Nonverbal interaction in hearing-impaired

Introduction Nonverbal communication is highly important in people who hampered by verbal communication. The communicative imbalance may also have long-term effects on the quality of the interpersonal relationship. The aim of the study was to analyse nonverbal synchrony in hearing-impaired subjects and their significant others.

Methods In 34 severe hearing-impaired subjects (Ø 61.9 y) and their partners (Ø 52.6 y) nonverbal synchrony was analysed by Motion Energy Analysis based on a 10-minute video-recorded conversation before and in 21 additionally 6 months after cochlear implantation. In addition, hearing-related quality of life (Nijmegen Questionnaire), burden of hearing loss on significant others (SOS-Hear), communication strategies (CPHI), coping mechanisms (Dyadic Coping Inventory), psychopathology (SCL-K-9, GAD-7) and quality of relationship (IOS) were assessed. Results Duration of hearing loss (Ø 35.4 y) negatively correlated with nonverbal synchrony (p=0.030). Synchrony was higher in CI users who felt less close with their partners (p=0.016). Hearing-impaired subjects who were more anxious were more willing to be guided by their significant others (p=0.048). In contrast, hearing-impaired led more, in case the environment was fewer adapted to the impairment (p=0.020). Cochlear implantation had no effect on synchrony (p>0.05).

Conclusion  Objective assessment of nonverbal synchrony giving an idea of the quality of relationship in hearing-impaired dyads can underline the need for psychological support in auditory rehabilitation and might help to improve communication in hearing-impaired and their significant others in the long-term.

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Artikel online veröffentlicht:
12. Mai 2023