Abstract

One purpose of this study was to describe sense of humour and communication strategies in a general population of adults who needed hearing aid (HA) fitting or refitting. Another purpose was to explore the correlation between characteristics of hearing impairment (HI), sense of humour, and other participant characteristics and the communication strategies as outcome. Consecutive patients (<em>n</em>=343) at the Department of Audiology during 1 year completed the Sense of Humour Questionnaire-6 (SHQ-6) and the Communication Strategies Scale (CSS with maladaptive behaviour, verbal and non-verbal strategies). It was found that a high sense of humour was related to female gender and younger age. In multiple regression analyses, use of non-verbal communication strategies was more prevalent among females and increased with younger age, longer duration of HI, and previous HA experience. Use of verbal communication strategies and maladaptive communication behaviour increased with increasing HI. Use of verbal strategies was further associated with younger age and previous HA experience. Frequent use of maladaptive behaviour was related to younger age, longer duration of HI and less sense of humour. Maladaptive behaviour, alternatively expressed as negative reactions to stressful events in communication, was negatively associated with sense of humour. This study may indicate a role for sense of humour in prevention of maladaptive behaviour. It may also improve our understanding of what factors influence the use of communication strategies.

Highlights

  • For individuals with hearing impairment (HI), daily coping in terms of cognitive and behavioural efforts aimed at minimizing, reducing, or tolerating threats (Lazarus & Folkman 1984), is centred on their demanding auditory situation

  • It was hypothesized that the study could confirm and expand the understanding from earlier reports concerning the impact of audiological and participant characteristics on the use of communication strategies, and that high sense of humour adjusted for such characteristics is inversely related to frequent use of maladaptive communication strategies

  • In a multiple regression model, we found that frequent use of non-verbal strategies was further explained by young age, and the significance of age was shown for verbal strategies and maladaptive behaviour

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Summary

Introduction

For individuals with hearing impairment (HI), daily coping in terms of cognitive and behavioural efforts aimed at minimizing, reducing, or tolerating threats (Lazarus & Folkman 1984), is centred on their demanding auditory situation. Demorest and Erdman (1986) reported three categories of communication strategies aimed to compensate for problems hearing impaired adults experience in communication Two of these categories, the verbal and non-verbal strategies, were effective to promote communication while the third, maladaptive behaviour, interfered with effective communication. One aim of this study was to describe sense of humour and communication strategies in a general population of adults who needed hearing aid (HA) fitting or refitting. It was hypothesized that the study could confirm and expand the understanding from earlier reports concerning the impact of audiological and participant characteristics on the use of communication strategies, and that high sense of humour adjusted for such characteristics is inversely related to frequent use of maladaptive communication strategies

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