Hearing impairment, social support, and depressive symptoms among U.S. adults: A test of the stress process paradigm

West, Jessica

doi:10.1016/j.socscimed.2017.09.031

Cited by 51 publications

(53 citation statements)

References 55 publications

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“…6,7 Variable sample sizes, outcome measures and study populations probably explain these conflicting findings. 6,8 Severe visual impairment affects more than 2 million people in the UK and like hearing impairment, predominantly occurs in older people. 9 The prevalence of depression among visually impaired adults has been reported to be higher than in comparable populations without visual impairment in most studies, 4,10 although one prospective cohort study found that a deterioration in near vision did not increase the risk after controlling for confounders.…”

Section: Introductionmentioning

confidence: 99%

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Common mental illness in people with sensory impairment: results from the 2014 adult psychiatric morbidity survey

Shoham

Lewis

McManus³

et al. 2019

BJPsych open

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Background People with sensory impairments may be at increased risk of depression and anxiety but experience barriers to accessing treatment. Aims To investigate whether people with sensory impairment have more depressive and anxiety symptoms than people without, whether this is mediated by social functioning and whether they report greater non-treatment. Method We analysed data from the English 2014 Adult Psychiatric Morbidity Survey using regression models, with the Clinical Interview Schedule-Revised (CIS-R) score as the primary outcome and self-reported hearing and vision impairment as exposures. A secondary outcome was self-reported receipt of mental health diagnosis and treatment. We used structural equation modelling to assess for mediation by social functioning. Results A total of 19.0% of people with hearing impairment, and 30.9% and 24.5% with distance and near visual impairments, respectively, had clinically significant psychological morbidity. Adjusted mean CIS-R score was 1.86 points higher in people with hearing impairment compared with those without (95% CI 1.30–2.42, P<0.001). People with distance and near vision impairment had mean CIS-R scores 3.61 (95% CI 2.58–4.63, P<0.001) and 2.74 (95% CI 2.12–3.37, P<0.001) points higher, respectively, than those without. Social functioning accounted for approximately 50% of these relationships between sensory impairment and psychological morbidity. We found no evidence of an increased treatment gap for people with sensory impairment. Conclusions Social functioning, a potentially modifiable target, may mediate an association between sensory impairment and depressive and anxiety symptoms.

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Section: Introductionmentioning

confidence: 99%

“…1,7,9 Reduced social support has been associated with depression and anxiety. 8 Social functioning can be determined by social opportunities and is one way of describing interactions with other people, the environment and the community.…”

Section: Introductionmentioning

confidence: 99%

Common mental illness in people with sensory impairment: results from the 2014 adult psychiatric morbidity survey

Shoham

Lewis

McManus³

et al. 2019

BJPsych open

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“…6 Since hearing loss is irreversible for most people, hearing aid fitting is the common intervention, or standard of care, to treat permanent hearing loss. 9 Untreated hearing loss affects an individual's physical and psychological health, 10,11 and many of them suffered from isolation and stigma and experienced a greater prevalence of unemployment and negative health outcomes. 3,[11][12][13] Poor health outcomes associated with hearing loss include psychological illnesses and higher utilization of health services.…”

Section: Introductionmentioning

confidence: 99%

“…9 Untreated hearing loss affects an individual's physical and psychological health, 10,11 and many of them suffered from isolation and stigma and experienced a greater prevalence of unemployment and negative health outcomes. 3,[11][12][13] Poor health outcomes associated with hearing loss include psychological illnesses and higher utilization of health services. 3,10 Fitting hearing aids can increase an individual's quality of life by increasing activities of daily living and instrumental activities of daily living and enhancing social interaction, and decrease economic burden by decreasing healthcare utilization.…”

Section: Introductionmentioning

confidence: 99%

<p>Preferences for Hearing Aid Attributes Among People with Moderate or Greater Hearing Loss in Rural China: A Discrete Choice Experiment</p>

