Prognostic value of psychological state in cochlear implantation.

Prognostic value of psychological state in cochlear implantation.

Acta Otolaryngol. 2015 Nov 7;:1-5

Authors: Han JJ, Shin MS, Song JJ, Pai I, Oh S, Kim B, Park JH, Lee JH, Oh SH

Abstract
CONCLUSION: Perioperative Minnesota Multiphasic Personality Inventory (MMPI) scores may be beneficial for predicting prognosis of cochlear implantation (CI). A positive attitude for social interaction in particular correlates with a better speech outcome. Proper perioperative psychological management may, therefore, assist in the auditory rehabilitation of CI patients.
OBJECTIVE: To determine the perioperative psychological state of CI patients and its relationship with patient prognosis after CI.
METHODS: This study prospectively enrolled 29 patients who underwent CI from 2005-2013. The MMPI was administered to assess psychosocial and emotional issues surrounding CI and the Korean version of the Central Institute of Deafness (K-CID) score was used to measure speech perception.
RESULTS: CI resulted in a significant improvement on the MMPI Paranoia scale (p = 0.02). Patients with abnormal pre-operative and post-operative MMPI scores also had an earlier onset of deafness, longer duration of deafness, and lower K-CID scores than patients with normal MMPI scores (all p < 0.05). The post-CI K-CID score had a significant negative correlation with the pre-operative MMPI Schizophrenia score (p < 0.01) and significant negative correlations with the post-operative MMPI Paranoia (p = 0.02), Psychasthenia (p = 0.02), Schizophrenia (p = 0.04), Hypomania (p = 0.02) and Social Introversion (p = 0.03) scores.

PMID: 26548342 [PubMed - as supplied by publisher]

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