Related Experiment Video
Updated: Jul 3, 2026

Behavioral Assessment of Hearing in 2 to 4 Year-old Children: A Two-interval, Observer-based Procedure Using Conditioned Play-based Responses
Published on: January 23, 2017
["Your child is hard of hearing" - a longitudinal study of parental distress]
1Universitätsklinik für Hals- Nasen- und Ohrenheilkunde Freiburg, Freiburg. burger@hno1.ukl.uni-freiburg.de
Background:
In models, hearing impairment in children is linked to parental distress. Empiric data about coping with this stress is small, however, as there are virtually only cross section studies which we can refer to.
Methods:
124 mothers and fathers of 61 children with a hearing impairment, who had their first hearing aid fitted respectively, had been presented to the pre-examination for a Cochlear Implantation (CI). Over a period of two years five respectively six measurements of their psycho-social distress were taken. In addition, the speech status of the children was evaluated.
Results:
Shortly after the diagnosis and before implantation parental quality of life is significantly reduced. Enduring parental distress could not be established. However, particularly when the CI-indication is unclear parents were found to be negatively affected in their well-being. Social support and positive self-awareness were found to moderate parental distress.
Conclusions:
The significant reduction of parental quality of life at the onset of the treatment would indicates the need of special psychological support of the parents in this phase. The stabilisation of the parents' well-being over the course of the treatment signifies that a "normal every day life" can be attained for affected families despite the impairment.
Related Concept Videos
Oppositional Defiant Disorder
Diagnostic Criteria and...
Relationship with Parents: Attachment
Parenting Styles
Authoritarian Parenting
This style is strict and controlling, with little room for open dialogue. Authoritarian parents demand obedience and often enforce rules with minimal warmth. Children raised this way may lack social skills and initiative, usually comparing themselves to others unfavorably.
Authoritative Parenting
This...
Theory of Romantic Attachment in Adulthood
Longitudinal Research
Conduct Disorder
