Psychological impact of a genetic diagnosis on hearing impairment-An exploratory study

Clin Otolaryngol. 2018 Feb;43(1):47-54. doi: 10.1111/coa.12908. Epub 2017 Jun 26.

Abstract

Objective: Genetic testing for hereditary hearing impairment has become more routinely available as a diagnostic tool in the outpatient clinic. However, little is known about the psychological impact of a genetic diagnosis. To evaluate this impact, an exploratory study was conducted.

Design: Prospectively, 48 individuals who underwent genetic testing for hereditary hearing impairment were included in this study. Study participants were asked to fill out the following questionnaires: Hospital Anxiety Depression Scale, Impact of Event Scale, Self-Efficacy 24, Illness Cognition Questionnaire and the Inventory for Social Reliance. Questionnaires were filled out on three occasions: before genetic testing, directly after counselling on either positive or negative test results, and six weeks thereafter.

Results: No significant differences were found between the group that received a genetic diagnosis for their hearing impairment and the group that did not.

Conclusion: This study did not demonstrate differences between receiving a genetic diagnosis or not; however, special attention to psychological well-being should be offered to hearing-impaired patients who seek a genetic diagnosis for their hearing impairment. Additionally, the psychological impact of sensorineural hearing impairment might be greater than the impact of a genetic diagnosis itself. Based on the current exploratory study, there are no psychological reasons in favour of or against genetic testing for hereditary hearing impairment.

Keywords: Psychological impact; genetic diagnosis; genetic testing; hereditary hearing impairment.

MeSH terms

  • Adult
  • Aged
  • Anxiety / epidemiology
  • Anxiety / etiology
  • Anxiety / psychology*
  • Depression / epidemiology
  • Depression / etiology
  • Depression / psychology*
  • Female
  • Follow-Up Studies
  • Genetic Testing / ethics*
  • Hearing Loss / diagnosis*
  • Hearing Loss / genetics
  • Hearing Loss / psychology
  • Humans
  • Incidence
  • Male
  • Middle Aged
  • Netherlands / epidemiology
  • Prospective Studies
  • Surveys and Questionnaires