The Association of Hearing Impairment and Chronic Diseases with Psychosocial Health Status in Older Age

Abstract

Objectives:This study examines the association of hearing impairment and chronic diseases (diabetes mellitus, lung disease, cardiac disease, stroke, cancer, peripheral artery disease, osteoarthritis, rheumatoid arthritis) with psychosocial status (depression, self-efficacy, mastery, loneliness, social network size) in older persons. Methods:The sample consists of 3,107 persons (55 to 85 years) participating in the Longitudinal Aging Study Amsterdam. MANOVA, adjusted for covariates, was used to test the effect of hearing impairment on the combined outcomes. The association of hearing impairment and chronic diseases with psychosocial status was studied using multivariate regression analyses. Results:Hearing impaired elderly report significantly more depressive symptoms, lower self-efficacy and mastery, more feelings of loneliness, and a smaller social network than normally hearing peers. Whereas chronic diseases show significant associations with some outcomes, hearing impairment is significantly associated with all psychosocial variables. Discussion:The findings emphasize the negative effect of hearing impairment on quality of life.

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References

Beekman, A.T.F. , Kriegsman, D.M.W. , Deeg, D.J.H. ,& Van Tilburg, W. (1995). The association of physical health and depressive symptoms in the older population: Age and sex differences. Social Psychiatry and Psychiatric Epidemiology, 30, 32-38.

Beekman, A.T.F. , van Limbeek, J. , Deeg, D.J.H. , Van Tilburg, W. , & Wouters, L. (1994). Een screeningsinstrument voor depressie bij de Nederlandse ouderen in de algemene bevolking: de bruikbaarheid van de Center for Epidemiologic Studies Depression Scale (CES-D) [Screening for depression in the community: Using the Center for Epidemiologic Studies Depression Scale (CES-D) in the Netherlands]. Tijdschrift voor Gerontologie en Geriatrie, 25, 95-103.

Bess, F. , Lichtenstein, J. , Logan, S. , Burger, C. , & Nelson, E. (1989). Hearing impairment as a determinant of function in the elderly. Journal of the American Geriatrics Society, 37, 123-129.

Bosscher, R. J. , & Smit, J. H. (1998). Confirmatory factor analysis of the General Self-Efficacy Scale. Behaviour Research and Therapy, 36, 339-343.

Danermark, B. D. (1998). Hearing impairment, emotions and audiological rehabilitation: A sociological perspective. Scandinavian Audiology, 27(Suppl. 49), 125-131.

De Graaf, R. , & Bijl, R. V. (1999). Gebruik van en behoefte aan zorg wegens psychische problemen bij dove en ernstig slechthorende volwassenen [Use of and need for mental health care among deaf and severely hearing impaired adults]. Tijdschrift voor Gezondheidswetenschappen, 77, 176-185.

De Jong-Gierveld, J. , & Kamphuis, F. H. (1985). The development of a Rasch-type loneliness scale. Applied Psychological Measurement, 9, 289-299.

Deeg, D.J.H. , & Westendorp-de Serière, M. (Eds.). (1994). Autonomy and well-being in the aging population I: Report from the Longitudinal Aging Study Amsterdam 1992-1993. Amsterdam: VU University Press.

Duijvestijn, J. A. , Anteunis, L.J.C. , Hendriks, J.J.T. ,& Manni, J. J. (1999). Definition of hearing impairment and its effect on prevalence figures. A survey among senior citizens. Acta Otolaryngology (Stockh), 119, 420-423.

10.

Gilhome-Herbst, K. , & Humphrey, C. (1980). Hearing impairment and mental state in the elderly living at home. British Medical Journal, 281, 903-905.

11.

Glass, T. A. (1998). Conjugating the “tenses” of function: Discordance among hypothetical, experimental and enacted function in older adults. The Gerontologist, 38(1), 101-112.

12.

Hallberg, L. M. , & Carlsson, S. G. (1991). Hearing impairment, coping and perceived hearing handicap in middle-aged subjects with acquired hearing loss. British Journal of Audiology, 25, 323-330.

13.

Herbst, K. (1983). Psychosocial consequences of disorders of hearing in the elderly. In R. Hinchliffe (Ed.), Hearing in balance in the elderly (pp. 22-34). Edinburgh, UK: Churchill, Livingstone.

14.

Herth, K. (1998). Integrating hearing loss into one’s life. Qualitative Health Research, 8, 207-223.

15.

Hétu, R. , Riverin, L. , Lalande, N. , Getty, L. , & St-Cyr, C. (1988). Qualitative analysis of the handicap associated with occupational hearing loss. British Journal of Audiology, 22, 251-264.

16.

International classification of functioning and disability(Beta-2 draft, full version). (1999). Geneva, Switzerland: World Health Organization.Available from www.who.int

17.

Kapteyn, T. S. , Wijkel, D. , & Hackenitz, E. (1997). The effects of involvement of the general practitioner and guidance of the hearing impaired on hearing-aid use. British Journal of Audiology, 31, 399-407.

18.

Kramer, S. E. , Kapteyn, T. S. , & Festen, J. M. (1998). The self-reported handicapping effect of hearing disabilities. Audiology, 37, 302-312.

19.

