Research Article
BibTex RIS Cite

Yaşlılarda İşitme Kaybı ve Depresif Semptomlar Arasındaki İlişkinin İncelenmesi

Year 2025, Volume: 19 Issue: 1, 52 - 59
https://doi.org/10.21763/tjfmpc.1483409

Abstract

Amaç: Yaşlılarda işitme bozukluğu şiddeti ile psikolojik semptomlar arasındaki ilişkinin incelenmesi amaçlanmıştır.
Yöntem: Türkiye ve Kuzey Kıbrıs'ta 65 yaş ve üzeri katılımcılara sosyal medya ve işitme cihazı merkezleri aracılığıyla dağıtılan Google Formları kullanılarak kesitsel bir anket çalışması yapılmıştır. Ankette demografik sorular, Yaşlılar için İşitme Engellilik Ölçeği Tarama Formu (İEÖY-T) ve Beck Depresyon Ölçeği (BDÖ) yer almıştır.
Bulgular: Örneklem, yaş ortalaması 72,58 ± 7,75 yıl olan 246 katılımcıdan (102 erkek, 144 kadın) oluşmuştur. HHIE-S için medyan puan 22 idi. Katılımcıların %6,9'u işitme engeli olmadığını, %50,8'i orta düzeyde ve %42,3'ü şiddetli işitme engeli olduğunu bildirdi. İşitme cihazı kullananların HHIE-S puanları daha yüksekti. Medyan BDI puanı 29 idi; katılımcıların %3,3'ü minimal, %17,5'i hafif, %39'u orta düzeyde ve %40,2'si şiddetli depresyon olarak sınıflandırıldı. HHIE-S bozukluk seviyelerine göre gruplar arasında BDI puanlarında istatistiksel olarak anlamlı bulundu (p=0,000). Cinsiyet farkı HHIE-S (p=0,167) veya BDI (p=0,072) için anlamlı değildi, ancak medeni durum, eğitim ve gelir düzeyi gruplar arasında anlamlı farklılıklar gösterdi.
Sonuç: Bu çalışma, işitme engeli ve depresyon semptomlarının 65 yaş üstü bireylerde yaygın olduğunu ortaya koymaktadır. İşitme engeli olduğunu bildirenlerde depresyon oranı daha yüksektir. Yaş, medeni durum, eğitim ve gelir düzeyi işitme engeli ve depresyon düzeyleri üzerinde etkilidir. Cinsiyetin işitme bozukluğu veya depresyon üzerinde bir etkisi gözlenmemiştir. İşitme cihazı kullanımı, işitme engeli olduğunu bildiren bireylerde depresyon puanlarının azalmasına katkıda bulunabilir.

Ethical Statement

This study was approved by the Near East University Ethics Committee in January 2024 with the reference number YDU/2024/120-1804 and adhered to the principles outlined in the Declaration of Helsinki, 2013. All participants in this study were provided with both oral and written information, and informed consent was obtained from all participants.

