Department of Psychiatry and Behavioral Sciences,Duke University School of Medicine, Duke University Medical Center,Durham, NC 27710 Box 3003,USA.
Division of Head and Neck Surgery and Communication Sciences, Department of Surgery,Duke University School of Medicine,Durham, NC 27710 Box 3003,USA.
Psychol Med. 2019 Apr;49(6):891-897. doi: 10.1017/S0033291718003409. Epub 2018 Nov 20.
Hearing loss is one of the most common yet unrecognized impairments experienced by adults, especially as they age. Mental health investigators and practitioners require better understanding of hearing loss, its association with psychiatric disorders, and the treatment of these disorders in the presence of hearing loss as well as the treatment of hearing loss itself. In this review, the authors briefly explore the global burden of hearing loss. Next we provide an overview of the extant literature on hearing loss associated with cognitive impairment, depression, anxiety disorders, psychoses, and quality of life with attention focused on the strength of the association, possible mechanisms explaining the association, data on treatment options specific to these disorders, and future research opportunities for these disorders. Current approaches to the treatment of hearing loss are presented, including hearing aids, rehabilitation including psychotherapies, surgical procedures (specifically cochlear implants), and induction loops connected to telecoils. Finally, cutting edge research into the pathophysiology and potential biological treatments of hearing loss is described.
听力损失是成年人最常见但未被识别的障碍之一,尤其是随着年龄的增长。心理健康调查人员和从业者需要更好地了解听力损失、它与精神障碍的关联,以及在存在听力损失的情况下治疗这些障碍以及治疗听力损失本身。在这篇综述中,作者简要探讨了全球听力损失负担。接下来,我们概述了与认知障碍、抑郁、焦虑障碍、精神病和生活质量相关的听力损失的现有文献,重点关注关联的强度、解释关联的可能机制、针对这些障碍的特定治疗选择的数据,以及这些障碍的未来研究机会。目前提出了听力损失的治疗方法,包括助听器、康复(包括心理疗法)、手术(特别是人工耳蜗植入)和连接到电磁线圈的感应环路。最后,描述了听力损失的病理生理学和潜在生物学治疗的前沿研究。