Zhu

Shi²,

Nicholas³

et al. 2020

PPA

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Purpose: Hearing loss has not received sufficient attention, especially in low-and middleincome countries where more than 80% of the people with hearing loss reside. Little is known about the preference for hearing aids among people with hearing loss in developing countries. The aim of this study is to elicit the preferences for hearing aid attributes among rural Chinese adults with moderate or greater hearing loss and examine how preferences vary across different individual socioeconomic characteristics. Patients and Methods: We interviewed 125 adults in two rural counties in Shandong province in China. A discrete choice experiment (DCE) with eight attributes, comprising outof-pocket (OOP) costs, hearing aid style, effective in quiet settings and noisy settings, feedback (whistling), connectivity, water/sweat resistance and battery life, were employed to examine participants' preference for hearing aids. Mixed logit models were used for the statistical analyses. Results: While OOP costs, effectiveness in quiet settings, water/sweat resistance and battery life were significantly associated with choosing a hearing aid, rural Chinese adults with moderate or greater hearing loss valued effectiveness in noisy settings above other attributes of hearing aids, followed closely by lack of feedback. The preference of the attributes of OOP costs, in the canal hearing aids, effectiveness in noisy settings, connectivity and battery life varied across individual socioeconomic characteristics including sex, marriage, employment, income and education level. Conclusion: Our study supported the view that the development of noise suppression and feedback cancellation systems remained the main challenge for the hearing aid industry. Since OOP costs were also associated with choosing a hearing aid, the policy advice is to improve reimbursements from insurance schemes and/or reduce the costs of hearing aids.

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“…Hearing loss can bring about a series of health problems, such as increasing the burden of physical and mental health, affecting people's quality of life extensively [7,8]. Empirical studies have shown that hearing loss leads to a decline in quality of life, presenting as more comorbid chronic diseases [9], impaired physical functioning [3,10], more depressive symptoms such as sadness, despair and helplessness [9], and accelerated cognitive decline [9].…”

Section: Introductionmentioning

confidence: 99%

Impact and Cost-effectiveness Evaluation of a Community-based Rehabilitative Intervention on Quality of Life Among Chinese Adults With Hearing Loss: Study Protocol for a Randomized Controlled Trial

Zhu

Chen

et al. 2020

Preprint

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Background: Hearing loss is quite prevalent and affects people’s quality of life. To our knowledge, there are limited studies assessing the efficacy of hearing interventions onquality of life in adults. Therefore, we aim to conduct a randomized controlled trial (RCT) to determine the impact and cost-effectiveness of community-based hearing rehabilitation on quality of life among Chinese adults with hearing loss.Methods/design:In this two-arm feasibility study, participants aged 16 and above with some degree of hearing loss (n=464) will be recruited from Linyi City, Shandong Province. Theyare randomly assigned to the treatment group or the control group. Those in the treatment group are prescribed with hearing aids, while those in the control group receive no intervention. Reinstruction in use of devices is providedfor the treatment group during booster visits held 6 months post-randomization or unscheduled interim visits when necessary. Data arecollected at baseline and the follow-up 12 months later. The primary outcome ischanges in quality of life over a 12-month study period. Secondary outcomes include sub-dimensions in quality of life, physical functioning, chronic diseases, cognitive function, depression, social support, hospitalizations, falls and healthcarecosts. Finally, we will evaluate whether hearing aids intervention is cost-effectiveness to apply in a large scale.Discussion:The trialis designed to evaluate the impact and cost-effectiveness of a community-based rehabilitative intervention on quality of life among Chinese adults with hearing loss. We hope that it would help improve the well-being for Chinese adults and provide references inpolicy and practicefor China andother countries.Trial registration:Chinese Clinical Trial Registry,ChiCTR1900024739.Registered on 26 July 2019, http://www.chictr.org.cn/index.aspx.

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Hearing impairment, social support, and depressive symptoms among U.S. adults: A test of the stress process paradigm

Cited by 51 publications

References 55 publications

Common mental illness in people with sensory impairment: results from the 2014 adult psychiatric morbidity survey

Common mental illness in people with sensory impairment: results from the 2014 adult psychiatric morbidity survey

<p>Preferences for Hearing Aid Attributes Among People with Moderate or Greater Hearing Loss in Rural China: A Discrete Choice Experiment</p>

Impact and Cost-effectiveness Evaluation of a Community-based Rehabilitative Intervention on Quality of Life Among Chinese Adults With Hearing Loss: Study Protocol for a Randomized Controlled Trial

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