Parenting Stress and Maternal Coherence: Mothers With Deaf or Hard-of-Hearing Children Purpose The aim of this study was to develop a substantive theory that explains parenting stress among mothers of deaf or hard-of-hearing (D/HH) children. Method Fifteen hearing mothers of children with severe-to-profound sensorineural hearing loss were interviewed. Interviews were transcribed verbatim, and a grounded theory approach was used ... Research Article
Newly Published
Research Article  |   July 13, 2018
Parenting Stress and Maternal Coherence: Mothers With Deaf or Hard-of-Hearing Children
 
Author Affiliations & Notes
  • Yap Quin Jean
    Audiology Programme, School of Rehabilitation Sciences, Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur, Wilayah Persekutuan Kuala Lumpur
  • Rafidah Mazlan
    Audiology Programme, School of Rehabilitation Sciences, Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur, Wilayah Persekutuan Kuala Lumpur
  • Mahadir Ahmad
    Psychology Programme, Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur, Wilayah Persekutuan Kuala Lumpur
  • Nashrah Maamor
    Audiology Programme, School of Rehabilitation Sciences, Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur, Wilayah Persekutuan Kuala Lumpur
  • Disclosure: The authors have declared that no competing interests existed at the time of publication.
    Disclosure: The authors have declared that no competing interests existed at the time of publication. ×
  • Correspondence to Rafidah Mazlan: rafidahmazlan@ukm.edu.my
  • Editor-in-Chief: Sumitrajit (Sumit) Dhar
    Editor-in-Chief: Sumitrajit (Sumit) Dhar×
  • Editor: Ryan McCreery
    Editor: Ryan McCreery×
Article Information
Hearing Disorders / Newly Published / Research Article
Research Article   |   July 13, 2018
Parenting Stress and Maternal Coherence: Mothers With Deaf or Hard-of-Hearing Children
American Journal of Audiology, Newly Published. doi:10.1044/2018_AJA-17-0093
History: Received September 21, 2017 , Revised December 2, 2017 , Accepted March 23, 2018
 
American Journal of Audiology, Newly Published. doi:10.1044/2018_AJA-17-0093
History: Received September 21, 2017; Revised December 2, 2017; Accepted March 23, 2018

Purpose The aim of this study was to develop a substantive theory that explains parenting stress among mothers of deaf or hard-of-hearing (D/HH) children.

Method Fifteen hearing mothers of children with severe-to-profound sensorineural hearing loss were interviewed. Interviews were transcribed verbatim, and a grounded theory approach was used to inductively analyze parental stress in mothers of D/HH children. Theory generation was achieved through triangulation of data sources and systematic organization of data into codes. The coding process identified salient themes that were constantly cross-checked and compared across data to further develop categories, properties, and tentative hypotheses.

Results In general, two main themes emerged from the interviews: the contextual stressors and stress-reducing resources. The contextual stressors were labeled as distress over audiology-related needs, pressure to acquire new knowledge and skills, apprehension about the child's future, and demoralizing negative social attitudes. The stress-reducing resources that moderated parenting stress were identified to be the child's progress, mother's characteristics, professional support, and social support. The interaction between the identified stressors and adjustment process uncovered a central theme termed maternal coherence.

Conclusion The substantive theory suggests that mothers of D/HH children can effectively manage parenting stress and increase well-being by capitalizing on relevant stress-reducing resources to achieve maternal coherence.

Acknowledgments
The authors give special thanks to the mothers who participated in this study for their time and willingness to share their experiences. They are also grateful to the professionals who gave their support to this study.
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