Depressive symptoms affect short- and long-term speech recognition outcome in cochlear implant users

Heinze-Köhler, Katharina; Lehmann, Effi Katharina; Hoppe, Ulrich

doi:10.1007/s00405-020-06096-3

Cited by 8 publications

(5 citation statements)

References 38 publications

(59 reference statements)

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“…Hence, cochlear implant users receive more cognitive and social stimulation during this period, which might positively influence their cognitive skills, communication abilities, and emotional well-being . The improvement of depressive symptoms 12 months after cochlear implantation could be attributed to the combination of improved speech perception through cochlear implantation and psychological counseling during auditory rehabilitation . Interestingly, depressive symptoms were not associated with cognitive abilities in this study’s cochlear implant users at risk for MCI, although a link between depression and cognitive decline was reported in several extensive studies .…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Cognitive Functioning Before and After Cochlear Implantation in Adults Aged 55 Years and Older at Risk for Mild Cognitive Impairment

Andries

Bosmans

Engelborghs

et al. 2023

JAMA Otolaryngol Head Neck Surg

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ImportanceGiven the rapidly rising dementia incidence, management of modifiable risk factors, such as hearing loss, is vital. Multiple studies have demonstrated an improvement of cognitive functioning in older adults with severe hearing loss after cochlear implantation; however, few of these studies, to the authors’ knowledge, specifically analyzed participants achieving poor cognitive results preoperatively.ObjectiveTo evaluate the cognitive functioning of older adults with severe hearing loss at risk for mild cognitive impairment (MCI) before and after cochlear implantation.Design, Setting, and ParticipantsThis prospective, longitudinal cohort study performed at a single center reports data obtained over a 6-year period (April 2015 to September 2021) of an ongoing prospective, longitudinal cohort study on cochlear implant outcomes in older adults. A consecutive sample of older adults with severe hearing loss eligible for cochlear implantation was included. All participants obtained a Repeatable Battery for the Assessment of Neuropsychological Status for hearing-impaired patients (RBANS-H) total score indicative of MCI preoperatively. Participants were assessed before cochlear implant activation and 12 months after cochlear implant activation.InterventionThe intervention consisted of cochlear implantation.Main Outcome and MeasureThe primary outcome measure was cognition, measured by the RBANS-H.ResultsA total of 21 older adult cochlear implant candidates were included in the analysis (mean [SD] age, 72 [9] years; 13 [62%] men). Cochlear implantation was associated with an improvement of overall cognitive functioning 12 months after activation (median [IQR] percentile, 5 [2-8] vs 12 [7-19]; difference, 7 [95% CI, 2-12]). Eight participants (38%) surpassed the MCI cutoff (16th percentile) postoperatively, while the overall median cognitive score remained under this cutoff. In addition, participants’ speech recognition in noise improved, with a lower score indicating improvement (mean [SD] score, +17.16 [5.45] vs +5.67 [6.3]; difference, −11.49 [95% CI, −14.26 to −8.72]), after cochlear implant activation. Improvement of speech recognition in noise was positively associated with improvement in cognitive functioning (rs, −0.48 [95% CI, −0.69 to −0.19]). Years of education, sex, RBANS-H version, and symptoms of depression and anxiety were not related to the evolution in RBANS-H scores.Conclusions and RelevanceIn this prospective, longitudinal cohort study, cognitive functioning and speech perception in noise showed a clinically meaningful improvement 12 months after cochlear implant activation in older adults with severe hearing loss at risk for MCI, suggesting that cochlear implantation is not contraindicated in cochlear implant candidates with cognitive decline and should be considered after multidisciplinary evaluation.

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Section: Discussionmentioning

confidence: 99%

Evaluation of Cognitive Functioning Before and After Cochlear Implantation in Adults Aged 55 Years and Older at Risk for Mild Cognitive Impairment

Andries

Bosmans

Engelborghs

et al. 2023

JAMA Otolaryngol Head Neck Surg

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“…Carvalho et al found significant associations between speech perception performance in noise and depressive status in older hearing aid users ( 116 ). Heinze-Köhler et al identified significant associations between short- and long-term speech perception and depressive status in middle-aged and older patients after cochlear implantation ( 117 ). Please note that all these studies, including the present study, are correlational studies.…”

Section: Discussionmentioning

confidence: 99%

Hearing loss, depression, and cognition in younger and older adult CI candidates

Huber,

Reuter,

Weitgasser

et al. 2023

Front. Neurol.

