Association of Using Hearing Aids or Cochlear Implants With Changes in Depressive Symptoms in Older Adults
Association of Using Hearing Aids or Cochlear Implants With Changes in Depressive Symptoms in Older Adults
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DOI：
10.1001/jamaoto.2016.0700
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发表时间：
2016-07-01
影响因子：
7.8
通讯作者：
Lin, Frank R.
中科院分区：
文献类型：
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作者：
Choi, Janet S.;Betz, Joshua;Lin, Frank R.
听力损失是老年人常见的健康问题，与抑郁症的发展密切相关。之前的横断面研究报告称，使用助听器的人患抑郁症的几率较低。然而，有有限的前瞻性研究调查听力损失治疗对抑郁症状的影响。目的调查助听器或人工耳蜗植入治疗与老年人抑郁症状之间的关系。设计，设置，一项前瞻性观察性研究对113名50岁或以上的参与者进行了研究，他们接受了助听器（n = 63）或人工耳蜗植入（n = 50）。参与者于2011年8月1日至2014年1月31日在三级护理学术中心招募。干预助听器或人工耳蜗植入。主要结果和测量抑郁症状通过15项老年抑郁量表（GDS）在基线和干预后6个月和12个月进行评估。得分范围从0到15，和3和10之间的各种分数已被用来作为被暗示depressory.Results的113名研究参与者的中位年龄为69.6岁（四分位数范围，63.5-77.4岁）。在基线时，与接受人工耳蜗植入的受试者（平均评分，2.6; 95%CI，1.3-5.1）相比，接受助听器的受试者（平均评分，1.5; 95%CI，0.7-3.3）的平均GDS评分低41%（95%CI，7%-63%）。从基线到治疗后6个月，髋关节植入物接受者的GDS评分改善了31%（95% CI，10%-47%），从基线到治疗后12个月改善了38%（95% CI，18%-54%）。助听器使用者的GDS评分提高了28%（95% CI，0%-48%），但治疗后12个月与基线无显著差异（16%; 95%CI，-24%至43%）。结论和相关性对于接受人工耳蜗植入和助听器的患者，治疗后6个月抑郁症状有显著改善;对于那些接受人工耳蜗植入的人来说，这种改善持续了12个月。进一步的研究是必要的，以评估听力康复对老年人心理健康的长期影响。
IMPORTANCE Hearing loss is a common health problem in older adults that is strongly associated with the development of depression. Previous cross-sectional studies have reported lower odds of depression among individuals who use hearing aids. However, there have been limited prospective studies investigating the effect of hearing loss treatments on depressive symptoms.OBJECTIVE To investigate the association between treatment with a hearing aid or cochlear implant with depressive symptoms in older adults.DESIGN, SETTING, AND PARTICIPANTS A prospective observational study was conducted of 113 participants 50 years or older who received hearing aids (n = 63) or cochlear implants (n = 50). Participants were recruited from August 1, 2011, to January 31, 2014, at a tertiary care academic center.INTERVENTION Hearing aid or cochlear implantation.MAIN OUTCOMES AND MEASURES Depressive symptoms were evaluated by the 15-item Geriatric Depression Scale (GDS) at baseline and at 6 and 12 months after intervention. The score ranges from 0 to 15, and various scores between 3 and 10 have been used as being suggestive of depression.RESULTS The median age of the 113 study participants was 69.6 years (interquartile range, 63.5-77.4 years). At baseline, the mean GDS score for the participants was 41% lower (95% CI, 7%-63%) among those receiving hearing aids (mean score, 1.5; 95% CI, 0.7-3.3) compared with those receiving cochlear implants (mean score, 2.6; 95% CI, 1.3-5.1). Cochlear implant recipients' GDS scores improved from baseline to 6 months after treatment by 31% (95% CI, 10%-47%) and from baseline to 12 months after treatment by 38%(95% CI, 18%-54%). Hearing aid recipients' GDS scores improved by 28%(95% CI, 0%-48%) at 6 months after treatment but were not significantly different from baseline at 12 months after treatment (16%; 95% CI, -24% to 43%).CONCLUSIONS AND RELEVANCE There was a significant improvement in depressive symptoms at 6 months after treatment for patients receiving cochlear implants and hearing aids; this improvement persisted to 12 months for those who received cochlear implants. Further research is warranted to assess the long-term effect of hearing rehabilitation on mental health in older adults.