Hearing loss, depression, and cognition in younger and older adult CI candidates
Background and AimHearing loss in old age is associated with cognitive decline and with depression. Our study aimed to investigate the relationship between hearing loss, cognitive decline, and secondary depressive symptoms in a sample of younger and older cochlear implant candidates with profound to...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-10-01
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| Series: | Frontiers in Neurology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fneur.2023.1272210/full |
| _version_ | 1797660574399594496 |
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| author | Maria Huber Lisa Reuter Lennart Weitgasser Belinda Pletzer Sebastian Rösch Angelika Illg |
| author_facet | Maria Huber Lisa Reuter Lennart Weitgasser Belinda Pletzer Sebastian Rösch Angelika Illg |
| author_sort | Maria Huber |
| collection | DOAJ |
| description | Background and AimHearing loss in old age is associated with cognitive decline and with depression. Our study aimed to investigate the relationship between hearing loss, cognitive decline, and secondary depressive symptoms in a sample of younger and older cochlear implant candidates with profound to severe hearing loss.MethodsThis study is part of a larger cohort study designated to provide information on baseline data before CI. Sixty-one cochlear implant candidates with hearing loss from adulthood onwards (>18 years) were enrolled in this study. All had symmetrical sensorineural hearing loss in both ears (four-frequency hearing threshold difference of no more than 20 dB, PTA). Individuals with primary affective disorders, psychosis, below-average intelligence, poor German language skills, visual impairment, and a medical diagnosis with potential impact on cognition (e.g., neurodegenerative diseases,) were excluded. Four-frequency hearing thresholds (dB, PTA, better ear) were collected. Using the Abbreviated Profile of Hearing Aid Benefit, we assessed subjective hearing in noise. Clinical and subclinical depressive symptoms were assessed with the Beck Depression Inventory (BDI II). Cognitive status was assessed with a neurocognitive test battery.ResultsOur findings revealed a significant negative association between subjective hearing in noise (APHAB subscale “Background Noise”) and BDII. However, we did not observe any link between hearing thresholds, depression, and cognition. Additionally, no differences emerged between younger (25–54 years) and older subjects (55–75 years). Unexpectedly, further unplanned analyses unveiled correlations between subjective hearing in quiet environments (APHAB) and cognitive performance [phonemic fluency (Regensburg Word Fluency), cognitive flexibility (TMTB), and nonverbal episodic memory (Nonverbal Learning Test), as well as subjective hearing of aversive/loud sounds (APHAB)], cognitive performance [semantic word fluency (RWT), and inhibition (Go/Nogo) and depression]. Duration of hearing loss and speech recognition at quiet (Freiburg Monosyllables) were not related to depression and cognitive performance.ConclusionImpact of hearing loss on mood and cognition appears to be independent, suggesting a relationship with distinct aspects of hearing loss. These results underscore the importance of considering not only conventional audiometric measures like hearing thresholds but also variables related to hearing abilities during verbal communication in everyday life, both in quiet and noisy settings. |
| first_indexed | 2024-03-11T18:32:51Z |
| format | Article |
| id | doaj.art-5d1a2c5334fe4ddc90d12cd9b5e178a9 |
| institution | Directory Open Access Journal |
| issn | 1664-2295 |
| language | English |
| last_indexed | 2024-03-11T18:32:51Z |
| publishDate | 2023-10-01 |
| publisher | Frontiers Media S.A. |
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| series | Frontiers in Neurology |
