Recent epidemiological data suggest the relation between hearing difficulty and depression is more evident in younger and middle-aged populations than in older adults. There are also suggestions that the relation may be more evident in specific subgroups; i.e. other factors may influence a relationship between hearing and depression in different subgroups. Using crosssectional data from the UK Biobank on 134,357 community-dwelling people and structural equation modelling, this study examined the potential mediating influence of social isolation and unemployment, and the confounding influence of physical illness and cardiovascular conditions on the relation between a latent hearing variable and both a latent depressive episodes variable and a latent depressive symptoms variable. The models were stratified by age (40s, 50s, and 60s) and gender, and further controlled for physical illness and professional support in associations involving social isolation and unemployment. The latent hearing variable was primarily defined by reported hearing difficulty in noise. For all subgroups, poor hearing was significantly related to both more depressive episodes and more depressive symptoms. In all models, the direct and generally small association exceeded the indirect associations via physical health and social interaction. Significant (depressive episodes), and near significant (depressive symptoms) higher direct associations were estimated for males in their 40s and 50s than for males in their 60s. There was at each age group no significant difference in estimated associations across gender. Irrespective of the temporal order of variables, findings suggest that audiological services should facilitate psychosocial counselling.
Gitte Keidser and Mark Seeto, National Acoustic Laboratories and the HEARing CRC (2016) The influence of social interaction and physical health on the association between hearing and depression with age and gender, National Accoustics Laboratories DSpace Repository https://dspace.nal.gov.au/xmlui/handle/123456789/497?show=full
The impact of hearing difficulty and hearing aids on depression and fluid intelligence
The overall aim of this project is to establish the impact of hearing difficulty and hearing aids on depression and fluid intelligence. It is estimated that more than 500 million people worldwide have a permanent hearing loss, which is the third leading cause of years lost to disability. It is further estimated that less than 20% of people with a measurable hearing loss are treated with hearing aids. Untreated hearing loss has among other factors been associated with decreased psychosocial well-being, cognitive function, and self-sufficiency, and is the 13th highest contributor to the global burden of disease. This project will perform cross-sectional analyses to determine the relationship between (a) depression and hearing difficulty, and (b) fluid intelligence and hearing difficulty, when controlling for influences by such factors as age, gender, country of birth, other sensory declines (e.g. visual and tactile), and the use of hearing aids. Data only (no samples) from the full cohort will be included in the analyses. Further, statistical modelling will be used to determine if hearing disability is impacting these parameters directly, or via other factors such as age, social isolation, general health, deprivation, memory, and education. The UK Biobank data offer a unique opportunity to study these questions in a large sample of volunteers from the general population. Outcomes of this study will enable governments to make rational decisions about expenditure of public money on hearing aid treatments and clinicians to provide more effective rehabilitation and counselling.
|Lead investigator:||Professor Jerker Ronnberg|
|Lead institution:||Linnaeus Centre HEAD|
5 related Returns
|Return ID||App ID||Description||Archive Date|
|474||3572||Better visuospatial working memoery in adults who report profound deafness comapred to those with normal or poor hearing: Data from the UK Biobank resource||23 May 2017|
|1663||3572||On the relationship between functional hearing and depression||23 Jul 2019|
|2769||3572||Poorer Speech Reception Threshold in Noise Is Associated With Lower Brain Volume in Auditory and Cognitive Processing Regions||3 Nov 2020|
|265||3572||The effect of functional hearing and hearing aid usage on verbal reasoning in a large community-dwelling population||14 Jun 2016|
|473||3572||The effect of functional hearing loss and age on long- and short-term visuospatial memory: evidence from the UK Biobank resource||23 May 2017|
|548||The influence of social interaction and physical health on the association between hearing and depression with age and gender||Keidser et al||2016||National Acoustic Laboratories 2016|