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BMC Public Health
Published in: BMC Public Health 1/2024

Open Access 01-12-2024 | Research

Relationship between self-reported hearing and vision problems, cognitive decline, depressive symptoms, and life satisfaction in older adults: a retrospective observational study

Author: Yuan Chen

Published in: BMC Public Health | Issue 1/2024

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Abstract

Background

Sensory impairment in older adults is associated with cognitive decline, elevated depressive symptoms, and low levels of life satisfaction. However, these relationships are usually investigated separately and in pairs. This study examined these relationships comprehensively, for the first time.

Methods

The analysis included 5,658 community-dwelling older adults from the China Health and Retirement Longitudinal Study (aged 50 to 108 years, 52.1% male) who completed the Jorm Informant Questionnaire Cognitive Decline in the Elderly and the Center for Epidemiological Studies-Depression-short form. A questionnaire was used to collect information on hearing, visual status, and life satisfaction. Structural equation modelling was used to examine the direct and indirect relationships between these variables.

Results

Self-reported hearing and vision problems are directly associated with cognitive decline and elevated depressive symptoms. In addition, hearing and vision problems are indirectly related to cognitive decline through elevated depressive symptoms. Although hearing and vision problems had no direct effect on life satisfaction, they were indirectly associated with life satisfaction through cognitive decline and depressive symptoms.

