The relationship between hearing loss in older adults and depression over 12 years: Findings from the Three‐City prospective cohort study

Cosh, Suzanne; Carrière, Isabelle; Daïen, Vincent; Amieva, Hélène; Tzourio, Christophe; Delcourt, Cécile; Helmer, Catherine

doi:10.1002/gps.4968

Cited by 37 publications

(53 citation statements)

References 40 publications

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“…Mixed HL thresholds have also been used in the literature. While depression symptoms were observed both in mild and in severe self-reported HL,14 several large-scale studies have indicated that severity of HL is associated with increased depression risk,27,28 indicating a graded relationship between HL and depression. Accordingly, strengths of relationships and risk estimates of comorbid HL and depression can vary based on HL assessment methods.…”

Section: Hl and Depressionmentioning

confidence: 98%

“…Within the older adult population with HL, prevalence estimates of comorbid unipolar depression remain varied, but suggest that up to 1 in 5 older adults with HL report a clinically relevant level of depression symptoms that would necessitate treatment,13 and a further 22% experience the onset of incident depression symptoms over time 14. An emerging body of research further indicates that HL increases the risk of experiencing depression.…”

Section: Hl and Depressionmentioning

confidence: 99%

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Depression in elderly patients with hearing loss: current perspectives

Cosh¹,

Helmer²,

Delcourt³

et al. 2019

CIA

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104

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Hearing loss (HL) is highly common in older adulthood, constituting the third most prevalent chronic health condition in this population. In addition to posing a substantial burden to disease and negatively impacting quality of life, an emerging literature highlights that HL is associated with unipolar depression including among older adults. This review outlines evidence examining the HL and depression relationship as well as clinical implications for assessment and treatment of comorbid depression and HL. Although prevalence estimates of comorbid depression in HL vary, as many as 1 in 5 experience clinically relevant depression symptoms. Both cross-sectional and longitudinal studies indicate that HL is related to increased unipolar depression symptoms, although the strength of the association varies between studies. A range of methodological variations, such as inclusion age, severity of HL and assessment of depression, likely underpin this heterogeneity. Overall, however, the evidence clearly points to an association of HL with clinically relevant depression symptoms. The association with the diagnosis of major depression disorder remains less clear and under-researched. HL is also associated with a range of other poor mental health outcomes in older adults, including anxiety and suicidal ideation, and predicts poorer cognitive functioning. Accordingly, assessment and treatment of comorbid depression in HL is pertinent to promote mental well-being among older adults. Currently, evidence regarding best practice for treating depression in HL remains scant. Preliminary evidence indicates that audiological rehabilitation, including use of hearing aids, as well as community-based hearing interventions can also improve mental health. Psychological intervention that enhances communication skills and addresses coping strategies might also be beneficial for this population. Additionally, evidence suggests that online interventions are feasible and may circumvent communication difficulties in therapy associated with HL. Due to poor help-seeking among this population, an enhanced focus on specific and targeted assessment and treatment is likely necessary to ensure reduced mental health burden among older adults with HL.

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Section: Hl and Depressionmentioning

confidence: 98%

Section: Hl and Depressionmentioning

confidence: 99%

Depression in elderly patients with hearing loss: current perspectives

Cosh¹,

Helmer²,

Delcourt³

et al. 2019

CIA

Self Cite

104

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“…14 Interestingly, mainly minor depressive symptoms and not severe depression seem to be highly associated with hearing impairment in the long-term follow-up as reported by Cosh in a study on 8340 adults. 3 This might be even more pronounced in adults aged <65 years. 15 , 16 Besides the negative impact of age on sensory abilities, aging is associated also with an enhanced cognitive decline starting already from the second decade of life.…”

Section: Introductionmentioning

confidence: 98%

Benefits of Cochlear Implantation in Middle-Aged and Older Adults

Völter¹,

Götze²,

Haubitz³

et al. 2020

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Introduction Nowadays cochlear implantation (CI) is the treatment of choice in adults in case conventional hearing devices fail. Besides speech perception, an improvement in quality of life and in cognitive performance has been reported. Thereby, the study focused on the impact of age. Participants and Methods Thirty middle-aged (MA) between 50 and 64 years and 41 older subjects (OA) aged 65 and older with bilateral severe hearing loss performed a comprehensive computer-based neurocognitive test battery (ALAcog) pre- and 12 months post-implantation. Besides, monosyllabic speech perception in quiet (Freiburg monosyllabic speech test), health-related quality of life (HR-QoL, Nijmegen Cochlear Implant Questionnaire) and depressive symptoms (GDS-15) have been assessed. Results Both age groups significantly improved in all three categories after 12 months. No differences were evaluated between MA and OA regarding speech perception and HR-QoL pre- and post-operatively. In contrast, cognitive performance differed between the age groups: pre-operatively OA performed worse in most neurocognitive subdomains like working memory (p=0.04), inhibition (p=0.004), processing speed (p=0.003) and mental flexibility (p=0.01), post-operatively MA outperformed OA only in inhibition (p=0.01). Age only slightly influenced cognitive performance in MA, whereas in OA age per se tremendously impacted on working memory (p=0.04), inhibition (p=0.02), memory (p=0.04) and mental flexibility (p=0.01). Educational level also affected processing speed, mental flexibility (p=0.01) and working memory (p=0.01). This was more pronounced in OA. In both age groups, hearing status had a strong effect on attentional tasks (p=0.01). In MA, depressive symptoms were more influential on cognitive functioning and on HR-QoL than in OA. Improvement in quality of life (p=0.0002) and working memory (p=0.001) was greater for those with a higher pre-operative depression score. Conclusion Speech perception and HR-QoL improved in hearing impaired, independently of age. Pre-operative differences in cognitive performance between OA and MA clearly attenuated 12 months after CI. Impact of comorbidities differed between age groups.

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“…Several longitudinal studies have demonstrated that hearing loss increases the risk of incident all-cause dementia, with a relative risk that augments linearly with the severity of hearing loss (Lin et al, 2011;Gallacher et al, 2012;Deal et al, 2016). In addition to its association with cognitive decline, hearing loss has been related with increased risk of depressive symptoms (Brewster et al, 2018;Cosh et al, 2018). Therefore, the comorbidity of disorders that are risk factors for dementia or functional disability -such as presbycusis and NPS -is very common in the elderly, as many of them are related with the aging process (Livingston et al, 2017).…”

mentioning

confidence: 99%

Insula and Amygdala Atrophy Are Associated With Functional Impairment in Subjects With Presbycusis

Belkhiria

Vergara

Martin

et al. 2020

Front. Aging Neurosci.

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Belkhiria et al. Neurobehavioral Impairment in Presbycusis that (i) the neuropsychiatric symptoms had a major effect on functional loss in subjects with presbycusis, (ii) cochlear dysfunction is relevant for the association between hearing loss and behavioral impairment, and (iii) atrophy of the insula and amygdala among other temporal areas are related with hearing loss and behavioral impairment.

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The relationship between hearing loss in older adults and depression over 12 years: Findings from the Three‐City prospective cohort study

Abstract: Both mild and severe thresholds of HL are associated with depression symptoms over time, but not with incident diagnosis of major depression. Improved and ongoing detection of subthreshold depression amongst older adults with HL may improve quality of life for this population.

Cited by 37 publications

References 40 publications

<p>Depression in elderly patients with hearing loss: current perspectives</p>

<p>Depression in elderly patients with hearing loss: current perspectives</p>

<p>Benefits of Cochlear Implantation in Middle-Aged and Older Adults</p>

Insula and Amygdala Atrophy Are Associated With Functional Impairment in Subjects With Presbycusis

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