Department of Psychiatry, Istanbul Medeniyet University, Faculty of Medicine, İstanbul, Turkey.
Department of Otorhinolaryngology-Head and Neck Surgery, Istanbul Medeniyet University, Faculty of Medicine, İstanbul, Turkey.
J Int Adv Otol. 2023 Mar;19(2):81-86. doi: 10.5152/iao.2023.22774.
It is known that there is a relationship between hearing loss, which is an important cause of disability, psychological symptoms, and low quality of life. The aim of this study is to evaluate the anxiety, depression levels, and quality of life analysis of adults with postlingual hearing loss and who have undergone cochlear implants and to compare them with the data of subjects who have never had a hearing loss.
The prospective controlled clinical study included 53 subjects who had cochlear implants and 52 healthy controls in terms of hearing. Hospital Anxiety and Depression Scale and Short Form 36 were filled by all subjects to investigate their depression, anxiety, and quality of life levels.
The mean age of subjects was 42.88 ± 18.04, and 44% (23) were women. There was no significant difference between the study and control groups in terms of Hospital Anxiety and Depression Scale scores. Short Form 36 physical role (P = .018) and SF-36 general health (P = .014) in quality of life assessment sub-scores were statistically significantly higher in the study group than in the control group. When the correlation between the time elapsed after surgery and Hospital Anxiety and Depression Scale scores and Short Form 36 scores was evaluated, no significance was observed.
The fact that the patients evaluated after cochlear implant surgery had similar depression and anxiety levels and quality of life as the controls, and even physical role and being significantly better in general health compared to the controls reveal the importance of regaining the hearing ability.
已知听力损失与心理症状和生活质量低下之间存在关系，听力损失是导致残疾的一个重要原因。本研究旨在评估语后聋成人接受人工耳蜗植入术后的焦虑、抑郁水平和生活质量分析，并与从未有过听力损失的受试者的数据进行比较。
这是一项前瞻性对照临床研究，共纳入 53 名接受人工耳蜗植入的受试者和 52 名听力正常的健康对照者。所有受试者均填写医院焦虑抑郁量表和简明健康状况调查问卷，以评估其抑郁、焦虑和生活质量水平。
受试者的平均年龄为 42.88 ± 18.04 岁，其中 44%（23 人）为女性。在医院焦虑抑郁量表评分方面，研究组与对照组之间无显著差异。在生活质量评估子量表中，简明健康状况调查问卷的生理角色（P =.018）和一般健康（P =.014）得分在研究组中显著高于对照组。评估手术时间与医院焦虑抑郁量表评分和简明健康状况调查问卷评分之间的相关性时，未观察到显著相关性。
接受人工耳蜗植入术后评估的患者的抑郁和焦虑水平以及生活质量与对照组相似，甚至在一般健康方面的生理角色显著优于对照组，这表明恢复听力能力的重要性。
