title: Prognostic value of psychological state in cochlear implantation.
abstract: CONCLUSIONS
  Perioperative Minnesota Multiphasic Personality Inventory (MMPI) scores may be beneficial for predicting prognosis of cochlear implantation (CI). A positive attitude for social interaction in particular correlates with a better speech outcome. Proper perioperative psychological management may, therefore, assist in the auditory rehabilitation of CI patients.
  
  
  OBJECTIVE
  To determine the perioperative psychological state of CI patients and its relationship with patient prognosis after CI.
  
  
  METHODS
  This study prospectively enrolled 29 patients who underwent CI from 2005-2013. The MMPI was administered to assess psychosocial and emotional issues surrounding CI and the Korean version of the Central Institute of Deafness (K-CID) score was used to measure speech perception.
  
  
  RESULTS
  CI resulted in a significant improvement on the MMPI Paranoia scale (p = 0.02). Patients with abnormal pre-operative and post-operative MMPI scores also had an earlier onset of deafness, longer duration of deafness, and lower K-CID scores than patients with normal MMPI scores (all p < 0.05). The post-CI K-CID score had a significant negative correlation with the pre-operative MMPI Schizophrenia score (p < 0.01) and significant negative correlations with the post-operative MMPI Paranoia (p = 0.02), Psychasthenia (p = 0.02), Schizophrenia (p = 0.04), Hypomania (p = 0.02) and Social Introversion (p = 0.03) scores.
authors.affiliation: a Department of Otorhinolaryngology-Head and Neck Surgery.
authors.forename: Jae Joon
authors.initials: JJ
authors.lastname: Han
authors.affiliation: b Department of Psychiatry , Seoul National University Hospital , Seoul , Korea.
authors.forename: Min-Sup
authors.initials: MS
authors.lastname: Shin
authors.affiliation: c Department of Otorhinolaryngology-Head and Neck Surgery , Seoul National University Bundang Hospital , Seongnam , Korea.
authors.forename: Jae-Jin
authors.initials: JJ
authors.lastname: Song
authors.affiliation: d Hearing Implant Centre, St Thomas' Hospital , London , UK.
authors.forename: Irumee
authors.initials: I
authors.lastname: Pai
authors.affiliation: b Department of Psychiatry , Seoul National University Hospital , Seoul , Korea.
authors.forename: SeoJin
authors.initials: S
authors.lastname: Oh
authors.affiliation: e Department of Otolaryngology-Head & Neck Surgery , Dankook University Hospital , Cheonan , Korea.
authors.forename: BongJik
authors.initials: B
authors.lastname: Kim
authors.affiliation: f Department of Otorhinolaryngology-Head and Neck Surgery , Dongguk University Ilsan Hospital , Goyang , South Korea.
authors.forename: Joo Hyun
authors.initials: JH
authors.lastname: Park
authors.affiliation: a Department of Otorhinolaryngology-Head and Neck Surgery.
authors.forename: Jun Ho
authors.initials: JH
authors.lastname: Lee
authors.affiliation: a Department of Otorhinolaryngology-Head and Neck Surgery.
authors.forename: Seung-Ha
authors.initials: SH
authors.lastname: Oh
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D019929:Cochlear Implantation / Q000523:psychology*; D003638:Deafness / Q000503:physiopathology / Q000523:psychology / Q000534:rehabilitation*; D004644:Emotions / Q000502:physiology*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008950:MMPI; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D011446:Prospective Studies; D013067:Speech Perception / Q000502:physiology*; D055815:Young Adult
keywords: Cochlear implantation; MMPI; hearing loss; psychosocial factor; treatment outcome