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Journal of Deaf Studies and Deaf Education, 2020, 430–437

doi: 10.1093/deafed/enaa012
Advance Access Publication Date: 1 June 2020
Empirical Manuscript

EMPIRICAL MANUSCRIPT

Factors Related to Personal Resiliency in Deaf


and Hard-of-Hearing Adolescents

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Vesna Radovanović*, Marina Radić Šestić, Jasmina Kovačević, and
Sanja Dimoski
University of Belgrade, Faculty of Special Education and Rehabilitation

*Correspondence should be send to Vesna Radovanovic, University of Belgrade e-mail: radovanovic3@yahoo.com

Abstract
Hearing loss is a risk factor for a child’s appropriate psychosocial development but is not a risk factor for the development
of resiliency. Thus, the aim of this research was to determine the level of resiliency, as well as its relation to internal and
external factors, in deaf and hard-of-hearing (DHH) adolescents. The sample included 55 DHH students, 12–14 years of age.
Resiliency Scales for Children & Adolescents was used in this research. The obtained results showed that DHH students
perceived their resiliency in the average range, except in subscales: Self-efficacy (within Sense of Mastery Scale), Social
Support (within Sense of Relatedness Scale), Impairment (within Emotional Reactivity Scale) in which the results were
within a higher range, and Recovery (within Emotional Reactivity Scale) in which the results were in a lower range.

Resilience is a positive adaptation or ability to preserve or the community (Stanley, 2011; Ungar et al., 2007). A person’s
restore mental health despite experiencing hardships (Wald, individual qualities and resilience are strengthened and
Taylor, Asmundson, Jang, & Stapleton, 2006). Meichenbaum developed through interactions in a supportive environment
gives two definitions of resilience. In the first one, the author (Masten, 2014), while the protective role of external factors
views resilience as an ability to keep balance and a relatively leads to strengthening internal capacities for the development
stable level of psychological and physical functioning, even of resilience (Luthar & Cicchetti, 2000; Luthar & Zelazo, 2003,
in highly stressful and traumatic events (Meichenbaum, 2006). according to Johnson, Cawthon, Fink, Wendel, & Schoffstall,
According to the second definition, resilience is people’s ability 2018).
to successfully cope with, adapt, or recover from stress or an Luthar and Zalazo (2003), according to Prince-Embury (2011),
accident (Meichenbaum, 2009). separate the term resilience from the term resiliency. These
The development of resilience is influenced by the interac- authors define the personal characteristics that are predisposed
tion of internal and external factors. Internal factors include to resilient outcomes by the term “resiliency.” Personal resilience
academic achievement, persistence, positive thoughts and can be grouped into three factors: sense of mastery, sense of
positive interpretation of events, optimism, emotional regu- relatedness, and emotional reactivity. The sense of mastery
lation, self-confidence, positive self-concept, independence, presents a personal resource in dealing with problems, the sense
sense of belonging, aspiration level, creativity, internal locus of relatedness refers to social support received and appropri-
of control, and self-regulation. External factors include the ate social skills, and the emotional reactivity implies a lack
relation between a child and adults, education programs, culture, of emotional positive self-regulation abilities (Prince-Embury,
religion, and availability of social and material resources of 2007).

Received June 11, 2019; revisions received March 23, 2020; accepted March 27, 2020

