Transitions in Hearing Impairment and Psychological Distress in Older Adults
Transitions in Hearing Impairment and Psychological Distress in Older Adults
复制标题
DOI：
10.1177/070674370905400804
复制
发表时间：
2009-08-01
影响因子：
4
通讯作者：
Cairney, John
中科院分区：
文献类型：
--
作者：
Corna, Laurie M.;Wade, Terrance J.;Cairney, John
目的：虽然以前的研究已经证明了听力障碍（HI）和心理困扰之间的关联，但随着时间的推移，很少有工作探索听力状态的转变对困扰的影响，或者可以解释这种关联的解释途径。方法：我们使用来自加拿大国家人口健康调查的两波数据来研究HI转换对6年内痛苦变化的影响，结果：听力下降与第4波压力增加相关，但在调整社会人口学变量后，这种关系的显著性降低至趋势水平（P < 0.06）。掌握和自尊的引入进一步降低了报告听力下降的效果的大小在完整的model.Conclusions：在6年期间，HI下降和心理困扰之间的关联没有达到传统的统计学意义的水平，我们讨论了这一发现的潜在解释。掌握和自尊可能是重要的解释变量，在HI-困扰协会，并应考虑在未来的研究。Can J精神病学2009;54（8）：518-525.
Objective: Although previous research has demonstrated an association between hearing impairment (HI) and psychological distress, less work has explored the effect of transitions in hearing status on distress over time, or the explanatory pathways that may explain this association.Method: We use 2 waves of data from the Canadian National Population Health Survey to examine the effect of HI transitions on changes in distress during 6 years, and to test the potential mediating effects of psychosocial factors and chronic stressors.Results: Experiencing a decline in hearing was associated with increased distress at Wave 4, net of Wave 1 distress, although the significance of the relation was reduced to trend level following adjustment for sociodemographic variables (P < 0.06). The introduction of mastery and self-esteem further reduced the size of the effect of reporting a decline in hearing in the full model.Conclusions: The association between declines in HI and psychological distress during a 6-year period did not reach a traditional level of statistical significance, and we discuss potential explanations for this finding. Mastery and self-esteem may be important explanatory variables in the HI-distress association and should be considered in future research. Can J Psychiatry. 2009;54(8):518-525.