Chapter 1 32 Abstract Objective Need for recovery is a predictor of work stress and health problems, but its underlying factors are not yet well understood. We aimed to identify hearing-related, work-related, and personal factors influencing need for recovery in hearing-impaired employees. Methods We retrospectively identified hearing-impaired employees (N = 294) that were referred to the Amsterdam University Medical Center between 2004 and 2019. Routinely obtained healthcare data were used, including a survey and hearing assessments. A directed acyclic graph was constructed, revealing the hypothesized structure of factors influencing need for recovery as well as the minimal set of factors needed for multiple regression analysis. Results Four variables were included in the regression analysis. In total, 46.1 percent of the variance in need for recovery was explained by the factors ‘feeling that something should change at work’ (B = 19.01, p < 0.001), subjective listening effort (B = 1.84, p < 0.001), personal adjustments scale score (B = − 0.34, p < .001), and having a moderate/poor general health condition (B = 20.06, p < 0.001). Although degree of hearing loss was associated with subjective listening effort, the direct association between degree of hearing loss and need for recovery was not significant. Conclusions The results suggest that theway employees perceive their hearing loss and how they cope with it directly influence need for recovery, rather than their measured degree of hearing loss. Additionally, general health condition was found to be an independent factor for need for recovery.The results should be confirmed by future, longitudinal research.
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