References

  • 1. Wilson BS, Tucci DL, Merson MH, O’Donoghue GM. Global hearing health care: new findings and perspectives. The Lancet. 2017;390(10111):2503-2515. doi:10.1016/S0140-6736(17)31073-5
  • 2. Goman AM, Lin FR. Prevalence of hearing loss by severity in the United States. Am J Public Health. 2016;106(10):1820-1822. doi:10.2105/AJPH.2016.303299
  • 3. Peelle JE, Wingfield A. The Neural Consequences of Age-Related Hearing Loss. Trends Neurosci. 2016;39(7):486-497. doi:10.1016/j.tins.2016.05.001
  • 4. Turvey CL, Carney C, Arndt S, Wallace RB, Herzog R. Conjugal loss and syndromal depression in a sample of elders aged 70 years or older. Am J Psychiatry. 1999 Oct;156(10):1596-601. doi: 10.1176/ajp.156.10.1596. PMID: 10518172.
  • 5. Gopinath B, Hickson L, Schneider J, et al. Hearing-impaired adults are at increased risk of experiencing emotional distress and social engagement restrictions five years later. Age Ageing. 2012;41(5):618-623. doi:10.1093/ageing/afs058
  • 6. Rutherford BR, Brewster K, Golub JS, Kim AH, Roose SP. Sensation and psychiatry: Linking age-related hearing loss to late-life depression and cognitive decline. Am J Psychiatry. 2018;175(3):215-224. doi:10.1176/appi.ajp.2017.17040423
  • 7. Keidser G, Seeto M. The Influence of Social Interaction and Physical Health on the Association Between Hearing and Depression With Age and Gender. Trends Hear. 2017;21:1-15. doi:10.1177/2331216517706395
  • 8. Chou KL, Chi I. Prevalence of depression among elderly Chinese with diabetes. Int J Geriatr Psychiatry. 2005;20(6):570-575. doi:10.1002/gps.1328
  • 9. Beck AT. A systematic investigation of depression. Compr Psychiatry. 1961;2(3):163-170. doi:10.1016/S0010-440X(61)80020-5
  • 10. Hisli N. Beck Depresyon Envanterinin geçerliliği üzerine bir çalışma. Türk Psikol Derg. 1999;6:118-126.
  • 11. Farinde A. The Beck Depression Inventory. Pharma Innov. 2013;2(1):56-62.
  • 12. Aksoy, S., Aslan, F., Köse, A., & Alpar, R. (2019). İşitme Engeli Ölçeği-Yaşlı geçerlik ve güvenirlik: Türk popülasyonunda tarama ve uzun formlarının kullanımı. KBB-Forum: Elektronik Kulak Burun Boğaz ve Baş Boyun Cerrahisi Dergisi, 18(4), 310-319.
  • 13. Fitzmaurice C, Akinyemiju TF, Al Lami FH, Global Burden of Disease Cancer Collaboration, et al. Global, regional, and national cancer incidence, mortality, years of life lost, years lived with disability, and disability-adjusted life-years for 29 cancer groups, 1990 to 2016: a systematic analysis for the global burden of disease study. JAMA Oncol. 2018;4(11):1553–1568. doi: 10.1001/jamaoncol.2018.2706.
  • 14. Lin FR, Niparko JK, Ferrucci L. Hearing loss prevalence in the United States. Arch Intern Med. 2011;171(20):1851-1852. doi:10.1001/archinternmed.2011.506
  • 15. Sharma RK, Lalwani AK, Golub JS. Prevalence and severity of hearing loss in the older old population. JAMA Otolaryngol Head Neck Surg. 2020;146(8):762-763. doi:10.1001/jamaoto.2020.0900
  • 16. Polat, Z., Eyupler, T. The hearing aid use and its efficiency in geriatric population. Journal of Case Reports, 2022;1, 2001-8.
  • 17. Das A. Spousal loss and health in late life: Moving beyond emotional trauma. J Aging Health. 2013;25(2):221-242. doi:10.1177/0898264312464498
  • 18. Simpson AN, Matthews LJ, Cassarly C, Dubno JR. Time from Hearing Aid Candidacy to Hearing Aid Adoption: A Longitudinal Cohort Study. Ear Hear. 2019;40(3):468-476. doi:10.1097/AUD.0000000000000641
  • 19. Mahboubi H, Lin HW, Bhattacharyya N. Prevalence, characteristics, and treatment patterns of hearing difficulty in the United States. JAMA Otolaryngol- Head Neck Surg. 2018;144(1):65-70. doi:10.1001/jamaoto.2017.2223
  • 20. Zenebe Y, Akele B, W/Selassie M, Necho M. Prevalence and determinants of depression among old age: a systematic review and meta-analysis. Ann Gen Psychiatry. 2021;20(1):55. doi:10.1186/s12991-021-00375-x
  • 21. Bergdahl, E., Gustavsson, J. M., Kallin, K., von Heideken Wågert, P., Lundman, B., Bucht, G., & Gustafson, Y. (2005). Depression among the oldest old: The Umeå 85+ study. International Psychogeriatrics, 17, 557–575. doi:10.1017/S1041610205002267.
  • 22. Golub JS, Brewster KK, Brickman AM, et al. Association of Audiometric Age-Related Hearing Loss with Depressive Symptoms among Hispanic Individuals. JAMA Otolaryngol-Head Neck Surg. 2019;145(2):132-139. doi:10.1001/jamaoto.2018.3270
  • 23. Nakahori N, Sekine M, Yamada M, Tatsuse T, Kido H, Suzuki M. Association between self-reported hearing loss and low socioeconomic status in Japan: findings from the Toyama dementia survey. BMC Geriatr. 2020;20(1):1-7. doi:10.1186/s12877-020-01680-y

