The effects of hearing loss on the spouse

Numerous studies have been performed on the negative effects of hearing loss on the individual.  People with untreated hearing loss are more likely to report depression, anxiety, short-term memory loss and less likely to participate in social activities.  Few studies have examined the effects of hearing loss on the spouse, family and significant others of the individual.  It stands to reason that hearing loss would definitely affect the spouse also.  Hearing loss is not just an individual problem but a family problem too.  

A recent study in Australia conducted by Scarinci, et al. (2008) examined the effect of hearing loss on the spouse.  In-depth interviews were obtained with spouses of hearing impaired adults whose ages ranged from 63 to 80 years and whose hearing loss ranged from mild to severe.  The investigators examined several areas of interest:  1) strategies used by the spouse, 2) effects on communication, 3) effects on the relationship and 4) effects of acceptance/denial.  

The role of acceptance was found to be a critical factor.  The more the person with hearing loss accepted their condition, the lesser the effect on the spouse.  The partner’s acceptance of their hearing loss made the spouse more willing to assist and adapt which brought about less tension to the relationship.

Spouses reported a reduction in communication and the usual “chit-chat” that occurs between couples.  Frustration at having to repeat themselves was noted along with the need to use adaptive strategies such as repositioning themselves and encouraging lipreading.  The greatest effects were on TV and phone use.   Spouses had frequent complaints of increased volume on the television set which would sometimes lead to the unwillingness to watch TV in the same room.  Some spouses would answer and make all phone calls – acting like a phone secretary.  

Spouses commonly reported a reduction in social activity attendance due to their hearing impaired partner wanting to “just stay at home”.  They would state that they were their partners “ears” watching out for any communicative situation that turned out to be embarrassing due to inappropriate responses.  This study also noted that intimate relationships are vulnerable to the effects of hearing loss.  

In conclusion, this investigation found “ the effects of hearing loss on the spouse are far reaching and cumulative.  Acceptance of the hearing loss reduced the impact of hearing loss on everyday life.”  Spouses, family members and close friends can play an integral role in hearing rehabilitation.  Audiological intervention should include both parties.  Ultimately, treating hearing loss can improve family relationships and your social life.  

The effect of hearing impairment in older people on the spouse.  Scarinci, N, Worral, L and Hickson, L.  Intl J Audiology (2008).  47: 141-151.

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