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Association Between ERSA and Beck Depression Inventory Scores in Adults With Hearing Loss
Demet Yazici1, Meltem Işıklı2, İlhami Yıldırım3
1Associate Professor of Otolaryngology, ENT Department, Adana City Training and Research Hospital, Saglik Bilimleri Universitesi, Turkey.
Ear, Nose, & Throat Journal
|April 23, 2026
Summary
The perceived impact of hearing loss is strongly linked to depression symptoms in adults. Addressing both hearing and mental health needs is crucial for better patient outcomes.
Area of Science:
- Audiology
- Psychology
- Public Health
Background:
- Hearing loss significantly impacts adults' quality of life.
- Depressive symptoms are a common comorbidity in individuals with hearing impairment.
- Assessing the functional and psychosocial impact of hearing loss is vital.
Purpose of the Study:
- To investigate the association between the perceived functional impact of hearing loss (using ERSA) and depressive symptoms (using BDI) in adults.
- To understand the relationship between hearing-related quality of life and depression severity.
- To identify factors influencing the interplay between hearing loss and mental health.
Main Methods:
- Cross-sectional study of 103 adults with hearing loss (≥25 dB in 1 ear for ≥6 months).
- Utilized the Evaluation of the Impact of Hearing Loss in Adults (ERSA) scale for hearing-related QOL.
- Employed the Beck Depression Inventory (BDI) to quantify depressive symptoms.
Main Results:
- Higher BDI scores correlated significantly with lower ERSA scores across QOL, personal, and social domains.
- Severe, bilateral, and mixed-type hearing loss were associated with increased depressive symptoms.
- Hearing aid users reported higher depressive symptoms and lower hearing-related QOL compared to non-users.
Conclusions:
- The functional and psychosocial impact of hearing loss is strongly associated with depressive symptom severity.
- Routine audiological assessments should include patient-reported outcomes and mental health screening.
- A multidisciplinary, patient-centered approach is recommended for comprehensive care.
Keywords:
Beck Depression Inventorydepressionhearing losspatient-reported outcome measuresquality of lifeMore Related Videos
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