Conclusions

This study provides the first epidemiological evidence of the comprehensive relationships between hearing and vision problems, cognitive decline, depressive symptoms, and life satisfaction. When older adults report hearing and/or vision problems, clinicians and caregivers should be aware of the concurrence of declined cognition, elevated depressive symptoms, and compensated life satisfaction. Future studies should examine the causal relationships and potential mechanisms of these relationships.
Literature
1.
2.
3.
Shang X, Zhu Z, Wang W, Ha J, He M. The association between vision impairment and incidence of dementia and cognitive impairment: a systematic review and meta-analysis. Ophthalmology. 2021;128(8):1135–49.CrossRefPubMed
4.
Taljaard DS, Olaithe M, Brennan-Jones CG, Eikelboom RH, Bucks RS. The relationship between hearing impairment and cognitive function: a meta‐analysis in adults. Clin Otolaryngol. 2016;41(6):718–29.CrossRefPubMed
5.
Chou K, Chi I. Combined effect of vision and hearing impairment on depression in elderly Chinese. Int J Geriatr Psychiatry. 2004;19(9):825–32.CrossRefPubMed
6.
Frank CR, Xiang X, Stagg BC, Ehrlich JR. Longitudinal associations of self-reported vision impairment with symptoms of anxiety and depression among older adults in the United States. Archives Ophthalmol (1960). 2019;137(7):793–800.
7.
Lawrence BJ, Jayakody DMP, Bennett RJ, Eikelboom RH, Gasson N, Friedland PL. Hearing loss and depression in older adults: a systematic review and meta-analysis. Gerontologist. 2020;60(3):e137–54.
8.
Davoudi I, Kascani RM, Honarmand MM. Social skill, life satisfaction and locus of control in normal-hearing and hearing-impaired students. Audiology 2014;23(2).
9.
Brunes A, Heir T. Visual impairment and depression: age-specific prevalence, associations with vision loss, and relation to life satisfaction. World J Psychiatry. 2020;10(6):139–49.
10.
Shimada H, Park H, Makizako H, Doi T, Lee S, Suzuki T. Depressive symptoms and cognitive performance in older adults. J Psychiatr Res. 2014;57:149–56.CrossRefPubMed
11.
Weisenbach SL, Boore LA, Kales HC. Depression and cognitive impairment in older adults. Curr Psychiatry Rep. 2012;14(4):280–8.
12.
St. John PD, Montgomery PR. Cognitive impairment and life satisfaction in older adults. Int J Geriatr Psychiatry. 2010;25(8):814–21.CrossRefPubMed
13.
Khodabakhsh S. Factors affecting life satisfaction of older adults in Asia: a systematic review. J Happiness Stud. 2021:1–16.
14.
Engel GL. The need for a new medical model: a challenge for biomedicine. Science. 1977;196(4286):129–36.CrossRefPubMed
15.
Zhao Y, Hu Y, Smith JP, Strauss J, Yang G. Cohort profile: the China health and retirement longitudinal study (CHARLS). Int J Epidemiol. 2014;43(1):61–8.CrossRefPubMed
16.
Chen X, Wang Y, Strauss J, Zhao Y. China health and retirement longitudinal study (CHARLS). Encyclopedia of gerontology and population aging. Springer; 2022. pp. 948–56.
17.
Feng Q, Yeung WJ, Wang Z, Zeng Y. Age of retirement and human capital in an aging China, 2015–2050. Eur J Popul. 2019;35:29–62.CrossRefPubMed
18.
Jorm AF, Jacomb PA. The informant questionnaire on cognitive decline in the elderly (IQCODE): socio-demographic correlates, reliability, validity and some norms. Psychol Med. 1989;19(4):1015–22.
19.
Li F, Jia X, Jia J. The informant questionnaire on cognitive decline in the elderly individuals in screening mild cognitive impairment with or without functional impairment. J Geriatr Psychiatry Neurol. 2012;25(4):227–32.CrossRefPubMed
20.
Radloff LS. The CES-D scale: a self-report depression scale for research in the general population. Appl Psychol Meas. 1977;1(3):385–401.CrossRef
21.
Cheng S, Chan ACM. The center for epidemiologic studies depression scale in older Chinese: thresholds for long and short forms. Int J Geriatr Psychiatry. 2005;20(5):465–70.CrossRefPubMed
22.
Pavot W, Diener E. The satisfaction with life scale and the emerging construct of life satisfaction. J Posit Psychol. 2008;3(2):137–52.CrossRef
23.
Diener ED, Emmons RA, Larsen RJ, Griffin S. The satisfaction with life scale. J Pers Assess. 1985;49(1):71–5.CrossRefPubMed
24.
Chen Y, Wong LL, Kuehnel V, Qian J, Voss SC, Shangqiguo W. Can dual compression offer better mandarin speech intelligibility and sound quality than fast-acting compression? Trends in hearing. 2021;25:2331216521997610.
25.
Kline RB. Principles and practice of structural equation modeling. Guilford; 2023.
26.
Chen Y, Lena LNW, Zhu S, Xi X. A structural equation modeling approach to examining factors influencing outcomes with Cochlear implant in Mandarin-speaking children. PLoS ONE. 2015;10(9):e0136576.CrossRefPubMedPubMedCentral
27.
Hu L, Bentler PM. Cutoff criteria for fit indexes in covariance structure analysis: conventional criteria versus new alternatives. Struct Equation Modeling: Multidisciplinary J. 1999;6(1):1–55.CrossRef
28.
