The impact of untreated hearing loss on depression, anxiety, stress, and loneliness in tonal language-speaking older adults in China
BackgroundAge-related hearing loss, mental health conditions, and loneliness commonly affect older adults. This study aimed to determine whether untreated hearing loss is independently associated with depression, anxiety, stress, and loneliness in tonal language-speaking older adults in China.Study...
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| Format: | Article |
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Frontiers Media S.A.
2022-12-01
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| Series: | Frontiers in Psychology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyg.2022.917276/full |
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| author | Xinxing Fu Xinxing Fu Xinxing Fu Robert H. Eikelboom Robert H. Eikelboom Robert H. Eikelboom Robert H. Eikelboom Bo Liu Shuo Wang Dona M. P. Jayakody Dona M. P. Jayakody Dona M. P. Jayakody Dona M. P. Jayakody |
| author_facet | Xinxing Fu Xinxing Fu Xinxing Fu Robert H. Eikelboom Robert H. Eikelboom Robert H. Eikelboom Robert H. Eikelboom Bo Liu Shuo Wang Dona M. P. Jayakody Dona M. P. Jayakody Dona M. P. Jayakody Dona M. P. Jayakody |
| author_sort | Xinxing Fu |
| collection | DOAJ |
| description | BackgroundAge-related hearing loss, mental health conditions, and loneliness commonly affect older adults. This study aimed to determine whether untreated hearing loss is independently associated with depression, anxiety, stress, and loneliness in tonal language-speaking older adults in China.Study designObservational, cross-sectional study.Methods293 older adults (111 males, M = 70.33 ± 4.90 years; 182 females, M = 69.02 ± 4.08 years) were recruited. All participants completed a pure tone audiometric hearing assessment, and provided information on living arrangements, marital status, leisure activities, tobacco and alcohol use, and medical history. The Mandarin version of the De Jong Gierveld Loneliness Scale was used to measure loneliness, and the Mandarin version of the 21-item Depression Anxiety Stress Scale (DASS-21) was used to assess a range of symptoms common to depression, stress, and anxiety of the participants. The analysis focused on determining the predictors of depression, anxiety, and stress, and the predictors of measures of loneliness.ResultsMultiple stepwise regression analyses revealed that the emotional loneliness (β = 0.303, p < 0.001) and living status (β = 0.110, p = 0.048) significantly predicted DASS depression scores; emotional loneliness (β = 0.276, p < 0.001) and a history of vascular disease (β = 0.148, p = 0.009) were significantly related to DASS anxiety scores; emotional loneliness (β = 0.341, p < 0.001) and a history of vascular disease (β = 0.129, p = 0.019) significantly predicted DASS stress scores. Furthermore, multiple stepwise regression analyses showed that DASS stress scores (β = 0.333, p < 0.001), education years (β = −0.126, p = 0.020), marriage status (β = 0.122, p = 0.024), and a history of vascular disease (β = 0.111, p = 0.044) significantly predicted emotional loneliness; four-frequency average hearing loss (β = 0.149, p = 0.010) and DASS stress scores (β = 0.123, p = 0.034) significantly predicted social loneliness scale; and four-frequency average hearing loss (β = 0.167, p = 0.003) and DASS stress scores (β = 0.279, p < 0.001) also significantly predicted overall loneliness. There were no significant associations with high-frequency hearing loss.ConclusionThis study revealed that loneliness has a significant relationship both with hearing loss and aspects of mental health in an older adult Mandarin-speaking population. However, mental health was not significantly associated with hearing loss in this population. |
| first_indexed | 2024-04-11T15:20:53Z |
| format | Article |
| id | doaj.art-f26c5143f6d047449e82a338d825cf85 |
| institution | Directory Open Access Journal |
| issn | 1664-1078 |
| language | English |
| last_indexed | 2024-04-11T15:20:53Z |
| publishDate | 2022-12-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychology |
| spelling | doaj.art-f26c5143f6d047449e82a338d825cf852022-12-22T04:16:23ZengFrontiers Media S.A.Frontiers in Psychology1664-10782022-12-011310.3389/fpsyg.2022.917276917276The impact of untreated hearing loss on depression, anxiety, stress, and loneliness in tonal language-speaking older adults in ChinaXinxing Fu0Xinxing Fu1Xinxing Fu2Robert H. Eikelboom3Robert H. Eikelboom4Robert H. Eikelboom5Robert H. Eikelboom6Bo Liu7Shuo Wang8Dona M. P. Jayakody9Dona M. P. Jayakody10Dona M. P. Jayakody11Dona M. P. Jayakody12Beijing Institute of Otolaryngology, Otolaryngology-Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, Beijing, ChinaMedical School, The University of Western Australia, Crawley, WA, AustraliaEar Science Institute Australia, Subiaco, WA, AustraliaMedical School, The University of Western