological difficulties in individuals.

Key Words: CPHI • deaf adults • psychosocial adjustment • self-assessment • cochlear implant candidates

Submitted on July 10, 1989
Accepted on December 1, 1989




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