© The Author(s) 2020. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com

430
Vesna Radovanovic et al. 431

Development of Resiliency in Deaf and speech and language for social development, which in typically
Hard-of-Hearing Adolescents developing children starts as soon as a child is able to watch
and listen to people in his/her environment. Due to speech
Deaf children, like all other children, grow up and learn from and language delay, problems in communication, and growing
their parents. A problem may arise when a deaf child has hear- up in an environment where auditory information dominates,
ing parents and thus, due to communication barriers, cannot we can assume that DHH children may have a lower level of
easily identify with them or exchange experiences (Bat-Chava, self-confidence. Well-developed language and communication
1994). Results of some studies indicate that interactivity and skills are directly related to the level of self-confidence of DHH
responsiveness of a deaf child, as well as sensitivity of a mother, children (Hintermair, 2008).
are lower than optimal (Ziv, Aviezer, Gini, Sagi, & Koren-Karie, Communication constraints and inappropriate language
2000). Thus, many authors believe that resilience of deaf people models at school and at home are the first significant group
is their ability to successfully function in both Hearing and of threats to the development of resilience, while the second
Deaf communities (Charlson, Bird, & Strong, 1999; Jacobs, 2010; significant group includes inadequate literacy and lower
Rogers, Muir, & Evenson, 2003). Communication and socioemo- academic achievement of DHH students (Lytle, Oliva, Ostrove,
tional skills are crucial for the development of resilience (Zim- & Cassady, 2011). Listman, Rogers, and Hauser (2011) state that

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merman, 2015). Since emotional regulation and communication low aspiration level of hearing parents and hearing teachers of
skills contribute to the development of resilience, these educa- deaf children is related to their lower academic achievement.
tional services and intervention programs are valuable as they Williamson (2007), according to Listman et al. (2011), found that
indirectly contribute to the development of resilience rather than academically successful older African-American adolescents
stating in a way that these services directly influence resilience had a high level of resilience. Their families were actively
development (Hintermair, 2006; Pollard & Rendon, 1999). involved in their lives during college, communicating with
Hearing loss, especially profound and total, hinders the devel- and supporting them frequently. In the literature focusing
opment of speech and language, which has an impact on emo- on resilience of DHH adolescents, the authors examined the
tional, social, cognitive, and educational development (Rado- relation between resilience and academic success in different
man, 2005). With growing up and becoming adolescents, deaf academic environments, inclusive or special. On the other hand,
and hard-of-hearing (DHH) children, as well as their typically Charlson et al. (1999), when analyzing the case history of a
developing peers, go through a period of fast changes in physical, subsample consisting of 23 DHH students assessed as successful
cognitive, emotional, and social development. Due to reduced by their teachers, with no set success criterion, found that they
speech development and limited communication in childhood, all had one characteristic in common, which was a high level of
these children may have difficulties in understanding the nature resilience. The students had different sociocultural, linguistic,
and extent of such changes. They can be helped by their families and educational backgrounds. Research results indicate that
or other adults with whom they have established a relationship emotional and social skills are internal factors, which have
based on trust and good communication. As a transition period, a great influence on academic and social achievement (see
adolescence is significant in every individual’s life, especially in Zimmerman, 2015 for a review).
deaf students. During this period, many of the earlier develop- Although the Resiliency Scales for Children & Adolescents
mental processes and outcomes may be reflected later in adult- (RSCA) is primarily intended to determine resiliency in the
hood. Although the ecological theory (Bronfenbrenner, 1986) school setting, as a screening instrument, as well as a starting
suggests several ways to support resilience, it cannot provide a point in the planning of group or individual resiliency programs
comprehensive understanding of the extent and nature of the and the evaluation of such programs (Prince-Embury, 2011),
risks that deaf adolescents face. In order to prevent potential a widespread use in the literature of this instrument is
negative outcomes, it is necessary to consider risk factors for observed. RSCA has been used to compare resiliency between
each individual, which result from personal characteristics, fam- students with intellectual disabilities and students of typical
ily, and environmental conditions (Luft, 2011). development (Gilmore, Campbell, Shochet, & Roberts, 2013;
Relationship with peers, which becomes primary when Pavlović, Žunić Pavlović, & Glumbić, 2017a) to test substance
compared to family, is very important for the development abuse in adolescence (Pavlović, Žunić Pavlović, & Glumbić,
of resilience in adolescence (Berndt, 1982). According to most 2017b), with an impact on the sleep and behavior of children and
researchers (Goldstein & Morgan, 2001; Hartup, 1984), acceptance adolescents (Chatburn, Coussens, & Kohler, 2014) to determine
by peers is very important for social development in adolescence. the correlation with internal and external factors in Bolivian
Relationships with peers are a basis for social and emotional street girls (Wynsma, 2016).
development, and self-confidence results from the feeling of Project in the field of special education reform, as well as
belonging to and identifying with a peer group. In order to a new educational strategy in Serbia until 2020, encouraged us
successfully function in a community and make friends, young to conduct this research on resiliency of DHH children, with
people need social skills, such as norms and rules of the society the goal to take appropriate measures before their “transition”
an individual belongs to, which are acquired by socialization. to regular schooling system. Research has shown that DHH
On the basis of numerous research studies, Dimoski (2018) students feel lonely in regular schools and have fewer hearing
states that social adaptation of deaf children and adolescents peers as friends (Batten, Oakes, & Alexander, 2014; Charlson,
is hampered by individual characteristics, primarily lower self- Strong, & Gold, 1992; Van Gurp, 2001). Younger DHH students are
esteem, as well as by the tendency of the majority to make close more accepted by older students because older students have
contact with people similar to themselves. Language delay in more problems with confidence and making new friends (Antia,
deaf children may result in a lower level of social skills and lack Kreimeyer, & Reed, 2010). Keeping and making new friends are
of self-confidence, which is very difficult to overcome later in life very important for the development of resilience (Newman &
(Moeller, 2007), since speech and language play an important role Blackburn, 2002). Providing support for students with develop-
in the socialization process of DHH adolescents (Scheetz, 2004). mental disorders and disabilities, using available material and
Here, we can emphasize the importance of early rehabilitation of social resources, counseling, and involving parents as members
432 Journal of Deaf Studies and Deaf Education, 2020, Vol. 25, No. 4

