Associação entre perda auditiva e sintomatologia depressiva em idosos

Abstract

Introduction:Hearing loss causes difficulties in speech understanding, which leads away from the family and social environment. This isolation may be associated with depressive disorders. Type of study: clinical prospective. Objective:To determine the association between hearing loss and depression in a group of non-institutionalized elderly. Method:The sample consisted of individuals aged over 60 years, undergoing complete audiological evaluation and screening for depressive symptoms with the Geriatric Depression Scale (GDS). Results:We evaluated 54 elderly, 26 (48.1%) were female and 28 (51.9%) males. It was found that 39 (72.2%) had hearing thresholds change, and 17 (31.5%) with mild hearing loss and 22 (40.7%) with moderate hearing loss. Were evident signs of depression in 25 elderly (46.3%), and 22 (40.7%) had hearing loss. Data analysis showed an association between hearing loss and depression (p = 0.016). Although not significant (p = 0.18), the association between the degree of hearing loss was positive in relation to the severity of the signs of depression. Conclusion:In elderly people surveyed, there was a strong association between hearing loss and signs of depression and tendency to be an association between the degree of hearing loss and the severity of the signs of depression.

Prevalência de deficiência auditiva referida e fatores associados em uma população de idosos da cidade de Manaus: um estudo de base populacional

“…Hearing One study that compared the auditory complaint with the objective measurement of auditory thresholds found that the elderly who did not report complaints, 46% had hearing loss in different degrees 25 . Other situations may influence the reference on hearing loss by the elderly, such as acceptance, adaptation to this new condition, clearance situations that may represent obstacles to its communication and the presence of certain morbidities that preclude recognition of this deficit.…”

Correlação entre perda auditiva e resultados dos questionários Hearing Handicap Inventory for the Adults: Screening Version HHIA-S e Hearing Handicap Inventory for the Elderly - Screening Version - HHIE-S

“…In Brazil, there are currently some studies (8,12,13,14,15,16,17,18) showing the usefulness of participationrestricting questionnaires to identify individuals with hearing loss and, in Rio Grande do Sul, the HHIE-S questionnaire was used to evaluate the subjective impact of an auditory rehabilitation program in the elderly (19). On the other hand, there are studies verifying the association between the complaint and the presence of hearing loss in the elderly (20) and showing the prognostic value, sensitivity and specificity of the simple inquiry about the presence of hearing loss (21) in the State of Rio Grande do Sul.…”

Relação entre a queixa auditiva e os achados audiológicos de um grupo de idosos ativos

“…However, other studies have shown there is no relationship between the complaint and the presence of hearing loss 7,8,22,23 . This can be explained by the variability in the perception of hearing loss due to the lifestyle of each senior, or also by the prevalence of losses at a lesser degree, as well as the configuration of the loss and the progression of presbycusis, which causes the subject to not yet perceive hearing changes.…”

“…Thus, it is clear the importance of referring senior individuals to audiological evaluations and also to hearing processing tests, especially in individuals with complaints regarding speech comprehension. This attitude is essential, because the hearing loss affects the communication process of individuals, causes a removal from society and family, creates isolation and is associated with worsening of depression 22 . This study emphasized the importance of using self-assessment surveys, even those formulated with simple questions, such as the one used in this research, because these instruments are able to detect any suspected hearing loss and thus allow referrals to specialized services, taking into account the large increase the number of people aged 60 years or more and the high prevalence of presbycusis in this population.…”