Kramer Sophia E, Kapteyn Theo S, Kuik Dirk J, Deeg Dorly J H
Vrije University Medical Center, Amsterdam, the Netherlands.
J Aging Health. 2002 Feb;14(1):122-37. doi: 10.1177/089826430201400107.
This study examines the association of hearing impairment and chronic diseases (diabetes mellitus, lung disease, cardiac disease, stroke, cancer, peripheral artery disease, osteoarthritis, rheumatoid arthritis) with psychosocial status (depression, self-efficacy, mastery, loneliness, social network size) in older persons.
The sample consists of 3,107 persons (55 to 85 years) participating in the Longitudinal Aging Study Amsterdam. MANOVA, adjusted for covariates, was used to test the effect of hearing impairment on the combined outcomes. The association of hearing impairment and chronic diseases with psychosocial status was studied using multivariate regression analyses.
Hearing impaired elderly report significantly more depressive symptoms, lower self-efficacy and mastery, more feelings of loneliness, and a smaller social network than normally hearing peers. Whereas chronic diseases show significant associations with some outcomes, hearing impairment is significantly associated with all psychosocial variables.
The findings emphasize the negative effect of hearing impairment on quality of life.
本研究探讨老年人听力障碍与慢性疾病（糖尿病、肺部疾病、心脏病、中风、癌症、外周动脉疾病、骨关节炎、类风湿性关节炎）与心理社会状况（抑郁、自我效能感、掌控感、孤独感、社交网络规模）之间的关联。
样本包括3107名年龄在55至85岁之间、参与阿姆斯特丹纵向老龄化研究的人员。采用经协变量调整的多变量方差分析来检验听力障碍对综合结果的影响。通过多元回归分析研究听力障碍和慢性疾病与心理社会状况之间的关联。
与听力正常的同龄人相比，听力受损的老年人报告的抑郁症状明显更多，自我效能感和掌控感更低，孤独感更强，社交网络规模更小。虽然慢性疾病与某些结果存在显著关联，但听力障碍与所有心理社会变量均显著相关。
研究结果强调了听力障碍对生活质量的负面影响。
