Sun Qi, Jiang Zhaoquan, Xu Zhaoxu, Zhou Mingyue, Zhang Xiaoyan, Liu Tao, Zhou Shixue
The First Hospital of Jinzhou Medical University, Jinzhou, Liaoning, China.
School of Nursing, Jinzhou Medical University, Jinzhou, Liaoning, China.
Front Public Health. 2025 Jun 2;13:1545483. doi: 10.3389/fpubh.2025.1545483. eCollection 2025.
Exploring the Relationship between Hearing Loss, psychological well-being, and Depressive Symptoms in Rural older adults: Validating the Mediating Role of psychological well-being in the Impact of Hearing Loss on Depressive Symptoms to Provide a Theoretical Basis for Improving the Mental Health of Rural older adults.
The study focuses on 5,273 rural older individuals aged 65 and above, using data from the Chinese Longitudinal Healthy Longevity Survey (CLHLS) database. Hearing loss was assessed through self-report. Psychological well-being was evaluated using the Current Situation Assessment and Personality Emotional Characterization from the database. Depressive symptoms were measured using the short form of the Center for Epidemiologic Studies Depression Scale (CESD-10). The analysis involved using SPSS 27.0 and PROCESS v4.1 to conduct correlation analysis, regression analysis, and mediation effect analysis.
The depressive symptoms score for rural older individuals was (13.02 ± 4.48), and the psychological well-being score was (19.13 ± 2.47). There was a negative correlation between depressive symptoms and psychological well-being (r = -0.123, < 0.001), there was a negative correlation between depressive symptoms and hearing loss (r = -0.086, < 0.001). A negative correlation was also observed between hearing loss and psychological well-being (r = -0.060, < 0.001). Psychological well-being mediates the effect of hearing loss on depressive symptoms among rural older individuals.
Hearing loss in rural older individuals exerts both direct effects on depressive symptoms and indirect effects through the mediating role of psychological well-being. Specifically, the impairment of auditory function not only exacerbates emotional distress, but also diminishes psychological adaptability, thereby creating a dual pathway for depression development.
探讨农村老年人听力损失、心理健康与抑郁症状之间的关系，验证心理健康在听力损失对抑郁症状影响中的中介作用，为改善农村老年人心理健康提供理论依据。
本研究聚焦于5273名65岁及以上的农村老年人，使用中国健康与养老追踪调查（CLHLS）数据库的数据。听力损失通过自我报告进行评估。心理健康使用数据库中的现状评估和人格情绪特征进行评价。抑郁症状采用流行病学研究中心抑郁量表简版（CESD-10）进行测量。分析使用SPSS 27.0和PROCESS v4.1进行相关分析、回归分析和中介效应分析。
农村老年人的抑郁症状得分是（13.02±4.48），心理健康得分是（19.13±2.47）。抑郁症状与心理健康之间存在负相关（r = -0.123，<0.001），抑郁症状与听力损失之间存在负相关（r = -0.086，<0.001）。听力损失与心理健康之间也存在负相关（r = -0.060，<0.001）。心理健康在农村老年人听力损失对抑郁症状的影响中起中介作用。
农村老年人的听力损失对抑郁症状既有直接影响，又通过心理健康的中介作用产生间接影响。具体而言，听觉功能受损不仅加剧了情绪困扰，还降低了心理适应能力，从而为抑郁症的发展创造了双重途径。
