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The relationship between hearing loss in older adults and depression over 12 years: Findings from the Three‐City prospective cohort study
Author(s) -
Cosh Suzanne,
Carriere Isabelle,
Daien Vincent,
Amieva Helene,
Tzourio Christophe,
Delcourt Cecile,
Helmer Catherine
Publication year - 2018
Publication title -
international journal of geriatric psychiatry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.28
H-Index - 129
eISSN - 1099-1166
pISSN - 0885-6230
DOI - 10.1002/gps.4968
Subject(s) - depression (economics) , prospective cohort study , medicine , epidemiology , cohort study , late life depression , logistic regression , population , poison control , geriatric depression scale , psychiatry , pediatrics , depressive symptoms , anxiety , environmental health , economics , macroeconomics , hippocampal formation
Objective The present study aims to examine the longitudinal relationship between hearing loss (HL) with depression in older adults over 12 years of follow‐up. Method Eight thousand three hundred forty‐four French community‐dwelling adults aged 65 and above participated in the Three‐City prospective population‐based study. Baseline relationships between self‐reported mild and severe HL with depression—assessed by both the Mini International Neuropsychiatric Interview and by the Centre for Epidemiology Studies Depression scale—were explored using logistic regression analyses. Logistic mixed models assessed whether baseline HL was associated with incident depression diagnosis or symptom onset over 12 years in those who were depression‐free at baseline. Results At baseline, mild and severe HL were associated with depression symptoms as assessed by the CESD (OR = 1.29, 95% CIs 1.14‐1.47; OR = 1.51, 95% CIs 1.22‐1.87; respectively), although only mild HL was significantly related to major depression diagnosis (OR = 1.51, 95% CIs 1.07‐2.12). Over 12 years, mild and severe HL were associated with incident depression as assessed by the CESD in those without depression at baseline (OR = 1.36, 95% CIs 1.15‐1.61; OR = 1.69, 95% CIs 1.15‐2.30; respectively), but was not associated with a major depression diagnosis. Conclusions Both mild and severe thresholds of HL are associated with depression symptoms over time, but not with incident diagnosis of major depression. Improved and ongoing detection of subthreshold depression amongst older adults with HL may improve quality of life for this population.