Weston R, Gore PA Jr. A brief guide to structural equation modeling. Couns Psychol. 2006;34(5):719–51.CrossRef
29.
Chen Y, Wong LLN, Chan SS, Yu J. Speech perception in noise is associated with different cognitive abilities in Chinese-speaking older adults with and without hearing aids. Front Psychol. 2021;12:640300.CrossRefPubMed
30.
Bush ALH, Lister JJ, Lin FR, Betz J, Edwards JD. Peripheral hearing and cognition: evidence from the staying keen in later life (SKILL) study. Ear Hear. 2015;36(4):395.CrossRefPubMedCentral
31.
Lin FR, Ferrucci L, Metter EJ, An Y, Zonderman AB, Resnick SM. Hearing loss and cognition in the Baltimore longitudinal study of aging. Neuropsychology. 2011;25(6):763–70.CrossRefPubMedPubMedCentral
32.
Lin FR, Yaffe K, Xia J, Xue Q, Harris TB, Purchase-Helzner E et al. Hearing loss and cognitive decline in older adults. JAMA Intern Med. 2013;173(4):293–9.
33.
Nagarajan N, Assi L, Varadaraj V, Motaghi M, Sun Y, Couser E, et al. Vision impairment and cognitive decline among older adults: a systematic review. BMJ open. 2022;12(1):e047929.CrossRefPubMedPubMedCentral
34.
Swenor BK, Wang J, Varadaraj V, Rosano C, Yaffe K, Albert M, et al. Vision impairment and cognitive outcomes in older adults: the health ABC study. Journals Gerontology: Ser A. 2019;74(9):1454–60.
35.
Wayne RV, Johnsrude IS. A review of causal mechanisms underlying the link between age-related hearing loss and cognitive decline. Ageing Res Rev. 2015;23(Pt B):154–66.CrossRefPubMed
36.
Pronk M, Lissenberg-Witte BI, van der Aa HP, Comijs HC, Smits C, Lemke U, et al. Longitudinal relationships between decline in speech-in-noise recognition ability and cognitive functioning: the longitudinal aging study Amsterdam. J Speech Lang Hear Res. 2019;62(4S):1167–87.CrossRefPubMed
37.
Li C, Zhang X, Hoffman HJ, Cotch MF, Themann CL, Wilson MR. Hearing impairment associated with depression in US adults, national health and nutrition examination survey 2005–2010. JAMA Otolaryngology– Head & Neck Surgery. 2014;140(4):293–302.
38.
Kim SY, Kim H, Park E, Joe J, Sim S, Choi HG. Severe hearing impairment and risk of depression: a national cohort study. PLoS ONE. 2017;12(6):e0179973.CrossRefPubMedPubMedCentral
39.
Hawkley LC, Cacioppo JT. Loneliness matters: a theoretical and empirical review of consequences and mechanisms. Ann Behav Med. 2010;40(2):218–27.CrossRefPubMed
40.
Rovner BW, Casten RJ, Hegel MT, Massof RW, Leiby BE, Ho AC, et al. Low vision depression prevention trial in age-related macular degeneration: a randomized clinical trial. Ophthalmology. 2014;121(11):2204–11.CrossRefPubMed
41.
Rock PL, Roiser JP, Riedel WJ, Blackwell AD. Cognitive impairment in depression: a systematic review and meta-analysis. Psychol Med. 2014;44(10):2029–40.CrossRefPubMed
42.
Jorm AF. Is depression a risk factor for dementia or cognitive. Decline? Gerontol. 2000;46(4):219–27.CrossRef
43.
Bourque P, Léger C, Pushkar D, Béland F. Self-reported sensory impairment and life satisfaction in older french-speaking adults. Can J Nurs Res Archive. 2007:154–71.
44.
Zhang X, Bullard KM, Cotch MF, Wilson MR, Rovner BW, McGwin G, et al. Association between depression and functional vision loss in persons 20 years of age or older in the United States, NHANES 2005–2008. JAMA Ophthalmol. 2013;131(5):573–81.CrossRefPubMedPubMedCentral
45.
Hickson L, Allen J, Beswick R, Fulton M, Wolf D, Worrall L, et al. Relationships between hearing disability, quality of life and wellbeing in older community-based australians. Australian New Z J Audiol the. 2008;30(2):99–111.CrossRef
46.
National Bureau of Statistics of the People’s Republic of China. The main data bulletin of the second national sampling survey for the disabled (Number 2). Accessed Feb 09, 2024.
47.
Tang Y, Wang X, Wang J, Huang W, Gao Y, Luo Y, et al. Prevalence and causes of visual impairment in a Chinese adult population: the Taizhou eye study. Ophthalmology. 2015;122(7):1480–8.CrossRefPubMed
48.
Chen Y, Wong LLN. Development of the Mandarin hearing in noise test for children. Int J Audiol. 2020;ahead-of-print(ahead-of-print):1–6.
49.
Doyle J, Wong LL. Mismatch between aspects of hearing impairment and hearing disability/handicap in adult/elderly cantonese speakers: some hypotheses concerning cultural and linguistic influences. J Am Acad Audiol. 1996;7(6):442.PubMed
50.
Chen Y, Wong LLN, Qian J, Kuehnel Volker, Voss SC, Chen F. The role of lexical tone information in the recognition of mandarin sentences in listeners with hearing aids. Ear and Hearing. 2019.
Metadata
Title
Relationship between self-reported hearing and vision problems, cognitive decline, depressive symptoms, and life satisfaction in older adults: a retrospective observational study
Author
Yuan Chen
Publication date
01-12-2024
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2024
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-024-18624-5

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