Relationship Between Depressive Symptoms and Hearing Impairment in the Elderly

Year 2025, Volume: 19 Issue: 1, 52 - 59
https://doi.org/10.21763/tjfmpc.1483409

Abstract

Objective: This study aims to examine the relationship between the severity of hearing impairment and psychological symptoms in the elderly.
Methods: A cross-sectional survey was conducted using Google Forms distributed via social media and hearing aid dispensers to participants aged 65 and above in Turkey and Northern Cyprus. The survey included demographic questions, the Hearing Handicap Inventory for the Elderly-Screening version (HHIE-S), and the Beck Depression Inventory (BDI).
Results: The sample comprised 246 participants (102 males, 144 females) with a mean age of 72.58 ± 7.75 years. The median score for the HHIE-S was 22. Of the participants, 6.9% reported no hearing handicap, 50.8% reported moderate, and 42.3% reported severe hearing handicap. Hearing aid users had higher HHIE-S scores. The median BDI score was 29, with 3.3% of participants classified as minimal, 17.5% mild, 39% moderate, and 40.2% severe depression. A statistically significant difference in BDI scores was found among groups based on HHIE-S impairment levels (p=0.000). Gender differences were not significant for HHIE-S (p = 0.167) or BDI (p = 0.072), but marital status, education, and income level showed significant differences across groups.
Conclusion: This study revealed that hearing handicaps and symptoms of depression are prevalent among individuals over the age of 65. Those reporting hearing handicaps have a higher rate of depression. Age, marital status, education, and income level effects hearing handicap and depression levels. No effect of gender on hearing handicaps or depression was observed. The use of hearing aids may contribute to a reduction in depression scores among individuals reporting hearing impairment.

Ethical Statement

This study was approved by the Near East University Ethics Committee in January 2024 with the reference number YDU/2024/120-1804 and adhered to the principles outlined in the Declaration of Helsinki, 2013. All participants in this study were provided with both oral and written information, and informed consent was obtained from all participants.