Kramer, S. E. , Kapteyn, T. S. , Festen, J. M. , & Kuik, J. D. (1997). Assessing aspects of hearing handicap by means of pupil dilatation. Audiology, 36, 155-164.

20.

Kramer, S. E. , Kapteyn, T. S. , Festen, J. M. ,& Tobi, H. (1995). Factors in subjective hearing disability. Audiology, 34, 311-320.

21.

Kramer, S. E. , Kapteyn, T. S. , Festen, J. M. , & Tobi, H. (1996). The relationship between self-reported hearing disability and measures of auditory disability. Audiology, 35, 277-287.

22.

Kriegsman, D. M. , Penninx, B. W. , van Eijk, J. T. , Boeke, A. J. , & Deeg, D.J.H. (1996). Selfreports and general practitioner information on the presence of chronic diseases in community dwelling elderly: A study on the accuracy of patients’ self-reports and on determinants of inaccuracy. Journal of Clinical Epidemiology, 49, 1407-1417.

23.

Lindenberger, U. , & Baltes, P. B. (1997). Intellectual functioning in old and very old age: Cross-sectional results from the Berlin Aging Study. Psychological Aging, 12(3), 410-432.

24.

Lormore, K. A. , & Stephens, S.D.G. (1994). Use of an open-ended questionnaire with patients and their significant others. British Journal of Audiology, 28, 81-89.

25.

Lutman, M. E. , Brown, J. E. , & Coles, R.R.A. (1987). Self-reported disability and handicap in the population in relation to pure-tone threshold, age, sex and type of hearing loss. British Journal of Audiology, 21, 45-58.

26.

McWhinnie, J. R. (1979). Disability indicators for measuring well-being (OECD social indicators development program, special studies no. 5). Paris: Organization for Economic Cooperation and Development.

27.

Naramura, H. N. , Nakanishi, N. , Tatara, K. , Ishiyama, M. , Shiraishi, N. , & Yamamoto, A. (1999). Physical and mental correlates of hearing impairment in the elderly in Japan. Audiology, 38, 24-29.

28.

Noble, W. , & Hétu, R. (1994). An ecological approach to disability and handicap in relation to impaired hearing. Audiology, 33, 117-126.

29.

Palinkas, L. A. , Wingard, D. L. , & Barret-Connor, E. (1990). Chronic illness and depressive symptoms in the elderly: A population-based study. Journal of Clinical Epidemiology, 43, 1131-1141.

30.

Pearlin, L. I. , & Schooler, C. (1978). The structure of coping. Journal of Health and Social Behavior, 19, 2-21.

31.

Penninx, B.W.J.H. , Beekman, A.T.F. , Ormel, J. , Kriegsman, D.M.W. , Boeke, A.J.P. , van Eijk, J.T.M. ,& Deeg, D.J.H. (1996). Psychological status among elderly people with chronic diseases: Does type of disease play a part? Journal of Psychosomatic Research, 40, 521-534.

32.

Pope, S. K. , & Sowers, M. (2000). Functional status and hearing impairments in women at midlife. Journal of Gerontology: Social Sciences, 55B(3), S190-S194.

33.

Radloff, L. S. (1977). The CES-D scale: Aself-report depression scale for research in the general population. Applied Psychological Measurement, 1, 385-401.

34.

Sherer, M. , Maddux, J. E. , Mercadante, B. , Prentice-Dunn, S. , Jacobs, B. , & Rogers, R. W. (1982). The self-efficacy scale: Construction and validation. Psychological Reports, 51, 663-671.

35.

Smoorenburg, G. F. (1992). Speech reception in quiet and in noisy conditions by individuals with noise-induced hearing loss in relation to their tone-audiogram. Journal of the Acoustical Society of America, 91, 421-437.

36.

Stephens, S.D.G. (1980). Evaluating the problems of the hearing impaired. Audiology, 19, 205-220.

37.

Strawbridge, W. J. , Wallhagen, M. I. , Shema S. J. , & Kaplan, G. A. (2000). Negative consequences of hearing impairment in old age: Alongitudinal analysis. The Gerontologist, 40(3), 320-326.

38.

Tesch-Römer, C. (1997). Psychological effects of hearing aid use in older adults. Journal of Gerontology: Psychological Sciences, 52B(3), 127-138.

39.

Van Sonsbeek, J.L.A. (1988). Health interview surveys: Methodological aspects and content of the OECD-longterm disability indicator. Maandbericht gezondheidsstatistiek (CBS), 88(6), 4-17.

40.

Van Tilburg, T. G. (1995). Delineation of the social network and differences in network size. In C.P.M. Knipscheer , J. de Jong Gierveld , T. G. van Tilburg , & P. A. Dykstra (Eds.), Living arrangements and social networks of older adults in the Netherlands: First results (pp. 83-96). Amsterdam: VU University Press.

41.

VanTilburg, T. G. ,& De Leeuw, E. D. (1991). Stability of scale quality under various data collection procedures: A mode comparison of the “De Jong-Gierveld Loneliness Scale.” International Journal of Public Opinion Research, 3, 69-85.

42.

Weinstein, B. E. , & Ventry, I. M. (1982). Hearing impairment and social isolation in the elderly. American Speech-Language-Hearing Association, 25, 593-599.