Evidence map›Paper›PMID 40569433›Full record

SynthesisEuropean child & adolescent psychiatry2025

Psychological well-being and mental health risks in deaf and hard of hearing youth: a systematic review.

Uzair Khalid, Nida Majeed, Cathy J Chovaz, Fahad Riaz Choudhary, Khadeeja Munawa

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in European child & adolescent psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Uzair KhalidDepartment of Psychiatry, Bahawal Victoria Hospital, Quaid-E-Azam Medical College, Bahawalpur, Punjab, Pakistan.
Nida MajeedDepartment of Psychology, Government College University, Lahore, Punjab, Pakistan.
Cathy J ChovazKing's University College at, Western University CA, London, Ontario, Canada.
Fahad Riaz ChoudharyFaculty of Health and Behavioural Sciences, Lakehead University, Thunder Bay, Canada.
Khadeeja MunawaDepartment of Psychology, Turner Institute for Brain and Mental Health, Monash University Clayton Campus, 35 Rainforest Walk, Clayton VIC 3800, Australia. khadeeja.munawar14@gmail.com.ORCID http://orcid.org/0000-0002-8058-9331

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis systematic review aimed to assess the mental health of children and adolescents who are Deaf or Hard of Hearing (DHH), including those with moderate to profound levels of hearing loss, exploring factors influencing their psychological well-being and social functioning.

methodsFollowing PRISMA guidelines, a comprehensive search was conducted in nine databases (Medline, PubMed, PsycINFO, etc.) up to January 2025. Empirical qualitative, quantitative, and mixed-methods studies published in English were included, with 46 studies selected after screening. Study quality was assessed using a 14-criteria scoring system. Data extraction was performed by the first author and validated by co-authors.

resultsA total of 46 studies with 22,859 participants (ages 6-21) were included. Findings revealed that individuals who are DHH or moderate to profound hearing loss experience higher rates of internalizing disorders, such as anxiety and depression, compared to hearing peers. Social exclusion, communication barriers, and stigma were significant risk factors. Mainstream schools exacerbated mental health challenges, whereas specialized schools provided a supportive environment. Early diagnosis and intervention, especially cochlear implants, improved psychosocial development. Communication proficiency, especially sign language, positively impacted quality of life and mental health. Parental involvement and targeted interventions helped mitigate behavioral challenges and executive functioning deficits.

conclusionThis review highlights the key factors affecting the mental health of DHH youth, including communication methods, educational setting, early intervention, and social relationships. Tailored interventions addressing these factors are essential for improving psychosocial development. Future research should focus on developing and testing interventions to enhance the mental health and well-being of individuals who are DHH or have moderate to profound hearing loss.

Indexed as

DeafnessHearing LossMental HealthPersons with Hearing DisabilitiesAdolescentChildHumansPsychological Well-BeingQuality of LifeYoung AdultCommunicationDeafEarly interventionEducational environmentMental healthModerate to profound hearing lossQuality of lifeSocial relationshipsStigma

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.