Which item is NOT listed as an affect of hearing loss on social-emotional well-being?

Which item is NOT listed as an affect of hearing loss on social-emotional well-being?

• A. Increased internalizing and externalizing behaviors
• B. Low self-esteem due to lack of social connections
• C. Increased rates of emotional and behavioral problems
• D. Improved social engagement

Answer: (D)

Hearing loss affects social-emotional well-being by disrupting communication, peer interactions, and self-perception. When conversations are challenging, children may withdraw or become frustrated, leading to internalizing problems (like anxiety or withdrawal) and sometimes externalizing behaviors (such as acting out) as a way to cope with frustration. Difficulties making and maintaining social connections can erode self-esteem, since peer acceptance and successful communication are key for developing a positive self-view. Across studies, higher rates of emotional and behavioral problems are commonly reported in hearing-impaired youth compared with their peers. In contrast, improved social engagement is not an expected outcome of hearing loss; the typical pattern is reduced or more challenging social participation. Therefore, the statement that does not fit as an effect is the one claiming improved social engagement.

Hearing loss affects social-emotional well-being by disrupting communication, peer interactions, and self-perception. When conversations are challenging, children may withdraw or become frustrated, leading to internalizing problems (like anxiety or withdrawal) and sometimes externalizing behaviors (such as acting out) as a way to cope with frustration. Difficulties making and maintaining social connections can erode self-esteem, since peer acceptance and successful communication are key for developing a positive self-view. Across studies, higher rates of emotional and behavioral problems are commonly reported in hearing-impaired youth compared with their peers. In contrast, improved social engagement is not an expected outcome of hearing loss; the typical pattern is reduced or more challenging social participation. Therefore, the statement that does not fit as an effect is the one claiming improved social engagement.