Department of Epidemiology and Population Health, Stanford University, Stanford, CA, USA.
Department of Biostatistics, University of Washington, Seattle, WA, USA.
Age Ageing. 2022 Aug 2;51(8). doi: 10.1093/ageing/afac181.
research on the association between hearing impairment and psychosocial outcomes is not only limited but also yielded mixed results.
we investigated associations between annual self-reports of hearing problems, depressive symptoms and social network strength among 5,888 adults from the Cardiovascular Health Study over a period of 9 years. Social network strength and depressive symptoms were defined using the Lubben Social Network Scale (LSNS), and the Center for Epidemiological Studies Depression Scale (CES-D).
hearing problems were associated with weaker social networks and more depressive symptoms. These association differed for prevalent versus incident hearing problems. Participants with prevalent hearing problems scored an adjusted 0.47 points lower (95% CI: -2.20, -0.71) on the LSNS and 0.71 points higher (95% CI: 0.23, 1.19) on the CES-D than those without hearing problems. Participants with incident hearing problems had a greater decline of 0.12 points (95% CI: -0.12, -0.03) per year in social network score than individuals with no hearing problems after adjusting for confounders. Females appeared to be more vulnerable to changes in social network strength than males (P-value for interaction = 0.02), but not for changes in depressive score. Accounting for social network score did not appear to attenuate the association between hearing problems and depressive score.
findings suggest that older adults with prevalent hearing problems may be more at risk for depression, but individuals with incident hearing problems may be at greater risk for a winnowing of their social network.
有关听力障碍与心理社会结局之间关联的研究不仅十分有限，而且研究结果也不一致。
我们对心血管健康研究中的 5888 名成年人进行了为期 9 年的年度听力问题、抑郁症状和社交网络强度的自我报告调查。社交网络强度和抑郁症状使用卢本社交网络量表（LSNS）和流行病学研究抑郁量表（CES-D）进行定义。
听力问题与较弱的社交网络和更多的抑郁症状相关。这些关联在现患听力问题和新发听力问题之间存在差异。与无听力问题者相比，患有现患听力问题者的 LSNS 评分低 0.47 分（95%CI：-2.20，-0.71），CES-D 评分高 0.71 分（95%CI：0.23，1.19）。在调整混杂因素后，新发听力问题者的社交网络评分每年下降 0.12 分（95%CI：-0.12，-0.03），而无听力问题者则没有下降。女性似乎比男性更容易出现社交网络强度的变化（交互 P 值=0.02），但在抑郁评分的变化上则不然。考虑到社交网络评分并不能减轻听力问题与抑郁评分之间的关联。
研究结果表明，有现患听力问题的老年人可能更容易患抑郁症，但有新发听力问题的个体可能面临社交网络缩小的更大风险。
