Self-reported hearing is associated with time spent out-of-home and withdrawal from leisure activities in older community-dwelling adults

Mikkola, Tuija M.; Polku, Hannele; Portegijs, Erja; Rantakokko, Merja; Tsai, Li-Tang; Rantanen, Taina; Viljanen, Anne

doi:10.1007/s40520-015-0389-1

Cited by 28 publications

(25 citation statements)

References 23 publications

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“…Several pathways support the reported association between hearing impairment and incident depressive symptoms. First, hearing impairment has been associated with a wide range of adverse social consequences such as higher rates of unemployment (35), greater social isolation (9, 13) and a withdrawal from leisure activities (36), which may contribute to the development of depressive symptoms (9). Nevertheless, while the current analysis was adjusted for living alone status, more specific markers of social isolation such as the Social Network Index (37) should be accounted for in the future.…”

Section: Discussionmentioning

confidence: 99%

Association of Hearing Impairment with Incident Depressive Symptoms: A Community-Based Prospective Study

Lisan

Sloten

Lemogne

et al. 2019

The American Journal of Medicine

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Objective: the aim was to investigate the potential association between hearing impairment and incident depressive symptoms. Methods: using a prospective community-based cohort study in France (the Paris Prospective Study III), participants aged 50-75 years were recruited between 2008 and 2012 and thereafter followed up every two years up to 2018. Hearing impairment, measured at study recruitment by audiometry testing, was defined as a pure tone average greater than 25 decibels in the better ear. Incident depressive symptoms, measured using the validated 13-item Questionnaire of Depression 2 nd version, was assessed during follow-up. Multivariate generalized estimating equations were used to compute odd ratio (OR) and 95% confidence intervals (CI). Results: among 7591 participants free of depressive symptoms at baseline (mean age 59.8 years, 63% of men), 14.3% had hearing impairment. Over six years of follow-up, 479 subjects (6.3%) had incident depressive symptoms. The OR for incident depressive symptoms was 1.36 for subjects with baseline hearing impairment (95% CI 1.06 to 1.73). A pooled analysis of four published prospective studies yielded a multivariable relative risk of baseline hearing impairment for incident depressive symptoms of 1.29 (95%CI 1.09 to 1.53). Conclusions: in this community-based prospective cohort study of participants aged 50 to 75, baseline hearing impairment was associated with a 36% increased odd of incident depressive symptoms.

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Section: Discussionmentioning

confidence: 99%

Association of Hearing Impairment with Incident Depressive Symptoms: A Community-Based Prospective Study

Lisan

Sloten

Lemogne

et al. 2019

The American Journal of Medicine

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“…The discomfort and frustration resulting from this can prompt withdrawal or avoidance of social situations, which can in turn severely limit activities ( Heffernan et al, 2016 ). This can result in a less active and satisfying lifestyle, and may lead to depression ( Cohen-Mansfield et al, 2010 ; Mikkola et al, 2016 ). Understanding why older listeners struggle with speech perception in noisy situations is a critical first step to any rehabilitative effort to ensure successful communication, active aging and well-being.…”

Section: Discussionmentioning

confidence: 99%

Only Behavioral But Not Self-Report Measures of Speech Perception Correlate with Cognitive Abilities

2016

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Good speech perception and communication skills in everyday life are crucial for participation and well-being, and are therefore an overarching aim of auditory rehabilitation. Both behavioral and self-report measures can be used to assess these skills. However, correlations between behavioral and self-report speech perception measures are often low. One possible explanation is that there is a mismatch between the specific situations used in the assessment of these skills in each method, and a more careful matching across situations might improve consistency of results. The role that cognition plays in specific speech situations may also be important for understanding communication, as speech perception tests vary in their cognitive demands. In this study, the role of executive function, working memory (WM) and attention in behavioral and self-report measures of speech perception was investigated. Thirty existing hearing aid users with mild-to-moderate hearing loss aged between 50 and 74 years completed a behavioral test battery with speech perception tests ranging from phoneme discrimination in modulated noise (easy) to words in multi-talker babble (medium) and keyword perception in a carrier sentence against a distractor voice (difficult). In addition, a self-report measure of aided communication, residual disability from the Glasgow Hearing Aid Benefit Profile, was obtained. Correlations between speech perception tests and self-report measures were higher when specific speech situations across both were matched. Cognition correlated with behavioral speech perception test results but not with self-report. Only the most difficult speech perception test, keyword perception in a carrier sentence with a competing distractor voice, engaged executive functions in addition to WM. In conclusion, any relationship between behavioral and self-report speech perception is not mediated by a shared correlation with cognition.

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“…Observational studies of older adults worldwide have reported associations between age-related hearing loss and impaired social functioning, reduced social support, and increased role limitation due to emotional problems (31, 32). The presence of hearing problems has been shown to reduce the amount of time older adults spend outside their homes and increase the odds of withdrawing from leisure activities (33). This finding obtains in both community settings as well as in nursing homes, where residents with severe hearing loss have been shown to have 1.4 times greater odds of demonstrating low social engagement and 1.3 times greater odds of spending little time participating in facility activities (34).…”

Section: Clinical and Behavioral Mediators Linking Hearing Impairmentmentioning

confidence: 99%

Sensation and Psychiatry: Linking Age-Related Hearing Loss to Late-Life Depression and Cognitive Decline

Rutherford

Brewster

Golub

et al. 2018

AJP

312

249

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Recent research has linked age-related hearing loss to impaired performance across cognitive domains and increased risk for dementia diagnosis. The data linking hearing impairment to incident late-life depression are more mixed but suggest that diminished hearing does increase risk for depression. Behavioral mechanisms may explain these associations, such as the withdrawal of older adults from situations in which they may have difficulty hearing and communicating, which may contribute to the development of social isolation, loneliness, and consequent cognitive decline and depression. At a neural level, chronic hearing loss leads to reduced activation in central auditory pathways, resulting in compensatory increased activation in the cognitive control network, dysfunctional auditory–limbic connectivity, and deafferentation-induced atrophy in frontal brain regions. These pathologic changes decrease cognitive performance and increase depression risk by reducing cognitive reserve, increasing executive dysfunction, and disrupting normative emotion reactivity and regulation. Based on the available data and informed by this model, evidence-based suggestions are proposed for clinicians treating older adults, and a research agenda is advanced to facilitate the development of rationally designed and age-appropriate psychiatric treatments for older adults with age-related hearing loss. First and foremost, treating hearing loss should be investigated as a means of improving cognitive and depressive outcomes in well-designed studies incorporating comprehensive psychiatric assessments, randomization, objective documentation of compliance, and analyses of treatment mediators that will facilitate further therapeutic development. Multimodal neuroimaging studies integrating audiometric, neuropsychological, and clinical assessments also are needed to further evaluate the model proposed.

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Self-reported hearing is associated with time spent out-of-home and withdrawal from leisure activities in older community-dwelling adults

Cited by 28 publications

References 23 publications

Association of Hearing Impairment with Incident Depressive Symptoms: A Community-Based Prospective Study

Association of Hearing Impairment with Incident Depressive Symptoms: A Community-Based Prospective Study

Only Behavioral But Not Self-Report Measures of Speech Perception Correlate with Cognitive Abilities

Sensation and Psychiatry: Linking Age-Related Hearing Loss to Late-Life Depression and Cognitive Decline

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