Department of Surgery, Division of Otolaryngology-Head and Neck Surgery, University of Utah, Salt Lake City, Utah, USA.
Curr Opin Otolaryngol Head Neck Surg. 2022 Oct 1;30(5):339-343. doi: 10.1097/MOO.0000000000000825. Epub 2022 Jul 5.
Hearing loss is one of the largest modifiable risk factors for developing dementia, accounting for up to 9% of the overall modifiable risk. The neuropsychologic and psychosocial impacts of hearing loss are becoming increasingly appreciated. The objective of this review is to explore the recent literature regarding the cognitive and behavioral effects of hearing loss and the role of hearing rehabilitation, particularly in older adults.
Cognitive decline may begin while patients have subclinical hearing loss, earlier than previously thought. Hearing rehabilitation, either via hearing amplification, middle ear surgery, or cochlear implantation, likely plays a role in preventing or slowing the rate of cognitive decline in patients with hearing loss. Hearing loss can increase the likelihood of social isolation, loneliness and depression in older adults, but it is unclear at this time what effect hearing rehabilitation has on these domains.
Hearing loss is one of the largest modifiable risk factors for cognitive decline, and hearing rehabilitation can play a significant role in preserving cognitive function. Understanding the cognitive and psychosocial impact of hearing loss can help facilitate the development of approaches for prevention and treatment.
听力损失是导致痴呆的最大可改变风险因素之一，占可改变风险的 9%。听力损失的神经心理和社会心理影响正日益受到关注。本综述的目的是探讨听力损失的认知和行为影响以及听力康复作用的最新文献，特别是在老年人中的作用。
认知能力下降可能在患者出现亚临床听力损失时就已经开始，比之前认为的更早。听力康复，无论是通过听力放大、中耳手术还是人工耳蜗植入，都可能在预防或减缓听力损失患者的认知能力下降速度方面发挥作用。听力损失会增加老年人社交孤立、孤独和抑郁的可能性，但目前尚不清楚听力康复对这些方面有何影响。
听力损失是认知能力下降的最大可改变风险因素之一，听力康复可以在保持认知功能方面发挥重要作用。了解听力损失的认知和社会心理影响有助于促进预防和治疗方法的发展。
