[[alternative]]Effect of hearing-loss-associated genetic test on anxiety and parenting stress in mothers of newborns failing hearing rescreening.

[[abstract]]聽損基因檢測能補強新生兒聽力篩檢上的限制，臨床上有其助益。然而聽損基因檢測可能會造成家長過多之心理壓力，增加親職失功能風險之可能。本研究的目的為暸解聽損基因檢測的介入，對於新生兒聽力篩檢複檢未通過之新生兒母親焦慮程度與親職失功能風險的影響。研究對象為就診於振興醫院未通過新生兒聽力篩檢複檢且自費接受聽損基因檢測之30名20至50歲新生兒母親，包括15名未通過新生兒聽力篩檢複檢且聽損基因檢測為未攜帶聽損基因之新生兒母親，及15名未通過新生兒聽力篩檢複檢且基因檢測為攜帶聽損基因之新生兒母親。評量工具為情境與特質焦慮量表及親職壓力量表。II未攜帶聽損基因之新生兒母親（組A）於聽損基因檢測介入前後在「情境焦慮量表」得分（p＝0.00）與「特質焦慮量表」得分（p=0.01）皆有統計上之顯著差異。攜帶目標聽損基因之新生兒母親（組B）於聽損基因檢測介入前後，在「情境焦慮量表」得分上（p＝0.01）達統計上顯著差異，在「特質焦慮量表」得分上（p=0.08）未具統計上之顯著差異。比較兩組在特質焦慮量表前測得分（p=0.25>0.05）及後測得分（p=0.24>0.05），未達統計上顯著差異。比較兩組的特質焦慮量表後測分數，結果顯示，F=0.18，p=0.67>0.05，未達0.05的顯著水準。兩組於情境焦慮量表後測分數比較上之結果顯示F=0.48，p=0.50>0.05，組間差異未顯著，顯示實驗組及控制組的情境焦慮程度不會因不同的聽損基因檢測結果而有顯著差異。兩組之親職壓力全量表的得分比較未達顯著差異（p=0.07>0.05）且平均得分皆落於正常範圍內。[[abstract]]A genetic test associated with hearing loss can compensate for some limitations ofnewborn hearing screening and offer more pluralistic information clinically.Nevertheless, the hearing-loss-associated genetic test may be mentally stressful forparents and may relate to parenting dysfunction. The present study examined twoeffects of a hearing-loss-associated genetic test on mothers of newborns who failedhearing rescreening; specifically, the effects of the test on anxiety level and risk ofparenting dysfunction were examined.The research subjects were 30 mothers (20 to 50 years old) with newborns whohad failed the newborn hearing rescreening; at their own expense, these mothersreceived a hearing-loss-associated genetic test at Cheng Hsin General Hospital. Amongthe 30 newborns, 15 of them failed the newborn hearing rescreening, and the genetictest result was no finding, whereas the other 15 newborns not only failed the newbornhearing rescreening but also were found to carry the hearing loss gene. The assessmentinstruments were Spielberger's State-Trait Anxiety Inventory (STAI) and the ParentingIVStress Index (PSI).Regarding mothers of newborns carrying no hearing loss gene (Group A), theresult showed a statistically significant difference in the state anxiety score (p = .00) aswell as in the trait anxiety score (p = .01). In the case of mothers of newborns carryingthe target hearing loss gene (Group B) , a statistically significant difference was foundin the state anxiety score (p =.01) but not in the trait anxiety score (p = .08). Comparedthe trait anxiety scores between the two groups both before and after thehearing-loss-associated genetic test, and the result revealed no statistically significantdifference either before (p = .25 > .05) or after (p = .24 > .05) thehearing-loss-associated genetic test. The study then compared the posttest trait anxietyscore between the experimental group (Group B) and the control group (Group A), andthe result (F = .18, p = .67 > .05) was not statistically significant. In other words,different hearing-loss-associated genetic test results incorrelate to the trait anxiety levelbetween the experimental group and the control group. When comparing the postteststate anxiety scores of the experimental group (Group B) and that of the control group(Group A), the result was not statistically significant (F = .48 , p = .50 > .05). InVconclusion, the different hearing-loss-associated genetic test results incorrelate to thestate anxiety level between the experimental group and the control group. As for PSI,the between-group difference was tested by an independent t test, and the differencewas not statistically significant (p = .07 > .05)