Herr Raphael M, Bosch Jos A, Theorell Töres, Loerbroks Adrian
a Mannheim Institute of Public Health, Social and Preventive Medicine, Medical Faculty Mannheim , Heidelberg University , Mannheim , Germany.
b Department of Clinical Psychology , University of Amsterdam , Amsterdam , The Netherlands.
Int J Audiol. 2018 Nov;57(11):816-824. doi: 10.1080/14992027.2018.1490034. Epub 2018 Jul 27.
Hearing problems are a significant public health concern. It has been suggested that psychological distress may represent both a cause and a consequence of hearing problems. Prospective data that allow testing such potential bi-directionality have thus far been lacking. The present study aimed to address this knowledge gap. Random (RE) and fixed effects (FE) panel regression models estimated the association of psychological distress (GHQ-12) and participant-reported hearing problems. Data from 18 annual waves of the British Household Panel Survey were used (n = 10,008). Psychological distress was prospectively associated with self-reported hearing problems in women (multivariable odds ratios (ORs) ≥1.44; one-year time lag ≥ 1.16) and men (ORs ≥ 1.15; time lag ≥ 1.17). Conversely, self-reported hearing problems were associated with increases in psychological distress in both sexes (OR ≥ 1.26; time lag ≥ 1.08). These associations were independent of the analytical strategy and of adjustment for sociodemographic variables, lifestyle factors, and measurement period. We present first evidence of a bidirectional association between psychological distress and self-reported hearing problems. These findings suggest that stress management interventions may contribute to the prevention of self-reported hearing problems, and, in turn, alleviating self-reported hearing problems may reduce psychological distress.
听力问题是一个重大的公共卫生问题。有人提出，心理困扰可能既是听力问题的一个原因，也是其一个后果。然而，目前尚缺乏能够检验这种潜在双向性的前瞻性数据。本研究旨在填补这一知识空白。随机效应（RE）和固定效应（FE）面板回归模型估计了心理困扰（一般健康问卷-12项，GHQ-12）与参与者报告的听力问题之间的关联。使用了英国家庭调查18年年度调查的数据（n = 10,008）。心理困扰与女性自我报告的听力问题呈前瞻性关联（多变量优势比（ORs）≥1.44；一年时间滞后≥1.16），在男性中也是如此（ORs≥1.15；时间滞后≥1.17）。相反，自我报告的听力问题与两性心理困扰的增加有关（OR≥1.26；时间滞后≥1.08）。这些关联独立于分析策略以及对社会人口统计学变量、生活方式因素和测量期的调整。我们首次提供了心理困扰与自我报告的听力问题之间双向关联的证据。这些发现表明，压力管理干预措施可能有助于预防自我报告的听力问题，反过来，减轻自我报告的听力问题可能会减少心理困扰。
