The Effect of Psychological Rehabilitation on Depression, Anxiety, and Stress of Hearing-Impaired Children using Dohsa-hou Method


RAHIM F., Dzhusupov K., Toguzbaeva K., Sultangaziyeva S., Kalmatov R.

Journal of Psychosocial Rehabilitation and Mental Health, 2025 (Scopus) identifier

Abstract

Hearing loss can significantly affect the quality of life, leading to social isolation and depression among the hearing-impaired. Dohsa-hou is a Japanese psychological rehabilitation method, one of its important goals is to improve movement abilities, which ultimately improves a person's relationships with the external environment and others. This study aims to evaluate the effectiveness of the Dohsa-hou method in mental rehabilitation, focusing on reducing depression, anxiety, and stress among hearing-impaired teenagers in Kazakhstan. This interventional and experimental research followed a pre-test-post-test design with a control group. Conducted in Almaty, Kazakhstan during the 2023–2024 academic year, the study involved all the students from hearing-impaired schools (girls and boys) at the high school level. Fifty students (25 in the case group and 25 in the control group) were selected schools through stratified, targeted, and random sampling from the first, second, and third grades. The experimental group underwent 11 weekly 45-min sessions of Dohsa-hou psychomotor relaxation, guided by a trained therapist. The data collection tool was Depression, Anxiety, and Stress Scale (DASS-21). Initial assessments showed no significant difference in the levels of depression, anxiety, and stress between the experimental and control groups (P = 0.5466, P = 0.5553, P = 0.6544 respectively). Post-intervention, both groups exhibited reductions in these metrics. However, reductions in the experimental group were significantly higher (P < 0.001). The Dohsa-hou has proven effective in improving mental health outcomes among hearing-impaired teenagers. Given its ease, availability, and cost-effectiveness, incorporating Dohsa-hou techniques into nursing education could enhance psychological resilience in chronic conditions. This study supports the method's suitability for psycho-educational and therapeutic interventions, highlighting its potential to strengthen self-esteem and even educational outcomes among hearing-impaired children in clinical and educational settings.