Causal attributions in King-Kopetzky syndrome

Helen Pryce*, Chris Metcalfe, Lindsay St. Claire, Amanda Hall

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review


At least 10% of people who present for help with hearing difficulties will be found to have normal hearing thresholds. These cases are clinically categorized as King-Kopetzky syndrome (KKS), obscure auditory dysfunction (OAD), or auditory processing disorder (APD). While recent research has focussed on the possible mechanistic basis for these difficulties, the perceptions of the hearing difficulties that lead people to seek help have not hitherto been identified. This study presents findings from an observational survey of causal attributions of hearing difficulties from 100 people with KKS. The findings suggest that participants regard immunity and risk related causes of hearing difficulties as pre-dominant. Psychological factors were not considered to be causal for hearing difficulties. These factors were not affected by diagnostic classification. These findings inform audiologists about their patient beliefs for the first time. The authors suggest that clinicians take care to ensure that their counselling is responsive to these beliefs.

Original languageEnglish
Pages (from-to)482-487
Number of pages6
JournalInternational Journal of Audiology
Issue number7
Publication statusPublished - Jul 2010


  • auditory processing disorder
  • causal attributions
  • King-Kopetzky syndrome


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