Supporting Institution

-

Thanks

-

References

  • 1. Wilson BS, Tucci DL, Merson MH, O’Donoghue GM. Global hearing health care: new findings and perspectives. The Lancet. 2017;390(10111):2503-2515. doi:10.1016/S0140-6736(17)31073-5
  • 2. Goman AM, Lin FR. Prevalence of hearing loss by severity in the United States. Am J Public Health. 2016;106(10):1820-1822. doi:10.2105/AJPH.2016.303299
  • 3. Peelle JE, Wingfield A. The Neural Consequences of Age-Related Hearing Loss. Trends Neurosci. 2016;39(7):486-497. doi:10.1016/j.tins.2016.05.001
  • 4. Turvey CL, Carney C, Arndt S, Wallace RB, Herzog R. Conjugal loss and syndromal depression in a sample of elders aged 70 years or older. Am J Psychiatry. 1999 Oct;156(10):1596-601. doi: 10.1176/ajp.156.10.1596. PMID: 10518172.
  • 5. Gopinath B, Hickson L, Schneider J, et al. Hearing-impaired adults are at increased risk of experiencing emotional distress and social engagement restrictions five years later. Age Ageing. 2012;41(5):618-623. doi:10.1093/ageing/afs058
  • 6. Rutherford BR, Brewster K, Golub JS, Kim AH, Roose SP. Sensation and psychiatry: Linking age-related hearing loss to late-life depression and cognitive decline. Am J Psychiatry. 2018;175(3):215-224. doi:10.1176/appi.ajp.2017.17040423
  • 7. Keidser G, Seeto M. The Influence of Social Interaction and Physical Health on the Association Between Hearing and Depression With Age and Gender. Trends Hear. 2017;21:1-15. doi:10.1177/2331216517706395
  • 8. Chou KL, Chi I. Prevalence of depression among elderly Chinese with diabetes. Int J Geriatr Psychiatry. 2005;20(6):570-575. doi:10.1002/gps.1328
  • 9. Beck AT. A systematic investigation of depression. Compr Psychiatry. 1961;2(3):163-170. doi:10.1016/S0010-440X(61)80020-5
  • 10. Hisli N. Beck Depresyon Envanterinin geçerliliği üzerine bir çalışma. Türk Psikol Derg. 1999;6:118-126.
  • 11. Farinde A. The Beck Depression Inventory. Pharma Innov. 2013;2(1):56-62.
  • 12. Aksoy, S., Aslan, F., Köse, A., & Alpar, R. (2019). İşitme Engeli Ölçeği-Yaşlı geçerlik ve güvenirlik: Türk popülasyonunda tarama ve uzun formlarının kullanımı. KBB-Forum: Elektronik Kulak Burun Boğaz ve Baş Boyun Cerrahisi Dergisi, 18(4), 310-319.
  • 13. Fitzmaurice C, Akinyemiju TF, Al Lami FH, Global Burden of Disease Cancer Collaboration, et al. Global, regional, and national cancer incidence, mortality, years of life lost, years lived with disability, and disability-adjusted life-years for 29 cancer groups, 1990 to 2016: a systematic analysis for the global burden of disease study. JAMA Oncol. 2018;4(11):1553–1568. doi: 10.1001/jamaoncol.2018.2706.
  • 14. Lin FR, Niparko JK, Ferrucci L. Hearing loss prevalence in the United States. Arch Intern Med. 2011;171(20):1851-1852. doi:10.1001/archinternmed.2011.506
  • 15. Sharma RK, Lalwani AK, Golub JS. Prevalence and severity of hearing loss in the older old population. JAMA Otolaryngol Head Neck Surg. 2020;146(8):762-763. doi:10.1001/jamaoto.2020.0900
  • 16. Polat, Z., Eyupler, T. The hearing aid use and its efficiency in geriatric population. Journal of Case Reports, 2022;1, 2001-8.
  • 17. Das A. Spousal loss and health in late life: Moving beyond emotional trauma. J Aging Health. 2013;25(2):221-242. doi:10.1177/0898264312464498
  • 18. Simpson AN, Matthews LJ, Cassarly C, Dubno JR. Time from Hearing Aid Candidacy to Hearing Aid Adoption: A Longitudinal Cohort Study. Ear Hear. 2019;40(3):468-476. doi:10.1097/AUD.0000000000000641
  • 19. Mahboubi H, Lin HW, Bhattacharyya N. Prevalence, characteristics, and treatment patterns of hearing difficulty in the United States. JAMA Otolaryngol- Head Neck Surg. 2018;144(1):65-70. doi:10.1001/jamaoto.2017.2223
  • 20. Zenebe Y, Akele B, W/Selassie M, Necho M. Prevalence and determinants of depression among old age: a systematic review and meta-analysis. Ann Gen Psychiatry. 2021;20(1):55. doi:10.1186/s12991-021-00375-x
  • 21. Bergdahl, E., Gustavsson, J. M., Kallin, K., von Heideken Wågert, P., Lundman, B., Bucht, G., & Gustafson, Y. (2005). Depression among the oldest old: The Umeå 85+ study. International Psychogeriatrics, 17, 557–575. doi:10.1017/S1041610205002267.
  • 22. Golub JS, Brewster KK, Brickman AM, et al. Association of Audiometric Age-Related Hearing Loss with Depressive Symptoms among Hispanic Individuals. JAMA Otolaryngol-Head Neck Surg. 2019;145(2):132-139. doi:10.1001/jamaoto.2018.3270
  • 23. Nakahori N, Sekine M, Yamada M, Tatsuse T, Kido H, Suzuki M. Association between self-reported hearing loss and low socioeconomic status in Japan: findings from the Toyama dementia survey. BMC Geriatr. 2020;20(1):1-7. doi:10.1186/s12877-020-01680-y
There are 23 citations in total.

Details

Primary Language English
Subjects Public Health (Other), Family Medicine
Journal Section Orijinal Articles
Authors

Ebru Kösemihal 0000-0003-1083-1695

Sıdıka Cesur 0000-0003-1479-6495

Early Pub Date February 21, 2025
Publication Date
Submission Date May 14, 2024
Acceptance Date October 15, 2024
Published in Issue Year 2025 Volume: 19 Issue: 1

Cite

Vancouver Kösemihal E, Cesur S. Relationship Between Depressive Symptoms and Hearing Impairment in the Elderly. TJFMPC. 2025;19(1):52-9.

English or Turkish manuscripts from authors with new knowledge to contribute to understanding and improving health and primary care are welcome. 


Turkish Journal of Family Medicine and Primary Care © 2024 by Academy of Family Medicine Association is licensed under CC BY-NC-ND 4.0