Table 1. Demographics of the sample

Age 12 13 14
f % f % f

14 25.5 21 38.2 20

Gender Male Female


f % f %
23 41.8 32 58.2

Degree of hearing loss Moderate Moderately severe Severe Profound


f % f % f % f %
13 23.6 5 9.1 18 32.7 19 34.5

Mode of communication spoken Language Sign language Total communication

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f % f % f %
8 14.5 22 40.0 25 45.5

School achievement Excellent Very good Good Satisfactory


f % f % f % f %
24 43.6 20 36.4 8 14.5 3 5.5

School type Day students Residential students


f % f %
30 54.5 25 45.5

Father’s education level Elementary/secondary College/university


f % f %
40 72.7 15 27.3

Mother’s education level Elementary/secondary College/university


f % f %
41 74.6 14 25.4

Type of family Complete Incomplete Extended


f % f % f %
32 58.2 11 20.0 12 21.8

of support teams are some of the goals set within the edu- while there were 14 (25.5%) mothers and 15 (27.3%) fathers with
cational reform strategy in Serbia, which directly or indirectly college or university degrees. More than half of the students,
affect the development of resiliency. With regard to that, the aim 32 (58.2%) lived in complete families, 12 (21.8%) in extended
of our research was to determine the level of resiliency, as well as families, and 11 (20.0%) lived in incomplete families.
its relation to internal and external factors, in DHH adolescents.
Procedures
Method The research was conducted in spring 2017 on a sample of
students attending schools for DHH students in Serbia, with the
Participants
permission of school principals and written consent of parents.
Sociodemographic characteristics of students are shown in Data on the degree of hearing loss were taken from the school
Table 1. audiologist, while data on families were taken from school social
The sample consisted of 55 DHH children in the age group workers. The research was carried out individually with 10-
from 12 to 14 years, enrolled in schools for DHH children in minute breaks between assigning the subscales to DHH students
Serbia, with no additional disabilities and disorders. There were who needed a long time to read the statements and choose
23 (41.8%) boys and 32 (58.2%) girls. The majority of students, 37 the degree to which they agreed with the given statements.
(67.2%), had severe and profound hearing loss, while 18 (32.7%) Formulations of the items were structurally simple and easy
had moderate to severe and moderate hearing loss according to read, written at a third grade reading level, so that all DHH
to the World Health Organization classification (WHO, 2008). students could read them. A psychologist from the research
There were 22 (40%) students who used sign language, 25 (45.5%) team conducted the research with students who used oral model
who used total communication, and 8 (14.5%) who used spoken of communication and, together with the school psychologist
language. There were 24 (43.6%) excellent students, 20 (36.4%) who was proficient in sign language, conducted the research
very good, 8 (14.5%) good, and 3 (5.5%) satisfactory students. The with students who used sign language and total communica-
sample included 30 (54.5%) residential students and 25 (55.5%) tion method. The psychologists gave detailed instructions to
day students. Approximately three quarters of mothers (74.6%) students, depending on the primary model of communication,
and fathers (72.7%) finished elementary or secondary school, after which the students completed the scales.
Vesna Radovanovic et al. 433

