Age and sex differences in hearing loss association with depressive symptoms: analyses of NHANES 2011–2012

Franco Scinicariello, Jennifer Przybyla, Yulia Carroll, John Eichwald, John Decker, Patrick N Breysse

Research output: Contribution to journalArticle

Abstract

Background: Depression is a common and significant health problem. Hearing loss is the third most common chronic physical condition in the USA and might be a factor in depression. To determine whether hearing loss is associated with depressive symptoms in US adults ages 20–69 years. Methods: National Health and Nutrition Examination Survey (NHANES) data (2011–2012) were used to assess the potential relationship between hearing loss and depression, in adults (20–69 years) who answered the Patient Health Questionnaire (PHQ-9) depression screening module, with pure tone audiometry measurements, and complete information on the co-variates data (n = 3316). The degree of speech-frequency hearing loss (SFHL) and high-frequency hearing loss (HFHL) were defined as slight/mild hearing loss ⩾26–40 dB; moderate/worse hearing loss ⩾41 dB by pure tone audiometry examination. Results: Moderate/worse HFHL was statistically significantly associated with depressive symptoms (OR 1.54, 95% CL 1.04–2.27) when the analyses were conducted among all participants. Further stratification by gender and age groups found that moderate/worse HFHL (OR 3.85, 95% CL 1.39–10.65) and moderate/worse SFHL (OR 5.75, 95% CL 1.46–22.71) were associated with depressive symptoms in women ages 52–69 years. Conclusions: Moderate/worse speech frequency and HFHL are associated with depression in women ages 52–69 years, independent of other risk factors. Hearing screenings are likely to reduce delays in diagnosis and provide early opportunities for noise prevention counseling and access to hearing aids. Health professionals should be aware of depressive signs and symptoms in patients with hearing loss.

Original languageEnglish (US)
Pages (from-to)1-7
Number of pages7
JournalPsychological Medicine
DOIs
StateAccepted/In press - Jun 18 2018
Externally publishedYes

Fingerprint

Nutrition Surveys
Hearing Loss
Sex Characteristics
Depression
High-Frequency Hearing Loss
Pure-Tone Audiometry
Health
Hearing Aids
Hearing
Signs and Symptoms
Noise
Counseling
Age Groups

Keywords

  • Depression
  • hearing loss
  • NHANES
  • PHQ-9 Patient Health Questionnaire
  • sex

ASJC Scopus subject areas

  • Applied Psychology
  • Psychiatry and Mental health

Cite this

Age and sex differences in hearing loss association with depressive symptoms : analyses of NHANES 2011–2012. / Scinicariello, Franco; Przybyla, Jennifer; Carroll, Yulia; Eichwald, John; Decker, John; Breysse, Patrick N.

In: Psychological Medicine, 18.06.2018, p. 1-7.

Research output: Contribution to journalArticle

Scinicariello, Franco ; Przybyla, Jennifer ; Carroll, Yulia ; Eichwald, John ; Decker, John ; Breysse, Patrick N. / Age and sex differences in hearing loss association with depressive symptoms : analyses of NHANES 2011–2012. In: Psychological Medicine. 2018 ; pp. 1-7.
@article{05bfa5adac174deb8ce903f85a98369f,
title = "Age and sex differences in hearing loss association with depressive symptoms: analyses of NHANES 2011–2012",
abstract = "Background: Depression is a common and significant health problem. Hearing loss is the third most common chronic physical condition in the USA and might be a factor in depression. To determine whether hearing loss is associated with depressive symptoms in US adults ages 20–69 years. Methods: National Health and Nutrition Examination Survey (NHANES) data (2011–2012) were used to assess the potential relationship between hearing loss and depression, in adults (20–69 years) who answered the Patient Health Questionnaire (PHQ-9) depression screening module, with pure tone audiometry measurements, and complete information on the co-variates data (n = 3316). The degree of speech-frequency hearing loss (SFHL) and high-frequency hearing loss (HFHL) were defined as slight/mild hearing loss ⩾26–40 dB; moderate/worse hearing loss ⩾41 dB by pure tone audiometry examination. Results: Moderate/worse HFHL was statistically significantly associated with depressive symptoms (OR 1.54, 95{\%} CL 1.04–2.27) when the analyses were conducted among all participants. Further stratification by gender and age groups found that moderate/worse HFHL (OR 3.85, 95{\%} CL 1.39–10.65) and moderate/worse SFHL (OR 5.75, 95{\%} CL 1.46–22.71) were associated with depressive symptoms in women ages 52–69 years. Conclusions: Moderate/worse speech frequency and HFHL are associated with depression in women ages 52–69 years, independent of other risk factors. Hearing screenings are likely to reduce delays in diagnosis and provide early opportunities for noise prevention counseling and access to hearing aids. Health professionals should be aware of depressive signs and symptoms in patients with hearing loss.",
keywords = "Depression, hearing loss, NHANES, PHQ-9 Patient Health Questionnaire, sex",
author = "Franco Scinicariello and Jennifer Przybyla and Yulia Carroll and John Eichwald and John Decker and Breysse, {Patrick N}",
year = "2018",
month = "6",
day = "18",
doi = "10.1017/S0033291718001617",
language = "English (US)",
pages = "1--7",
journal = "Psychological Medicine",
issn = "0033-2917",
publisher = "Cambridge University Press",

