The validity of using a self-report single question as a means to detect hearing loss in an adolescent population

Heigl, Katharina; Gerstner, Doris; Huß, Jonas; Weilnhammer, Veronika; Jenkac, Christina; Pérez-Àlvarez, Carmelo; Steffens, Thomas; Herr, Caroline; Heinze, Stefanie

doi:10.1080/14992027.2022.2129852

Cited by 1 publication

(2 citation statements)

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“…The presence of hearing loss was only assessed using a single question to study participants ("Do you feel that you have difficulty hearing?"). As mentioned in the introduction, a self-report single question is insufficiently valid for assessing clinical hearing loss (72)(73)(74)(75). Furthermore, single question data do not inform about the better and the worse ear or about unilateral deafness.…”

Section: Discussionmentioning

confidence: 99%

“…Hearing loss is usually defined as a fourfrequency PTA of >25 dB HL on the better ear 4 [see the website of US National Institute of Deafness and other Communication Disorders (71)]. Study results indicate that the exclusive use of self-report single questions is not sufficient to detect such a defined hearing loss (72)(73)(74)(75). None of the studies, with the exception of Tseng et al distinguished between primary and secondary depression, i.e., depression as a presumed consequence of hearing loss (58).…”

Section: Introductionmentioning

confidence: 99%

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Hearing loss, depression, and cognition in younger and older adult CI candidates

Huber,

Reuter,

Weitgasser

et al. 2023

Front. Neurol.

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Background and AimHearing loss in old age is associated with cognitive decline and with depression. Our study aimed to investigate the relationship between hearing loss, cognitive decline, and secondary depressive symptoms in a sample of younger and older cochlear implant candidates with profound to severe hearing loss.MethodsThis study is part of a larger cohort study designated to provide information on baseline data before CI. Sixty-one cochlear implant candidates with hearing loss from adulthood onwards (>18 years) were enrolled in this study. All had symmetrical sensorineural hearing loss in both ears (four-frequency hearing threshold difference of no more than 20 dB, PTA). Individuals with primary affective disorders, psychosis, below-average intelligence, poor German language skills, visual impairment, and a medical diagnosis with potential impact on cognition (e.g., neurodegenerative diseases,) were excluded. Four-frequency hearing thresholds (dB, PTA, better ear) were collected. Using the Abbreviated Profile of Hearing Aid Benefit, we assessed subjective hearing in noise. Clinical and subclinical depressive symptoms were assessed with the Beck Depression Inventory (BDI II). Cognitive status was assessed with a neurocognitive test battery.ResultsOur findings revealed a significant negative association between subjective hearing in noise (APHAB subscale “Background Noise”) and BDII. However, we did not observe any link between hearing thresholds, depression, and cognition. Additionally, no differences emerged between younger (25–54 years) and older subjects (55–75 years). Unexpectedly, further unplanned analyses unveiled correlations between subjective hearing in quiet environments (APHAB) and cognitive performance [phonemic fluency (Regensburg Word Fluency), cognitive flexibility (TMTB), and nonverbal episodic memory (Nonverbal Learning Test), as well as subjective hearing of aversive/loud sounds (APHAB)], cognitive performance [semantic word fluency (RWT), and inhibition (Go/Nogo) and depression]. Duration of hearing loss and speech recognition at quiet (Freiburg Monosyllables) were not related to depression and cognitive performance.ConclusionImpact of hearing loss on mood and cognition appears to be independent, suggesting a relationship with distinct aspects of hearing loss. These results underscore the importance of considering not only conventional audiometric measures like hearing thresholds but also variables related to hearing abilities during verbal communication in everyday life, both in quiet and noisy settings.

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Section: Discussionmentioning

confidence: 99%