耳负担和听力损失对老年抑郁症的贡献
Joseph Chamoun1, Peter Larson1,2, Mekibib Altaye3
1University of Cincinnati College of Medicine, Cincinnati, Ohio, USA.
The Laryngoscope
|October 29, 2025
概括
耳负担显著增加了老年人的抑郁风险,即使有听力损失. 听力损失本身并没有增加抑郁症的风险,甚至可能有保护作用. 在未来的听力损失和抑郁症研究中,必须考虑耳声.
科学领域:
- 老年学是指老年学的学科.
- 流行病学 流行病学
- 精神病学是一个精神病学.
背景情况:
- 抑郁症在老年人群中是一个重大问题.
- 听力损失和抑郁症之间的关系是复杂的,并未完全理解.
- 耳是一种常见的听觉症状,可能会影响心理健康结果.
研究的目的:
- 调查耳作为潜在的混变量在老年人听力损失和抑郁症之间的关联中的作用.
- 检查听力损失和耳负担对69岁及以上成年人抑郁风险的独立影响.
主要方法:
- 以国家健康和营养检查调查 (2005-2020) 的数据为依据的回顾性横截面研究.
- 分析包括2352名69岁及以上的参与者.
- 后勤回归模型评估了抑郁症作为耳负担和语音频率听力损失的函数,控制共变量.
主要成果:
- 听力损失与抑郁症风险增加无关;轻度语音频率听力损失显示出潜在的保护作用 (调整后OR=0.55).
- 在原始模型和调整模型 (调整后OR=7.05) 中,高的耳声负担是抑郁症的重要危险因素.
- 耳负担和抑郁症之间的关联即使在听力损失分层后仍然显著.
结论:
- 耳负担与老年人的抑郁症有显著的关联,独立于听力损失的测量.
- 之前关于听力损失和抑郁症的研究可能会被混,因为它没有充分考虑声.
- 耳应考虑和控制,以便在未来的研究中调查听力损失和抑郁症之间的联系.
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