The association of hearing loss with depressive symptoms and cognitive function among older people: Results from the Brazilian Longitudinal Study of Aging

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art_BARBOSA_The_association_of_hearing_loss_with_depressive_symptoms_2023.PDF (261.15 KB)
Citações na Scopus
3
Tipo de produção
article
Data de publicação
2023
DOI
Scopus
Web of Science
PubMed
Título da Revista
ISSN da Revista
Título do Volume
Editora
WILEY
Autores
BARBOSA, Matheus Ghossain
OLIVEIRA, Deborah
MARTINELLI, Maria Cecilia
KEINERT, Ana Agata Mezzomo
LIMA-COSTA, Maria Fernanda
FERRI, Cleusa P.
Citação
INTERNATIONAL JOURNAL OF GERIATRIC PSYCHIATRY, v.38, n.4, article ID e5904, 9p, 2023
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
Objectives: Hearing loss, depression, and cognitive decline are common among older people. We investigated the association of hearing loss with depressive symptoms and cognitive function in a nationally representative sample of people aged 50+ in Brazil. Methods: Data from the Brazilian Longitudinal Study of Aging (ELSI-Brazil) included information on self-reported hearing loss, hearing aid use (effective or not effective), depressive symptoms (CES-D-8), and a global cognitive score (composed of immediate and late recall, verbal fluency, orientation and prospective memory) in a sample of 9412 individuals. Multiple linear regression was used to estimate the association of hearing loss and hearing aid use with both depressive symptoms and cognitive performance. The analyses were conducted with 7837 participants with complete data, and then repeated with data from the whole sample after multiple imputation. Results: Compared to those without hearing loss, those with hearing loss were more likely to have a higher number of depressive symptoms (beta: 0.53 (0.40-0.67) p < 0.001) but not worse cognitive performance (beta: -0.01 (-0.03 to 0.19) p = 0.631). Among those with hearing loss, the use of hearing aid was neither associated with cognitive performance (beta: -0.08 (-0.19 to 0.03) p = 0.169) or depressive symptoms (beta: -0.42 (-0.98 to 0.14) p = 0.143); its effective use was associated with less depressive symptoms (ss: -0.62 (-1.23 to -0.01) p = 0.045) but not worse cognitive performance (beta: -0.15 (-0.030 to 0.03) p = 0.057). Sensitivity analyses revealed that hearing loss is associated with a worse performance in two non- amnestic cognitive domains. Conclusions: Hearing loss may negatively affect specific cognitive domains and depressive symptoms among older people, and the use of a hearing aid may mitigate the association with depressive symptoms.
Palavras-chave
cognitive decline, dementia, depression, hearing loss
URI
https://observatorio.fm.usp.br/handle/OPI/53809
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Coleções
Artigos e Materiais de Revistas Científicas - FM/MCM
Artigos e Materiais de Revistas Científicas - LIM/22
Artigos e Materiais de Revistas Científicas - LIM/66