The Role of Chronic Tinnitus in Hearing Loss-Related Depression: Insights for Middle-Aged and Older Adults.

IF 2.6 3区医学 Q3 GERIATRICS & GERONTOLOGY

Clinical Gerontologist Pub Date : 2025-03-25 DOI:10.1080/07317115.2025.2482877

Ying Cui, Huimin Du

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Abstract

Objectives: This study examines whether chronic tinnitus mediates the relationship between hearing loss and depression in middle-aged and older adults, providing insights into the pathways linking auditory impairment and mental health challenges.

Methods: Data from 3,241 adults aged 50 and older were obtained from the 2011-2012, 2015-2016, and 2017-2018 NHANES cycles and analyzed. Logistic regression assessed the hearing loss - depression association, and mediation analysis tested the mediating role of chronic tinnitus. Subgroup analyses explored age differences.

Results: Hearing loss increased the odds of depressive symptoms, with chronic tinnitus mediating 16.83% of this effect. In middle-aged adults, chronic tinnitus served as a full mediator in the hearing loss - depression pathway, acted as a partial mediator in adults aged 60-69, and showed no mediating effect in those aged 70 and older.

Conclusions: Hearing loss, chronic tinnitus, and depression are closely linked in middle-aged and older adults. Age-sensitive screening and integrated care addressing both hearing and mental health are crucial to improve well-being.

Clinical implications: Combining hearing rehabilitation with tinnitus counseling and mental health support may improve psychological outcomes in older adults.

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来源期刊

Clinical Gerontologist GERIATRICS & GERONTOLOGY-PSYCHIATRY

CiteScore

6.20

自引率

25.00%

发文量

审稿时长

>12 weeks

期刊介绍： Clinical Gerontologist presents original research, reviews, and clinical comments relevant to the needs of behavioral health professionals and all practitioners who work with older adults. Published in cooperation with Psychologists in Long Term Care, the journal is designed for psychologists, physicians, nurses, social workers, counselors (family, pastoral, and vocational), and other health professionals who address behavioral health concerns found in later life, including: -adjustments to changing roles- issues related to diversity and aging- family caregiving- spirituality- cognitive and psychosocial assessment- depression, anxiety, and PTSD- Alzheimer’s disease and other neurocognitive disorders- long term care- behavioral medicine in aging- rehabilitation and education for older adults. Each issue provides insightful articles on current topics. Submissions are peer reviewed by content experts and selected for both scholarship and relevance to the practitioner to ensure that the articles are among the best in the field. Authors report original research and conceptual reviews. A unique column in Clinical Gerontologist is “Clinical Comments." This section features brief observations and specific suggestions from practitioners which avoid elaborate research designs or long reference lists. This section is a unique opportunity for you to learn about the valuable clinical work of your peers in a short, concise format.