| spelling | doaj.art-5d1a2c5334fe4ddc90d12cd9b5e178a92023-10-13T10:32:02ZengFrontiers Media S.A.Frontiers in Neurology1664-22952023-10-011410.3389/fneur.2023.12722101272210Hearing loss, depression, and cognition in younger and older adult CI candidatesMaria Huber0Lisa Reuter1Lennart Weitgasser2Belinda Pletzer3Sebastian Rösch4Angelika Illg5Department of Otorhinolaryngology, Head and Neck Surgery, Paracelsus Medical University Salzburg, Salzburg, AustriaClinic for Otorhinolaryngology, Medical University of Hannover, Hannover, GermanyDepartment of Otorhinolaryngology, Head and Neck Surgery, Paracelsus Medical University Salzburg, Salzburg, AustriaDepartment of Psychology, Center for Neurocognitive Research, University of Salzburg, Salzburg, AustriaDepartment of Otorhinolaryngology, Head and Neck Surgery, Paracelsus Medical University Salzburg, Salzburg, AustriaClinic for Otorhinolaryngology, Medical University of Hannover, Hannover, GermanyBackground and AimHearing loss in old age is associated with cognitive decline and with depression. Our study aimed to investigate the relationship between hearing loss, cognitive decline, and secondary depressive symptoms in a sample of younger and older cochlear implant candidates with profound to severe hearing loss.MethodsThis study is part of a larger cohort study designated to provide information on baseline data before CI. Sixty-one cochlear implant candidates with hearing loss from adulthood onwards (>18 years) were enrolled in this study. All had symmetrical sensorineural hearing loss in both ears (four-frequency hearing threshold difference of no more than 20 dB, PTA). Individuals with primary affective disorders, psychosis, below-average intelligence, poor German language skills, visual impairment, and a medical diagnosis with potential impact on cognition (e.g., neurodegenerative diseases,) were excluded. Four-frequency hearing thresholds (dB, PTA, better ear) were collected. Using the Abbreviated Profile of Hearing Aid Benefit, we assessed subjective hearing in noise. Clinical and subclinical depressive symptoms were assessed with the Beck Depression Inventory (BDI II). Cognitive status was assessed with a neurocognitive test battery.ResultsOur findings revealed a significant negative association between subjective hearing in noise (APHAB subscale “Background Noise”) and BDII. However, we did not observe any link between hearing thresholds, depression, and cognition. Additionally, no differences emerged between younger (25–54 years) and older subjects (55–75 years). Unexpectedly, further unplanned analyses unveiled correlations between subjective hearing in quiet environments (APHAB) and cognitive performance [phonemic fluency (Regensburg Word Fluency), cognitive flexibility (TMTB), and nonverbal episodic memory (Nonverbal Learning Test), as well as subjective hearing of aversive/loud sounds (APHAB)], cognitive performance [semantic word fluency (RWT), and inhibition (Go/Nogo) and depression]. Duration of hearing loss and speech recognition at quiet (Freiburg Monosyllables) were not related to depression and cognitive performance.ConclusionImpact of hearing loss on mood and cognition appears to be independent, suggesting a relationship with distinct aspects of hearing loss. These results underscore the importance of considering not only conventional audiometric measures like hearing thresholds but also variables related to hearing abilities during verbal communication in everyday life, both in quiet and noisy settings.https://www.frontiersin.org/articles/10.3389/fneur.2023.1272210/fullhearing loss from adulthoodsecondary depressioncognitionyounger and older adultshearing restrictions during communication in quiet and in noise |
| spellingShingle | Maria Huber Lisa Reuter Lennart Weitgasser Belinda Pletzer Sebastian Rösch Angelika Illg Hearing loss, depression, and cognition in younger and older adult CI candidates Frontiers in Neurology hearing loss from adulthood secondary depression cognition younger and older adults hearing restrictions during communication in quiet and in noise |
| title | Hearing loss, depression, and cognition in younger and older adult CI candidates |
| title_full | Hearing loss, depression, and cognition in younger and older adult CI candidates |
| title_fullStr | Hearing loss, depression, and cognition in younger and older adult CI candidates |
| title_full_unstemmed | Hearing loss, depression, and cognition in younger and older adult CI candidates |
| title_short | Hearing loss, depression, and cognition in younger and older adult CI candidates |
| title_sort | hearing loss depression and cognition in younger and older adult ci candidates |
| topic | hearing loss from adulthood secondary depression cognition younger and older adults hearing restrictions during communication in quiet and in noise |
| url | https://www.frontiersin.org/articles/10.3389/fneur.2023.1272210/full |
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