Administration of the Measures Table 2. Results of scales and subscales

Resiliency Scales for Children & Adolescents (Prince-Embury, M SD Min Max


2007) was used in this study because it was designed to
reveal positive sides of the child and not his/her weaknesses MAS 51.31 9.99 27 75
(Prince-Embury, 2015). It consists of three subscales: Sense of Optimism 17.38 4.38 5 28
Mastery Scale—MAS, which measures optimism, self-efficacy, Self-efficacy 33.93 6.48 21 48
Flexibility 8.04 2.74 2 12
and flexibility Opzimism, Self-efficacy, and Flexibility. Sense of
REL 62.89 13.52 29 92
Relatedness Scale—REL, which measures trust, social support,
Trust 18.58 4.1 10 28
social comfort, and tolerance; and Emotional Reactivity Scale—
Social support 22.33 5.67 10 32
REA, which measures sensitivity, recovery, and impairment.
Social comfort 10.47 1.1 5 16
The focus on the personal experience of children implies that
Tolerance 16.8 4.65 5 28
the experience mediates between external protective factors
REA 28.16 14.23 0 57
and positive behavioral outcomes (Prince-Embury, 2007). An Sensitivity 11.13 4.67 0 20
example of an item measuring mastery is I can let others help Recovery 4.89 4.01 0 13

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me when I need to. Relatedness was measured by items such as If Impairment 12.15 7.34 0 26
something bad happens, I can ask my parent(s) for help and emotional Resource Index 56.51 11.19 28 83
reactivity by items such as When I am upset, I make mistakes. The Vulnerability Index 29.76 15.75 12 54
answers are scored and added up, and they are the basis for the
“resiliency profile” of children and adolescents 9–18 years of age. Note. SD = standard deviation; MAS = Sense of Mastery Scale; REL = Sense of
Relatedness Scale; REA = Emotional Reactivity Scale.
The students are asked to respond to statements by marking on
a 5-point scale. The degree of resiliency in participants increases
with the increase in the total score for the MAS and REL, and for
the REA, the reverse interpretation is made. Internal consistency Emotional Reactivity Scale
coefficients of the scales were at the satisfactory level: α = .83
Within the third scale, the obtained results in Sensitivity subscale
for MAS scale, α = .89 for REL scale, and α = .91 for REA scale. The
were in the average range, 11.13 (10.1–20), while they were in the
raw score for each of the global scales was obtained by summing
low range in Recovery subscale, 4.89 (1–7) and in the high range
up all items scored for each scale. Raw scores were transformed
in Impairment subscale, 12.15 (10–15).
to standardized T-scores using computed means and standard
The average Resource Index value is 56.51, and the qualitative
deviations for normative groups by age and gender.
analysis showed that four students had an index less than T40.
The average value of the Vulnerability Index is at a satisfactory
level and stands at 29.76.
Data Analysis Table 3 shows the intercorrelations between resiliency
and internal (age, gender, degree of hearing loss, type of
Quantitative data were expressed in frequencies and percent-
communication, school achievement) and external (school type,
ages. Arithmetic means (T-score means) was used as a central
parent’s education level, type of family) variables.
tendency measure, which expresses average T scores on the
Measures of correlation between scores on the resiliency
scale and certain subscales. Associations between resiliency and
scales were not found for any of the internal factors. Lower
internal and external variables were analyzed with Person’s
correlation measures were found between scores obtained on
correlation. The one-sample t-test was used to calculate the
the MAS scale and school type (r = .285), MAS scale and father’s
significance of differences of the isolated independent variables.
education (r = .316), MAS scale and mother’s education (r = .271),
and Vulnerabilty index and mother’s education (r = .268). Fur-
ther analysis revealed the correlation between the mentioned
Results variables and subscales, school type and Optimism subscale
(r = .281), father’s education and Optimism subscale (r = .342;
Table 2 shows the results of MAS, REL, and REA scales, as well p = .011) and Flexibility (r = .484; p = .0001). No correlations were
as of the individual subscales, Resource Index and Vulnerability found between mother’s education and subscales within MAS
Index. scales (Table 3).
The results of the t-test showed that the residential
students had a significantly higher level of optimism (t = 2.134;
Sense of Mastery Scale df = 53; p = .037), that the children of fathers with high edu-
cation level showed a higher level of optimism (t = 2.084;
In Optimism subscale, the mean score was in the average range
df = 53; p = .042) and Flexibility (t = 2.885; df = 53; p = .006), as
17.38, ranging from 11.1 to 23. In Self-efficacy subscale, the mean
well as that children of mothers with high education level
value was 33.93, which is in the domain of high values ranging
exhibit a lower level of Vulnerability index (t = 2.047; df = 53;
from 33.1 to 35. The mean value of achieved results in Flexibility
p = .046).
subscale was in the average range, 8.4 (5.1–10).