Australia, Crawley, WA, AustraliaEar Science Institute Australia, Subiaco, WA, AustraliaDepartment of Speech-Language Pathology and Audiology, University of Pretoria, Pretoria, South AfricaCurtin Medical School, Curtin University, Bentley, WA, AustraliaBeijing Institute of Otolaryngology, Otolaryngology-Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, Beijing, ChinaBeijing Institute of Otolaryngology, Otolaryngology-Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, Beijing, ChinaMedical School, The University of Western Australia, Crawley, WA, AustraliaEar Science Institute Australia, Subiaco, WA, AustraliaCurtin Medical School, Curtin University, Bentley, WA, AustraliaWA Centre for Health and Aging, The University of Western Australia, Crawley, WA, AustraliaBackgroundAge-related hearing loss, mental health conditions, and loneliness commonly affect older adults. This study aimed to determine whether untreated hearing loss is independently associated with depression, anxiety, stress, and loneliness in tonal language-speaking older adults in China.Study designObservational, cross-sectional study.Methods293 older adults (111 males, M = 70.33 ± 4.90 years; 182 females, M = 69.02 ± 4.08 years) were recruited. All participants completed a pure tone audiometric hearing assessment, and provided information on living arrangements, marital status, leisure activities, tobacco and alcohol use, and medical history. The Mandarin version of the De Jong Gierveld Loneliness Scale was used to measure loneliness, and the Mandarin version of the 21-item Depression Anxiety Stress Scale (DASS-21) was used to assess a range of symptoms common to depression, stress, and anxiety of the participants. The analysis focused on determining the predictors of depression, anxiety, and stress, and the predictors of measures of loneliness.ResultsMultiple stepwise regression analyses revealed that the emotional loneliness (β = 0.303, p < 0.001) and living status (β = 0.110, p = 0.048) significantly predicted DASS depression scores; emotional loneliness (β = 0.276, p < 0.001) and a history of vascular disease (β = 0.148, p = 0.009) were significantly related to DASS anxiety scores; emotional loneliness (β = 0.341, p < 0.001) and a history of vascular disease (β = 0.129, p = 0.019) significantly predicted DASS stress scores. Furthermore, multiple stepwise regression analyses showed that DASS stress scores (β = 0.333, p < 0.001), education years (β = −0.126, p = 0.020), marriage status (β = 0.122, p = 0.024), and a history of vascular disease (β = 0.111, p = 0.044) significantly predicted emotional loneliness; four-frequency average hearing loss (β = 0.149, p = 0.010) and DASS stress scores (β = 0.123, p = 0.034) significantly predicted social loneliness scale; and four-frequency average hearing loss (β = 0.167, p = 0.003) and DASS stress scores (β = 0.279, p < 0.001) also significantly predicted overall loneliness. There were no significant associations with high-frequency hearing loss.ConclusionThis study revealed that loneliness has a significant relationship both with hearing loss and aspects of mental health in an older adult Mandarin-speaking population. However, mental health was not significantly associated with hearing loss in this population.https://www.frontiersin.org/articles/10.3389/fpsyg.2022.917276/fulldepressionanxietystressage-related hearing lossmental healthloneliness |
| spellingShingle | Xinxing Fu Xinxing Fu Xinxing Fu Robert H. Eikelboom Robert H. Eikelboom Robert H. Eikelboom Robert H. Eikelboom Bo Liu Shuo Wang Dona M. P. Jayakody Dona M. P. Jayakody Dona M. P. Jayakody Dona M. P. Jayakody The impact of untreated hearing loss on depression, anxiety, stress, and loneliness in tonal language-speaking older adults in China Frontiers in Psychology depression anxiety stress age-related hearing loss mental health loneliness |
| title | The impact of untreated hearing loss on depression, anxiety, stress, and loneliness in tonal language-speaking older adults in China |
| title_full | The impact of untreated hearing loss on depression, anxiety, stress, and loneliness in tonal language-speaking older adults in China |
| title_fullStr | The impact of untreated hearing loss on depression, anxiety, stress, and loneliness in tonal language-speaking older adults in China |
| title_full_unstemmed | The impact of untreated hearing loss on depression, anxiety, stress, and loneliness in tonal language-speaking older adults in China |
| title_short | The impact of untreated hearing loss on depression, anxiety, stress, and loneliness in tonal language-speaking older adults in China |
| title_sort | impact of untreated hearing loss on depression anxiety stress and loneliness in tonal language speaking older adults in china |
| topic | depression anxiety stress age-related hearing loss mental health loneliness |
| url | https://www.frontiersin.org/articles/10.3389/fpsyg.2022.917276/full |
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