Association of cognitive status, anxiety and depression with hearing loss in the elderly

Year 2024, , 86 - 91, 02.09.2024

Mehmet İhsan Gülmez , Canset Aydin

https://doi.org/10.17944/interdiscip.1496779

Abstract

Objective: Hearing loss is an important problem that is common among older people. Dementia can be defined as a group of disorders that adversely affect memory, thinking function and the ability to perform daily activities. Hearing loss leads to poor quality of life due to loneliness, social isolation, anxiety and susceptibility to depression. Hearing aids are the primary tool used in the management of hearing loss. In this study, we aimed to compare participants with and without hearing loss in terms of cognitive status, depression and anxiety, and to assess the effect of hearing aid use on this process.
Method: Between June 2023 and June 2024, 608 patients over the age of 50 who registered at the psychiatric outpatient clinic of Hatay Training and Research Hospital were included in the study. Participants were enrolled if they presented to the Psychiatry outpatient clinic during the selected time interval, were over 50 years of age and agreed to participate in the study. Participants' demographic information, educational status, social information, hearing aid use, minimental score, Beck anxiety score, and geriatric depression score were recorded.
Results: When comparing patients with and without hearing loss, statistically significant differences were observed on the Minimental Test, Beck Anxiety Score and Geriatric Depression Score.
Conclusion: In this study, a statistically significant relationship was found between hearing loss and cognitive status, depression and anxiety, and it was suggested that the use of hearing aids may be beneficial in terms of preventing the development or slowing the progression of these pathologies.

Keywords

Anxiety, Depression, Hearing loss, Hearing aid, Dementia

References

• World report on hearing. Geneva: World Health Organization; 2021. Licence: CC BY-NC-SA 3.0 IGO.
• Global status report on the public health response to dementia. Geneva: World Health Organization; 2021. Licence: CC BY-NC-SA 3.0 IGO.
• Olusanya BO, Davis AC, Hoffman HJ. Hearing loss grades and the International classification of functioning, disability and health. Bull World Health Organ. 2019;1;97(10):725-8. https://doi.org/10.2471/BLT.19.230367
• Chien W. Prevalence of Hearing Aid Use Among Older Adults in the United States. Arch Intern Med. 2012;172(3):292-3. https://doi.org/10.1001/archinternmed.2011.1408
• Löhler J, Walther LE, Hansen F, Kapp P, Meerpohl J, Wollenberg B, et al. The prevalence of hearing loss and use of hearing aids among adults in Germany: a systematic review. Eur Arch Otorhinolaryngol. 2019;276(4):945-56. https://doi.org/10.1007/s00405-019-05312-z
• Sugiura S, Uchida Y, Nishita Y, Teranishi M, Shimono M, Suzuki H, et al. Prevalence of usage of hearing aids and its association with cognitive impairment in Japanese community-dwelling elders with hearing loss. Auris Nasus Larynx. 2022;49(1):18-25. https://doi.org/10.1016/j.anl.2021.03.017
• Haile LM, Kamenov K, Briant PS, Orji AU, Steinmetz JD, Abdoli A, et al. Hearing loss prevalence and years lived with disability, 1990-2019: findings from the Global Burden of Disease Study 2019. The Lancet. 2021;397(10278):996-1009. doi: 10.1016/S0140-6736(21)00516-X.
• Livingston G, Huntley J, Sommerlad A, Ames D, Ballard C, Banerjee S, et al. Dementia prevention, intervention, and care: 2020 report of the Lancet Commission. The Lancet. 2020;396(10248):413-46. https://doi.org/10.1016/S0140-6736(20)30367-6
• Sanders ME, Kant E, Smit AL, Stegeman I. The effect of hearing aids on cognitive function: A systematic review. PloS One. 2021;16(12):e0261207. https://doi.org/10.1371/journal.pone.0261207
• Maharani A, Dawes P, Nazroo J, Tampubolon G, Pendleton N, on behalf of the SENSE‐Cog WP1 group. Longitudinal Relationship Between Hearing Aid Use and Cognitive Function in Older Americans. J Am Geriatr Soc. 2018;66(6):1130-6. https://doi.org/10.1111/jgs.15363
• Kim AS, Garcia Morales EE, Amjad H, Cotter VT, Lin FR, Lyketsos CG, et al. Association of Hearing Loss With Neuropsychiatric Symptoms in Older Adults With Cognitive Impairment. Am J Geriatr Psychiatry. 2021;29(6):544-53. https://doi.org/10.1016/j.jagp.2020.10.002
• Han JH, Lee HJ, Jung J, Park EC. Effects of self-reported hearing or vision impairment on depressive symptoms: a population-based longitudinal study. Epidemiol Psychiatr Sci. 2018;28(3):343-55. https://doi.org/10.1017/S2045796018000045
• Brewster KK, Ciarleglio A, Brown PJ, Chen C, Kim HO, Roose SP, et al. Age-Related Hearing Loss and Its Association with Depression in Later Life. Am J Geriatr Psychiatry. 2018;26(7):788-96. https://doi.org/10.1016/j.jagp.2018.04.003
• Contrera KJ, Betz J, Deal J, Choi JS, Ayonayon HN, Harris T, et al. Association of Hearing Impairment and Anxiety in Older Adults. J Aging Health. 2017;29(1):172-84.
• https://doi.org/10.1177/0898264316634571
• Zhang L, Du H, You H. Correlation between the Degree of Hearing Loss and the Levels of Anxiety and Depression in Patients with Tinnitus. Noise Health. 2023;25(118):195-201. https://doi.org/10.4103/nah.nah_46_23
• Chung SD, Hung SH, Lin HC, Sheu JJ. Association between sudden sensorineural hearing loss and anxiety disorder: a population-based study. Eur Arch Oto-Rhino-Laryngol Off J Eur Fed Oto-Rhino-Laryngol Soc EUFOS Affil Ger Soc Oto-Rhino-Laryngol - Head Neck Surg. 2015;272(10):2673-8. https://doi.org/10.1007/s00405-014-3235-8
• Ferguson MA, Kitterick PT, Chong LY, Edmondson-Jones M, Barker F, Hoare DJ. Hearing aids for mild to moderate hearing loss in adults. Cochrane Database Syst Rev. 2017;9(9):CD012023. https://doi.org/10.1002/14651858.CD012023.pub2
• Cantuaria ML, Pedersen ER, Waldorff FB, Wermuth L, Pedersen KM, Poulsen AH, et al. Hearing Loss, Hearing Aid Use, and Risk of Dementia in Older Adults. JAMA Otolaryngol Head Neck Surg. 2024;150(2):157-64. https://doi.org/10.1001/jamaoto.2023.3509
• Kahveci OK, Miman MC, Okur E, Ayçiçek A, Sevinç S, Altuntaş A. İşitme cihazı kullanımı ve hasta memnuniyeti. Turk J Ear Nose Throat. 2011;21(3):117-21. https://doi.org/10.5606/kbbihtisas.2011.012