Prevalence of Depression and Anxiety in Adolescents With Hearing Loss

Coto, Jennifer; Sanchez, Chrisanda; Holcomb, Meredith A.; Lorenzo, Nicole E.

doi:10.1097/mao.0000000000003006

Cited by 18 publications

(25 citation statements)

References 26 publications

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“…In our study, the scores were significantly improved in four domains, hearing, speech, emotion, and pain. Adolescents with hearing loss could feel isolated, embarrassed, and depressive [ 13 ], and we hypothesis that the change of emotion after CI was associated with the hearing improvement, and when patients' hearing ability improved, the depressive emotion could be changed accordingly. In this study, we confirm this hypothesis, the more change in hearing after CI, the better emotion changed.…”

Section: Discussionmentioning

confidence: 99%

Change in Health-Related Quality of Life in Cochlear Implant Recipients in China

Zheng

Cao

Chen

et al. 2022

Journal of Healthcare Engineering

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Objective. The objective is to assess the benefit of cochlear implants in health-related quality of life among postlingually deaf adults in China. Methods. Seventy-one postlingually deaf adult cochlear implant users in one cochlear implant center in China participated in this study. The HUI3 questionnaire as a measurement evaluated their quality of life. A cross-sectional analysis was conducted. Results. Cochlear implant had made statistically significant improvements in quality of life among postlingually deaf adults. The HUI3 scores were significantly better in four attributes (hearing, speech, emotion, and pain) after a cochlear implant. A positive correlation between change in hearing and improvement in emotion was significant. The change in pain and improvement in emotion also had a positive correlation. The duration of HA and CI use had no impact on the gain in HUI3 scores, and the baseline of hearing and emotion state had an influence on HUI3 gain. Conclusion. This study found cochlear implant users had a greatly improved hearing, speech, emotion, and pain, which made statistically significant improvement in quality of life among postlingually deaf adults. There was a statistically significant association between the change of emotion state and improvement in hearing level. We also found a statistically significant correlation between the reduction of feeling in pain and improvement in emotion. The change of quality of life seemed to be influenced by the primary state of emotion and hearing. We believe the measurement HUI3 is suitable for these patients in China.

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Section: Discussionmentioning

confidence: 99%

Change in Health-Related Quality of Life in Cochlear Implant Recipients in China

Zheng

Cao

Chen

et al. 2022

Journal of Healthcare Engineering

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“…A prior study examined anxiety, measured by the General Anxiety Disorder‐7 (GAD‐7) in adolescents ages 12 to 18 at a metropolitan otology clinic in the Southeastern United States. They found that adolescents with severe to profound HL had higher rates of anxiety 47 . In the Health, Aging, and Body Composition study, the odds of anxiety were 1.32 times higher in those with mild HL (25‐40 dB) and 1.59 times higher in those with moderate or greater HL (>40 dB), compared to no HL 48 .…”

Section: Discussionmentioning

confidence: 99%

Association Between Hearing Loss and Multiple Negative Emotional States in the US Hispanic Population

Grewal

Golub

2023

Otolaryngol.--head neck surg.

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Objective Hearing loss (HL) has been linked to commonly studied detrimental mood states, such as loneliness and depression. However, its relationship with other negative emotions remained largely unstudied. We explore the association between HL and anxiety, anger, hostility, poor self‐esteem, and pessimism in a national cohort of US Hispanic adults. Study Design Cross‐sectional study. Setting Multicentered US national epidemiologic study (Hispanic Community Health Study). Methods Subjects were ages 18 to 75 with completed audiometric and emotional survey data. Multivariable regressions controlling for age, gender, and education were conducted to analyze the association between HL, measured by 4‐frequency pure‐tone average (PTA), and emotional states. States included anxiety (Spielberger Trait Anxiety Scale‐10), anger (Spielberger Trait Anger Scale), hostility (Cook Medley Cynicism Scale‐13), poor self‐esteem (Self‐Esteem Scale‐10), and pessimism (Revised Life Orientation Test). Results A total of 4120 to 4341 participants met inclusion criteria, depending on the specific survey; the average age was 46.7 years (standard deviation [SD] = 13.7), and the average PTA was 13.8 dB (SD = 10.1). Controlling for age, gender, and education, HL was associated with all outcomes. Specifically, for every 10 dB worsening in HL, the anxiety score worsened by 0.41 (0.23‐0.60), the anger score worsened by 0.40 (0.22‐0.58), the hostility score worsened by 0.16 (0.04‐0.27), the self‐esteem score worsened by 0.25 (0.12‐0.38), and the pessimism score worsened by 0.17 (0.04‐0.30) (all p < .01). Conclusion HL is related to numerous negative mood states beyond loneliness and depression. This includes worse anxiety, anger, hostility, self‐esteem, and pessimism. Future studies should investigate whether treating HL improves negative emotional states.

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“…Using the Patient Health Questionnaire-9 and General Anxiety Disorder-7, a recent study ( N = 104) found that 25% of DHH teens scored above the clinical cutoff for depression and/or anxiety, with 10% scoring above the clinical threshold for both. An additional 30% scored in the at-risk range for depression and 21% for anxiety (Cejas et al, 2021). Similarly, when assessed using a structured diagnostic interview, 26% of DHH children met criteria for clinical depression, and emotional and behavioral problems were twice as high in the DHH group versus the normative sample (Fellinger et al, 2009).…”

Section: Current Research Gaps and Impact On Clinical Carementioning

confidence: 99%

Integrating psychology into pediatric audiology/otolaryngology clinics: Gaps and a model of care.

Hoffman¹,

Landsman²,

Fasano-McCarron³

et al. 2023

Clinical Practice in Pediatric Psychology

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reviews what is known about psychopathology and neurodevelopmental outcomes in deaf/hard of hearing (DHH) children, identifies current research and clinical gaps, and presents a model of care for integrating psychology into pediatric otolaryngology/audiology clinics that serve DHH patients and their families. Methods: This manuscript uses a literature review and clinical reflection/peer collaboration to develop a model of integrated psychological services for pediatric psychologists in otolaryngology/audiology clinics. Results: DHH children and their families often require support beyond the traditional focus on speech/language delays. Additional concerns include increased rates of co-occurring psychological conditions (e.g., anxiety, depression), early and potentially persistent changes in neurological/neurobehavioral functioning with or without atypical language development, high levels of caregiver-reported distress, and additional medical complexities. Conclusions: Traditionally, models of multidisciplinary care for DHH children have centered on a triad of otolaryngologists, audiologists, and speech/language pathologists. However, the reviewed data clearly show these models leave numerous unmet needs that psychologists can help address. Incorporating psychologists into pediatric otolaryngology/audiology clinic settings that serve DHH patients is an essential ingredient in high-quality care that helps meet the needs of the "whole child."Implications for Impact Statement DHH children and families are an at-risk and underserved group that frequently interacts with the pediatric health care system. This paper presents the first model of care for integrating psychologists into the medical/audiological settings that serve these patients.

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Prevalence of Depression and Anxiety in Adolescents With Hearing Loss

Cited by 18 publications

References 26 publications

Change in Health-Related Quality of Life in Cochlear Implant Recipients in China

Change in Health-Related Quality of Life in Cochlear Implant Recipients in China

Association Between Hearing Loss and Multiple Negative Emotional States in the US Hispanic Population

Integrating psychology into pediatric audiology/otolaryngology clinics: Gaps and a model of care.

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