认知功能和心理健康的老年人与感音神经性听力损失：一个埃及的观点

IF 2.3 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Clinical Epidemiology and Global Health Pub Date : 2025-03-25 DOI:10.1016/j.cegh.2025.102008

Heba G. Saber , Fathy N. Fatouh , Anas Askoura , Ghada O. Wassif , Enas R. Mohamed

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引用次数: 0

摘要

感音神经性听力损失（SNHL）是老年人的一种常见疾病，越来越被认为是认知能力下降和心理困扰的危险因素。听力障碍会导致社交活动减少、功能限制和更高的抑郁风险，对生活质量产生负面影响。本研究通过评估埃及老年SNHL患者的日常活动表现和心理健康状况，调查其认知功能和心理健康状况。方法采用纯音测听法（PTA）对114例60岁及以上SNHL患者进行横断面研究。采用日常生活活动（ADL）、日常生活工具活动（IADL）和老年抑郁量表（GDS）进行功能和心理评估，以评估独立性和心理健康状况。结果snhl严重程度与年龄、低文化程度、吸烟、糖尿病、高血压、耳毒性药物使用相关。功能障碍（ADL/IADL）和抑郁与SNHL密切相关，强调其对独立性和心理健康的影响。有序回归证实高血压和耳毒性药物暴露是SNHL严重程度的关键预测因素。建议：SNHL严重程度与人口统计学、临床和功能因素显著相关，强化了其对老年人认知功能和心理健康的影响。早期筛查至关重要，尤其是对患有慢性疾病的高危人群。预防策略，如血压控制、谨慎使用耳毒性药物和听力保护计划，建议减少snhl相关的健康负担，提高老年人的生活质量。

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Cognitive function and psychological well-being in older adults with sensorineural hearing loss: An Egyptian perspective

Background

Sensorineural hearing loss (SNHL) is a common condition among older adults and is increasingly recognized as a risk factor for cognitive decline and psychological distress. Hearing impairment can lead to reduced social engagement, functional limitations, and a higher risk of depression, negatively impacting quality of life. This study investigates the cognitive function and psychological well-being of older Egyptians with SNHL by assessing their daily activity performance and mental health status.

Methods

A cross-sectional study was conducted among 114 participants aged 60 years or older diagnosed with SNHL using Pure Tone Audiometry (PTA). Functional and psychological assessments were performed using the Activities of Daily Living (ADL), Instrumental Activities of Daily Living (IADL), and the Geriatric Depression Scale (GDS) to evaluate independence and mental health.

Results

SNHL severity was significantly associated with age, lower education, smoking, diabetes, hypertension, and ototoxic drug use. Functional impairments (ADL/IADL) and depression were strongly linked to SNHL, underscoring its impact on independence and mental health. Ordinal regression confirmed hypertension and ototoxic drug exposure as key predictors of SNHL severity.

Conclusion

& Recommendations: SNHL severity is significantly associated with demographic, clinical, and functional factors, reinforcing its impact on cognitive function and psychological well-being in older adults. Early screening, particularly for high-risk individuals with chronic conditions, is crucial. Preventive strategies such as blood pressure control, cautious use of ototoxic drugs, and hearing conservation programs are recommended to reduce SNHL-related health burdens and improve the quality of life for older adults.

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来源期刊

Clinical Epidemiology and Global Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

4.60

自引率

7.70%

发文量

218

审稿时长

66 days

期刊介绍： Clinical Epidemiology and Global Health (CEGH) is a multidisciplinary journal and it is published four times (March, June, September, December) a year. The mandate of CEGH is to promote articles on clinical epidemiology with focus on developing countries in the context of global health. We also accept articles from other countries. It publishes original research work across all disciplines of medicine and allied sciences, related to clinical epidemiology and global health. The journal publishes Original articles, Review articles, Evidence Summaries, Letters to the Editor. All articles published in CEGH are peer-reviewed and published online for immediate access and citation.