Sense of Relatedness Scale Discussion


The mean value-score in Trust subscale was in the average range, Most mean values in this research, obtained in all three
18.58 (11.1–25); higher range in Social support subscale, 22.33 scales, were within the average range. Mean values obtained
(20.1–30); average in Social comfort subscale, 10.47 (7.1–14); and in the Sense of Mastery scale were very significant because,
average in Tolerance subscale, 16.80 (11.1–23). as Prince-Embury (2011) concludes, theory and research results
434 Journal of Deaf Studies and Deaf Education, 2020, Vol. 25, No. 4

Table 3. Intercorrelations between resiliency and internal and external variables

MAS REL REA Resource Index Vulnerability Index

Age 0.073 −0.121 0.083 −.038 −.181


Gender −0.004 0.111 0.134 0.094 −0.063
Degree of hearing loss 0.127 0.206 0.002 0.218 0.089
Mode of communication 0.010 −0.042 −0.033 0.013 0.072
School achievement 0.185 0.067 0.004 0.154 0.049
School type 0.285∗ 0.264 −0.031 0.248 0.127
Father’s education level 0.316∗ 0.005 0.205 0.156 0.262
Mother’s education level 0.271∗ 0.101 0.213 0.185 0.268∗
Type of family −0.011 −.007 0.142 −.024 −.107

Note. MAS = Sense of Mastery Scale; REL = Sense of Relatedness Scale; REA = Emotional Reactivity Scale.
∗ p < .05