}

TY - JOUR

T1 - Age and sex differences in hearing loss association with depressive symptoms

T2 - analyses of NHANES 2011–2012

AU - Scinicariello, Franco

AU - Przybyla, Jennifer

AU - Carroll, Yulia

AU - Eichwald, John

AU - Decker, John

AU - Breysse, Patrick N

PY - 2018/6/18

Y1 - 2018/6/18

N2 - Background: Depression is a common and significant health problem. Hearing loss is the third most common chronic physical condition in the USA and might be a factor in depression. To determine whether hearing loss is associated with depressive symptoms in US adults ages 20–69 years. Methods: National Health and Nutrition Examination Survey (NHANES) data (2011–2012) were used to assess the potential relationship between hearing loss and depression, in adults (20–69 years) who answered the Patient Health Questionnaire (PHQ-9) depression screening module, with pure tone audiometry measurements, and complete information on the co-variates data (n = 3316). The degree of speech-frequency hearing loss (SFHL) and high-frequency hearing loss (HFHL) were defined as slight/mild hearing loss ⩾26–40 dB; moderate/worse hearing loss ⩾41 dB by pure tone audiometry examination. Results: Moderate/worse HFHL was statistically significantly associated with depressive symptoms (OR 1.54, 95% CL 1.04–2.27) when the analyses were conducted among all participants. Further stratification by gender and age groups found that moderate/worse HFHL (OR 3.85, 95% CL 1.39–10.65) and moderate/worse SFHL (OR 5.75, 95% CL 1.46–22.71) were associated with depressive symptoms in women ages 52–69 years. Conclusions: Moderate/worse speech frequency and HFHL are associated with depression in women ages 52–69 years, independent of other risk factors. Hearing screenings are likely to reduce delays in diagnosis and provide early opportunities for noise prevention counseling and access to hearing aids. Health professionals should be aware of depressive signs and symptoms in patients with hearing loss.

AB - Background: Depression is a common and significant health problem. Hearing loss is the third most common chronic physical condition in the USA and might be a factor in depression. To determine whether hearing loss is associated with depressive symptoms in US adults ages 20–69 years. Methods: National Health and Nutrition Examination Survey (NHANES) data (2011–2012) were used to assess the potential relationship between hearing loss and depression, in adults (20–69 years) who answered the Patient Health Questionnaire (PHQ-9) depression screening module, with pure tone audiometry measurements, and complete information on the co-variates data (n = 3316). The degree of speech-frequency hearing loss (SFHL) and high-frequency hearing loss (HFHL) were defined as slight/mild hearing loss ⩾26–40 dB; moderate/worse hearing loss ⩾41 dB by pure tone audiometry examination. Results: Moderate/worse HFHL was statistically significantly associated with depressive symptoms (OR 1.54, 95% CL 1.04–2.27) when the analyses were conducted among all participants. Further stratification by gender and age groups found that moderate/worse HFHL (OR 3.85, 95% CL 1.39–10.65) and moderate/worse SFHL (OR 5.75, 95% CL 1.46–22.71) were associated with depressive symptoms in women ages 52–69 years. Conclusions: Moderate/worse speech frequency and HFHL are associated with depression in women ages 52–69 years, independent of other risk factors. Hearing screenings are likely to reduce delays in diagnosis and provide early opportunities for noise prevention counseling and access to hearing aids. Health professionals should be aware of depressive signs and symptoms in patients with hearing loss.

KW - Depression

KW - hearing loss

KW - NHANES

KW - PHQ-9 Patient Health Questionnaire

KW - sex

UR - http://www.scopus.com/inward/record.url?scp=85048818000&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85048818000&partnerID=8YFLogxK

U2 - 10.1017/S0033291718001617

DO - 10.1017/S0033291718001617

M3 - Article

C2 - 29909806

AN - SCOPUS:85048818000

SP - 1

EP - 7

JO - Psychological Medicine

JF - Psychological Medicine

SN - 0033-2917

ER -