Subjective hearing handicap is associated with processing speed and visuospatial performance in older adults without severe hearing handicap
Subjective hearing handicap is associated with processing speed and visuospatial performance in older adults without severe hearing handicap
复制标题
DOI：
10.1016/j.exger.2021.111614
复制
发表时间：
2021-11-04
影响因子：
3.9
通讯作者：
Kawashima, Ryuta
中科院分区：
文献类型：
--
作者：
Kawata, Natasha Y. S.;Nouchi, Rui;Kawashima, Ryuta
目的：听力损失是一种常见的疾病，严重影响生活质量。本研究评估了老年人听力障碍量表（HHIE）和认知（简易精神状态检查; MMSE，逻辑记忆; LM，符号搜索; SS，Stroop测试; ST和心理旋转; MR），以调查哪些认知领域与老年人的听力自我评估最密切相关。研究方法：对196名无认知障碍和无严重听力障碍的老年人（平均年龄= 67.7 ± 4.3岁，男性56名，女性140名）进行了HHIE和认知测量。我们对HHIE和认知测试的标准化评分进行了多元回归分析的排列测试。结果如下：HHIE表现出显著的负相关，加工速度的表现对SS（标准化13 =-0.095，校正p = 0.04）和MR上的视觉空间性能（标准化13 =-0.145，校正p = 0.04），并且HHIE评分与LM上的情景记忆表现之间无相关性（标准化13 = 0.060，调整后p = 0.22）或ST上的执行功能表现（标准化13 = 0.053，调整后p = 0.32）。结论：听力障碍者应注意其认知功能在加工速度和视觉空间能力方面的缺陷。这些结果表明，较高的HHIE可对年龄相关的认知功能下降产生不利影响。
Objective: Age-related hearing loss is a common disorder with significant consequences for quality of life. This study assessed the Hearing Handicap Inventory for the Elderly (HHIE) and cognition (Mini Mental State Exam; MMSE, Logical Memory; LM, Symbol Search; SS, Stroop Test; ST, and Mental Rotation; MR) to investigate which cognitive domains are most strongly involved with hearing self-assessment in older adults. Methods: The HHIE and cognitive measures were administered to 196 older adults (average age = 67.7 +/- 4.3 years, male 56, female 140) without cognitive impairment and without severe hearing handicap. We conducted permutation tests of multiple regression analysis of the standardized scores on the HHIE and cognitive tests. Results: HHIE showed a significant negative correlation between processing speed performance on the SS (standardized 13 = -0.095, adjusted p = 0.04) and visuospatial performance on the MR (standardized 13 = -0.145, adjusted p = 0.04), and no correlation between the scores of the HHIE and either episodic memory performance on the LM (standardized 13 = 0.060, adjusted p = 0.22) or executive function performance on the ST (standardized 13 = 0.053, adjusted p = 0.32). Conclusion: People reporting higher hearing handicaps should watch for poor cognitive function in processing speed and visuospatial abilities. These results imply that higher HHIE can have adverse effects on age-related cognitive decline.