Subjective fatigue in children with hearing loss assessed using self- and parent-proxy report

Benjamin W.Y. Hornsby, Samantha J. Gustafson, Hope Lancaster, Sun Joo Cho, Stephen Camarata, Fred H. Bess

Research output: Contribution to journalArticlepeer-review

33 Scopus citations


Purpose: The primary purposes of this study were to examine the effects of hearing loss and respondent type (self- vs. parent-proxy report) on subjective fatigue in children. We also examined associations between childspecific factors and fatigue ratings. Method: Subjective fatigue was assessed using the Pediatric Quality of Life Inventory Multidimensional Fatigue Scale (PedsQL-MFS; Varni, Burwinkle, Katz, Meeske, & Dickinson, 2002). We compared self- and parent-proxy ratings from 60 children with hearing loss (CHL) and 43 children with normal hearing (CNH). The children ranged in age from 6 to 12 years. Results: School-age CHL experienced more overall and cognitive fatigue than CNH, although the differences were smaller than previously reported. Parent-proxy report was not strongly associated with child self-report, and parents tended to underestimate their child’s fatigue, particularly sleep/rest fatigue. Language ability was also associated with subjective fatigue. For CHL and CNH, as language abilities increased, cognitive fatigue decreased. Conclusions: School-age CHL experience more subjective fatigue than CNH. The poor association between parentproxy and child reports suggests that the parent-proxy version of the PedsQL-MFS should not be used in isolation when assessing fatigue in school-age children. Future research should examine how language abilities may modulate fatigue and its potential academic consequences in CHL.

Original languageEnglish (US)
Pages (from-to)393-407
Number of pages15
JournalAmerican journal of audiology
Issue number3S
StatePublished - Oct 2017
Externally publishedYes

ASJC Scopus subject areas

  • Speech and Hearing


Dive into the research topics of 'Subjective fatigue in children with hearing loss assessed using self- and parent-proxy report'. Together they form a unique fingerprint.

Cite this