Asymmetric hearing loss and the benefit of cochlear implantation regarding speech perception, tinnitus burden and psychological comorbidities: a prospective follow-up study

Ketterer, Manuel Christoph; Knopke, S; Häußler, SM; Hildenbrand, Tanja; Becker, Christoph; Gräbel, Stefan; Olze, Heidi

doi:10.1007/s00405-018-5135-9

Cited by 39 publications

(67 citation statements)

References 47 publications

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“…Cochlear implants are another HL intervention that may have subsequent benefit for mental well-being, although evidence for this also remains mixed. While cochlear implants have been shown to increase health-related quality of life, reduction in anxiety and depression symptoms was not observed 12 months postsurgery 76. Conversely, an observational study was indicative of improvement in depression symptoms over 12 months following cochlear implant,77 with improvements in anxiety and quality of life in addition to depression also observed 69.…”

Section: Clinical Implications: Interventionmentioning

confidence: 95%

<p>Depression in elderly patients with hearing loss: current perspectives</p>

Cosh¹,

Helmer²,

Delcourt³

et al. 2019

CIA

112

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Hearing loss (HL) is highly common in older adulthood, constituting the third most prevalent chronic health condition in this population. In addition to posing a substantial burden to disease and negatively impacting quality of life, an emerging literature highlights that HL is associated with unipolar depression including among older adults. This review outlines evidence examining the HL and depression relationship as well as clinical implications for assessment and treatment of comorbid depression and HL. Although prevalence estimates of comorbid depression in HL vary, as many as 1 in 5 experience clinically relevant depression symptoms. Both cross-sectional and longitudinal studies indicate that HL is related to increased unipolar depression symptoms, although the strength of the association varies between studies. A range of methodological variations, such as inclusion age, severity of HL and assessment of depression, likely underpin this heterogeneity. Overall, however, the evidence clearly points to an association of HL with clinically relevant depression symptoms. The association with the diagnosis of major depression disorder remains less clear and under-researched. HL is also associated with a range of other poor mental health outcomes in older adults, including anxiety and suicidal ideation, and predicts poorer cognitive functioning. Accordingly, assessment and treatment of comorbid depression in HL is pertinent to promote mental well-being among older adults. Currently, evidence regarding best practice for treating depression in HL remains scant. Preliminary evidence indicates that audiological rehabilitation, including use of hearing aids, as well as community-based hearing interventions can also improve mental health. Psychological intervention that enhances communication skills and addresses coping strategies might also be beneficial for this population. Additionally, evidence suggests that online interventions are feasible and may circumvent communication difficulties in therapy associated with HL. Due to poor help-seeking among this population, an enhanced focus on specific and targeted assessment and treatment is likely necessary to ensure reduced mental health burden among older adults with HL.

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Section: Clinical Implications: Interventionmentioning

confidence: 95%

<p>Depression in elderly patients with hearing loss: current perspectives</p>

Cosh¹,

Helmer²,

Delcourt³

et al. 2019

CIA

112

View full text Add to dashboard Cite

show abstract

“…Although both dizziness and tinnitus are more often reported by those with ARHL, no age effect was observed for either in this study. Epidemiological studies on tinnitus reveal challenges in valid estimations due to variations in definitions of tinnitus, small group sizes studied, and differences in evaluation methods (McCormack et al, 2016); for instance, in small sample size, an even greater incidence of 79% was described for a group of 44 asymmetrically deafened adults (Ketterer et al, 2018). In this study, subjects were effectively preselected based on the presence of HL (since they were candidates for CI), with the majority demonstrating a severe or profound degree and thus a high prevalence of tinnitus is expected.…”

Section: Functional Benefits Of Cochlear Implantationmentioning

confidence: 99%

The Listening Network and Cochlear Implant Benefits in Hearing-Impaired Adults

James

Reinoso

Breuning

et al. 2021

Front. Aging Neurosci.

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Older adults with mild or no hearing loss make more errors and expend more effort listening to speech. Cochlear implants (CI) restore hearing to deaf patients but with limited fidelity. We hypothesized that patient-reported hearing and health-related quality of life in CI patients may similarly vary according to age. Speech Spatial Qualities (SSQ) of hearing scale and Health Utilities Index Mark III (HUI) questionnaires were administered to 543 unilaterally implanted adults across Europe, South Africa, and South America. Data were acquired before surgery and at 1, 2, and 3 years post-surgery. Data were analyzed using linear mixed models with visit, age group (18–34, 35–44, 45–54, 55–64, and 65+), and side of implant as main factors and adjusted for other covariates. Tinnitus and dizziness prevalence did not vary with age, but older groups had more preoperative hearing. Preoperatively and postoperatively, SSQ scores were significantly higher (Δ0.75–0.82) for those aged <45 compared with those 55+. However, gains in SSQ scores were equivalent across age groups, although postoperative SSQ scores were higher in right-ear implanted subjects. All age groups benefited equally in terms of HUI gain (0.18), with no decrease in scores with age. Overall, younger adults appeared to cope better with a degraded hearing before and after CI, leading to better subjective hearing performance.

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“…Moreover, these 2 parameters have been similarly utilized in previous tinnitus studies. 30,31 The study design mainly consisted of evaluating changes in these parameters after each patient underwent the 8-week program and was largely compliant with the recommended engagement with sound therapy and CBT portions.…”

Section: Methodsmentioning

confidence: 99%

Adapting Personal Therapies Using a Mobile Application for Tinnitus Rehabilitation: A Preliminary Study

Abouzari

Goshtasbi

Sarna

et al. 2020

Ann Otol Rhinol Laryngol

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Objectives: To develop a smartphone application providing sound therapy and cognitive behavioral therapy (CBT) for treating tinnitus and performing a proof-of-concept pilot study evaluating its potential efficacy. Methods: An interactive smartphone application available on iOS and Android platforms was developed, which provided an 8-week tinnitus-specific CBT and personalized and frequency-matched sound therapy. Included patients presented to our tertiary clinic between 2017 and 2018, while those waitlisted were regarded as controls. Three surveys were administrated: Tinnitus Handicap Inventory (THI), Generalized Anxiety Disorder 7-item (GAD-7), and Perceived Stress Scale (PSS). Results: A total of 30 patients enrolled in this study consisting of 20 treatment and 10 control patients and mean age was 55.4 ± 11.6 years. Treatment and control patients had similar age, sex, and pre-enrolment GAD and PSS (all P > .05). Baseline THI scores were also similar between treatment and control cohorts (50.1 ± 21.9 vs 62.0 ± 20.7; P = .15). After 8 weeks, though changes in GAD and PSS scores were similar ( P > .05), the treatment group reported a significantly greater improvement in THI scores (17.7 ± 15.8 vs 5.3 ± 10.5, P = .04). Conclusions: This pilot study demonstrated potentially promising efficacy of a smartphone-based CBT and sound therapy platform for treating tinnitus and encourages future randomized controlled trials on this treatment modality.

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Asymmetric hearing loss and the benefit of cochlear implantation regarding speech perception, tinnitus burden and psychological comorbidities: a prospective follow-up study

Cited by 39 publications

References 47 publications

<p>Depression in elderly patients with hearing loss: current perspectives</p>

<p>Depression in elderly patients with hearing loss: current perspectives</p>

The Listening Network and Cochlear Implant Benefits in Hearing-Impaired Adults

Adapting Personal Therapies Using a Mobile Application for Tinnitus Rehabilitation: A Preliminary Study

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