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Associations of self-reported hearing problems with long-term trajectories of mental and functional health in middle-aged and older adults: The role of self-perceptions of aging.

作者信息

Wettstein Markus, Reinhard Ann-Kristin, Williger Bettina, Wurm Susanne

机构信息

Humboldt University Berlin, Berlin, Germany.

Department of Prevention Research and Social Medicine, Institute for Community Medicine, University Medicine, Greifswald, Germany.

出版信息

PLoS One. 2025 Sep 2;20(9):e0328814. doi: 10.1371/journal.pone.0328814. eCollection 2025.


DOI:10.1371/journal.pone.0328814
PMID:40892860
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12404373/
Abstract

Impaired hearing is a frequent stressful experience in later life. However, not all individuals affected by hearing problems exhibit restrictions in mental or functional health; there may be psychosocial resources that buffer the detrimental impact of impaired hearing to some extent. We investigate whether positive self-perceptions of aging (SPA, i. e. perceptions of more ongoing development and perceptions of less physical and social losses) do in fact constitute a compensatory resource and moderate between-person and within-person associations of self-reported hearing problems with trajectories of mental and functional health. Our sample comprised n = 9,705 participants in the German Ageing Survey (mean age = 62.41 years, SD = 11.58, range 40-93 years) who were assessed up to five times between 2008 and 2021. Based on longitudinal multilevel regression models, controlling for socio-demographic variables, hearing aid use, and chronic diseases, we found that individuals with overall more hearing problems reported poorer mental health. Moreover, with regard to the within-person associations, on measurement occasions when individuals reported more hearing problems, their mental and functional health was poorer. The association of more hearing problems with poorer functional health was weaker among individuals with lower perceptions of physical loss at baseline (i.e., year 2008). Among chronologically older adults, the association of more hearing problems with poorer functional health was weaker for those with higher perceptions of ongoing development at baseline. Our findings suggest that SPA related to fewer physical losses and to more ongoing development may buffer the negative impact of hearing problems on functional health.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eda3/12404373/3b93dd4cb398/pone.0328814.g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eda3/12404373/a5b1eb124601/pone.0328814.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eda3/12404373/2fe3cebcc1c2/pone.0328814.g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eda3/12404373/aafe7328e557/pone.0328814.g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eda3/12404373/3b93dd4cb398/pone.0328814.g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eda3/12404373/a5b1eb124601/pone.0328814.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eda3/12404373/2fe3cebcc1c2/pone.0328814.g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eda3/12404373/aafe7328e557/pone.0328814.g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eda3/12404373/3b93dd4cb398/pone.0328814.g004.jpg

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本文引用的文献

[1]
On social health: history, conceptualization, and population patterning.

Health Psychol Rev. 2024-9

[2]
Bidirectional associations between sensorineural hearing loss and depression and anxiety: a meta-analysis.

Front Public Health. 2023

[3]
Perceptions of older and younger adults who wear hearing aids.

Int J Audiol. 2024-12

[4]
Vision and hearing problems and psychosocial outcomes: longitudinal evidence from the German Ageing Survey.

Soc Psychiatry Psychiatr Epidemiol. 2024-5

[5]
The within-between dispute in cross-lagged panel research and how to move forward.

Psychol Methods. 2023-10-30

[6]
Examining the Malleability of Negative Views of Aging, Self-Efficacy Beliefs, and Behavioral Intentions in Middle-Aged and Older Adults.

J Gerontol B Psychol Sci Soc Sci. 2023-12-6

[7]
The Self-Stigma of Hearing Loss in Adults and Older Adults: A Systematic Review.

Ear Hear.

[8]
Longitudinal effects of subjective aging on health and longevity: An updated meta-analysis.

Psychol Aging. 2023-5

[9]
Associations of Hearing Loss and Hearing Aid Use With Cognition, Health-Related Quality of Life, and Depressive Symptoms.

J Aging Health. 2023-8

[10]
Self-Perceptions of Aging Moderate Associations of Within- and Between-Persons Perceived Stress and Physical Health Symptoms.

J Gerontol B Psychol Sci Soc Sci. 2022-4-1

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