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indicate that children who have a greater sense of advancement found that resilient youth rely more on other adults in the envi-
are more likely to succeed in school settings and less likely ronment than on their parents. Our assumption is that educators
to develop pathological patterns. The obtained higher values in residential schools, who are qualified to work with DHH chil-
in Support subscale indicate that DHH students have someone dren, take over the role of that adult, since their daily activities,
to turn to when encountering a problem, while mean values among others, are aimed at adaptation, socialization, preven-
in Impairment subscale indicate that children find it difficult to tion, and solving personal problems. Apart from that, living in
maintain emotional equilibrium when provoked (Prince-Embury a residential school provides contacts and cooperation with a
& Courville, 2008). Resource Index is satisfactory, except for large number of peers and older DHH students, which may affect
the four students who require improvement of mastery and identification with the deaf culture. These results could possibly
relatedness (Prince-Embury, 2015). Lower level of achievement be explained by availability of material resources in residential
of Vulnerability Index confirms that deafness is not a risk factor schools, with significant role in the development of resiliency
of personal resiliency. It is difficult to determine a direct relation (Ungar et al., 2007), which was not examined in this research.
between one factor and a certain negative developmental On the basis of numerous research studies, Listman, Rogers,
outcome, and as Pavlović and Žunić-Pavlović (2012) indicate, and Hauser (2011) state that the level of parental aspirations
this approach was overcome long ago and replaced by a holistic regarding the education of their DHH children is a key factor
approach, where problem-causing factors are studied along with in the development of resiliency in adolescence. Father’s edu-
factors that contribute to the positive development of children cation proved to be a significant factor related to Optimism and
and youth at high-risk. Furthermore, the authors emphasize Flexibility component in this study. Studies show that fathers
practitioners’ opinion that it is more effective to work on with high education are more able to be role models and teach
improving resiliency than on eliminating risk. their children skills related to flexibility (for example Conger,
Results from a large number of studies show that there are Conger, & Scaramella, 1997). Since the Flexibility component
age and gender differences in resiliency (Gilmore et al., 2013; relies on the ability to consider different options in problem
Pavlović et al., 2017a, 2017b; Žunić Pavlović, Pavlović, Kovačević solving (Prince-Embury, 2007), this leads to the conclusion that
Lepojević, Glumbić, & Kovačević, 2013), which has not been DHH students could have adopted it from their fathers, since
substantiated in this study, and can be explained by the very most students, 80%, lived in complete or extended families.
formulation of items in the scale that take a gender bias into Prince-Embury (2011) points out that, due to the significance
account as cited by Prince-Embury (2007). of sense of mastery, preventive programs should be developed
In line with research findings (Wyman, Cowen, Work, & Ker- and designed to increase general and specific sense of mastery
ley, 1993), the results obtained on the MAS scale were expected by increasing children’s ability to deal with problems and their
to correlate with the school achievement, but a low correla- sense of success. This study found that DHH children of mothers
tion coefficient was obtained. We believe that the assessment with high education are less vulnerable, which is consistent
method is related to the results obtained, because the assess- with the research results on the protective role of mothers
ment relies more on the teacher’s subjective assessment than in the development of resiliency in DHH students presented
on a more objective evaluation method objective evaluation by Borum (2007) according to Listman et al. (2011). Research
method, through tests. results show that a warm relationship with mother, as well
The results obtained to the advantage of residential students as supportive relationships with family members, has a lead-
are in contrast with the results of most studies which indicate ing role in the development of resilience with regard to fam-
that family has great influence on the development of resiliency, ily type (Leigh, Brice, & Meadow-Orlans, 2004). Since research
especially a close relationship with at least one parent, relation- results show that grandparents have an important role in the
ship based on trust, good parenting skills, absence of separation, development of resiliency (Daniel & Wassell, 2002, according to
absence of mother’s depression, or substance abuse (Pavlović & Pavlović & Žunić-Pavlović, 2012), it was expected that children
Žunić-Pavlović, 2012; Ungar et al., 2007). In adolescence, conver- from extended families would show a higher level of resiliency.
sations with family members, peers, and other significant people However, these children achieved a lower level, even compared
from the environment become very important. Communication to children from incomplete families. This makes room for a new
with parents may become difficult, and professional help is often study which would focus on the relation between resiliency and
needed in order to overcome problems and misunderstandings. structure and quality of relationships within a family. Hearing
Werner and Smith (1982) according to Prince-Embury (2015) loss can be a risk factor for some aspects of a child’s psychosocial
Vesna Radovanovic et al. 435

development but not for resiliency. Research shows that prob- Antia, S. D., Kreimeyer, K. H, & Reed, S. (2010). Supporting stu-
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