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Background and AimHearing loss in old age is associated with cognitive decline and with depression. Our study aimed to investigate the relationship between hearing loss, cognitive decline, and secondary depressive symptoms in a sample of younger and older cochlear implant candidates with profound to severe hearing loss.MethodsThis study is part of a larger cohort study designated to provide information on baseline data before CI. Sixty-one cochlear implant candidates with hearing loss from adulthood onwards (>18 years) were enrolled in this study. All had symmetrical sensorineural hearing loss in both ears (four-frequency hearing threshold difference of no more than 20 dB, PTA). Individuals with primary affective disorders, psychosis, below-average intelligence, poor German language skills, visual impairment, and a medical diagnosis with potential impact on cognition (e.g., neurodegenerative diseases,) were excluded. Four-frequency hearing thresholds (dB, PTA, better ear) were collected. Using the Abbreviated Profile of Hearing Aid Benefit, we assessed subjective hearing in noise. Clinical and subclinical depressive symptoms were assessed with the Beck Depression Inventory (BDI II). Cognitive status was assessed with a neurocognitive test battery.ResultsOur findings revealed a significant negative association between subjective hearing in noise (APHAB subscale “Background Noise”) and BDII. However, we did not observe any link between hearing thresholds, depression, and cognition. Additionally, no differences emerged between younger (25–54 years) and older subjects (55–75 years). Unexpectedly, further unplanned analyses unveiled correlations between subjective hearing in quiet environments (APHAB) and cognitive performance [phonemic fluency (Regensburg Word Fluency), cognitive flexibility (TMTB), and nonverbal episodic memory (Nonverbal Learning Test), as well as subjective hearing of aversive/loud sounds (APHAB)], cognitive performance [semantic word fluency (RWT), and inhibition (Go/Nogo) and depression]. Duration of hearing loss and speech recognition at quiet (Freiburg Monosyllables) were not related to depression and cognitive performance.ConclusionImpact of hearing loss on mood and cognition appears to be independent, suggesting a relationship with distinct aspects of hearing loss. These results underscore the importance of considering not only conventional audiometric measures like hearing thresholds but also variables related to hearing abilities during verbal communication in everyday life, both in quiet and noisy settings.

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“…In a study by Heinze-Köhler, depressive symptoms after CI negatively correlated with monosyllabic recognition scores after 3 months and 1 year of CI. 21 In depression, verbal memory and verbal learning are impaired felt by a problem with attention and long-term memory. 22 In this study, patients had mild-moderate depressive symptoms.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Children with Hearing Loss in a Special Education Centre by TEDIL-3 Test in Mardin

Sarı¹,

İMRAK²

2022

KBB ve BBC Dergisi

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Hearing loss (HL) inhibits the development of auditory and speech capabilities in children. Early rehabilitation of HL leads to better performance in language, academic and social development. A timely and suitable diagnosis is essential to obtain better re-sults. Severe to profound bilateral sensorineural HL (SNHL) can be managed by cochlear implantation (CI, unilateral or bilateral). Mild to moderate bilateral SNHL is easier to overcome with conventional hearing aids if started early. 1 The BAHA system has

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Depressive symptoms affect short- and long-term speech recognition outcome in cochlear implant users

Cited by 8 publications

References 38 publications

Evaluation of Cognitive Functioning Before and After Cochlear Implantation in Adults Aged 55 Years and Older at Risk for Mild Cognitive Impairment

Evaluation of Cognitive Functioning Before and After Cochlear Implantation in Adults Aged 55 Years and Older at Risk for Mild Cognitive Impairment

Hearing loss, depression, and cognition in younger and older adult CI candidates

Evaluation of Children with Hearing Loss in a Special Education Centre by TEDIL-3 Test in Mardin

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