The Outcome of Unilateral Cochlear Implantation in Adults: Speech Recognition, Health-Related Quality of Life and Level of Anxiety and Depression: a One- and Three-Year Follow-Up Study

Bergman, Pia; Lyxell, Björn; Harder, Henrik; Mäki‐Torkko, Elina

doi:10.1055/s-0039-3399540

Cited by 8 publications

(7 citation statements)

References 44 publications

(76 reference statements)

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“…Screening by title and abstract excluded 1263 articles. Full‐text review of the remaining articles excluded 259 publications, resulting in 22 articles being included in the final analysis 29–50 . The search process is summarized in Figure 1.…”

Section: Resultsmentioning

confidence: 99%

Longitudinal Speech Recognition Changes After Cochlear Implant: Systematic Review and Meta‐analysis

Fried

Nguyen

et al. 2022

The Laryngoscope

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Objectives To examine patterns of change and plateau in speech recognition scores in postlingually hearing impaired adult cochlear implant recipients. The study also examines variations in change patterns for different speech materials and testing conditions. Study Design Used systematic review with meta‐analysis. Methods Articles in English reporting speech recognition scores of adults with postlingual hearing loss at pre‐implantation and at least two post‐implantation time points were included. Statistically significant changes were determined by meta‐analysis and the 95% confidence interval. Results A total of 22 articles representing 1954 patients were included. Meta‐analysis of mean difference demonstrated significant improvements in speech recognition score for words in quiet (37.4%; 95% confidence interval [34.7%, 40.7%]), sentences in quiet (49.4%; 95% confidence interval [44.9%, 53.9%]), and sentences in noise (30.8%; 95% confidence interval [25.2%, 36.4%]) from pre‐op to 3 months. Scores continued to increase from 3 to 12 months but did not reach significance. Similarly, significant improvements from pre‐op to 3 months were observed for consonant nucleus consonant (CNC) words in quiet (37.1%; 95% confidence interval [33.8%, 40.4%]), hearing in noise test (HINT) sentences in quiet (46.5%; 95% confidence interval [37.0%, 56.0%]), AzBio sentences in quiet (45.9%; 95% confidence interval [44.2%, 47.5%]), and AzBio sentences in noise (26.4%; 95% confidence interval [18.6%, 34.2%]). HINT sentences in noise demonstrated improvement from pre‐op to 3 months (35.1%; 95% confidence interval [30.0%, 40.3%]) and from 3 to 12 months (15.5%; 95% confidence interval [7.2%, 23.8%]). Conclusions Mean speech recognition scores demonstrate significant improvement within the first 3 months, with no further statistically significant improvement after 3 months. However, large individual variation should be expected and future research is needed to explain the sources of these individual differences. Laryngoscope, 133:1014–1024, 2023

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Section: Resultsmentioning

confidence: 99%

Longitudinal Speech Recognition Changes After Cochlear Implant: Systematic Review and Meta‐analysis

Fried

Nguyen

et al. 2022

The Laryngoscope

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“…A recent systematic review [ 38 ] mentioned two studies (mean ages: 58.6 and 51.7 years) in which cochlear implantation reduced the symptoms of depression. Bergman et al [ 39 ] found that the level of depression decreased 1 year after implantation in a group of CI users with a median age of 72 years. Conversely, Mertens et al [ 28 ] found no effect of CI use on the levels of anxiety and depression in 24 CI users (mean age: 72 years).…”

Section: Discussionmentioning

confidence: 99%

Effect of cochlear implantation on cognitive decline and quality of life in younger and older adults with severe-to-profound hearing loss

Calvino

Sánchez‐Cuadrado

Gavilán

et al. 2022

Eur Arch Otorhinolaryngol

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Purpose (a) To measure the change in cognition, the improvement of speech perception, and the subjective benefit in people under and over 60 years following cochlear implantation. (b) To assess the relationship between cognition, demographic, audiometric, and subjective outcomes in both age groups. Methods 28 cochlear implant (CI) users were assigned to the < 60y group and 35 to the ≥ 60y group. Cognition was measured using the Repeatable Battery for the Assessment of Neuropsychological Status for Hearing impaired individuals (RBANS-H); subjective benefit was measured using the Nijmegen Cochlear Implant Questionnaire (NCIQ); the Glasgow Benefit Inventory (GBI); the Hearing Implant Sound Quality Index (HISQUI19); Speech, Spatial and Qualities of Hearing Scale (SSQ12); and the Hospital Anxiety and Depression Scale (HADS). Results Prior to surgery: the RBANS-H total score positively correlated with the domains “Advanced sound”, “Self-esteem”, and “Social functioning” of NCIQ, and negatively with HADS scores. 12 months post-implantation: the RBANS-H total score increased in the < 60y (p = 0.038) and in the ≥ 60y group (p < 0.001); speech perception and subjective outcomes also improved; RBANS-H total score positively correlated with “Self-esteem” domain in NCIQ. Age and the RBANS-H total score correlated negatively in the ≥ 60y group (p = 0.026). Conclusions After implantation, both age groups demonstrated improved cognition, speech perception and quality of life. Their depression scores decreased. Age was inversely associated with cognition.

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“…It is noteworthy that in most of the studies conducted in this area with patients who underwent cochlear implantation, the older age range was addressed. 11 Many factors that may affect the psychosomatic states of patients in the advanced age group, such as anxiety and depression, may come into play, so patients may be more affected. In addition, due to their advanced age, they can lead a more calm and sedentary life.…”

Section: Discussionmentioning

confidence: 99%

Depression, Anxiety, and Quality of Life in Patients with Cochlear Implant: A Case-Control Study

Elbay¹,

BAKICI²,

Kalcıoğlu³

2023

Int Adv Otol

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Background: It is known that there is a relationship between hearing loss, which is an important cause of disability, psychological symptoms, and low quality of life. The aim of this study is to evaluate the anxiety, depression levels, and quality of life analysis of adults with postlingual hearing loss and who have undergone cochlear implants and to compare them with the data of subjects who have never had a hearing loss. Methods: The prospective controlled clinical study included 53 subjects who had cochlear implants and 52 healthy controls in terms of hearing. Hospital Anxiety and Depression Scale and Short Form 36 were filled by all subjects to investigate their depression, anxiety, and quality of life levels. Results: The mean age of subjects was 42.88 ± 18.04, and 44% (23) were women. There was no significant difference between the study and control groups in terms of Hospital Anxiety and Depression Scale scores. Short Form 36 physical role ( P = .018) and SF-36 general health ( P = .014) in quality of life assessment sub-scores were statistically significantly higher in the study group than in the control group. When the correlation between the time elapsed after surgery and Hospital Anxiety and Depression Scale scores and Short Form 36 scores was evaluated, no significance was observed. Conclusion: The fact that the patients evaluated after cochlear implant surgery had similar depression and anxiety levels and quality of life as the controls, and even physical role and being significantly better in general health compared to the controls reveal the importance of regaining the hearing ability.

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The Outcome of Unilateral Cochlear Implantation in Adults: Speech Recognition, Health-Related Quality of Life and Level of Anxiety and Depression: a One- and Three-Year Follow-Up Study

Cited by 8 publications

References 44 publications

Longitudinal Speech Recognition Changes After Cochlear Implant: Systematic Review and Meta‐analysis

Longitudinal Speech Recognition Changes After Cochlear Implant: Systematic Review and Meta‐analysis

Effect of cochlear implantation on cognitive decline and quality of life in younger and older adults with severe-to-profound hearing loss

Depression, Anxiety, and Quality of Life in Patients with Cochlear Implant: A Case-Control Study

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