Visual, hearing and dual sensory impairment are associated with higher depression and anxiety in women

Objective: The objective of the study is to examine the association of auditory, vision, and dual sensory impairment with late-life depressive and anxiety symptoms. Method: Our study included 7,507 older adults from the National Health & Aging Trends Study, a nationally representative sample of U.S. Medicare beneficiaries. Auditory and vision impairment were determined by self-report, and depressive and anxiety symptoms were evaluated by the two-item Patient Health Questionnaire (PHQ-2) and two-item Generalized Anxiety Disorder Scale (GAD-2), respectively. Results: Auditory, vision, and dual impairment were associated with an increased risk of depressive and anxiety symptoms in multivariable analyses accounting for sociodemographics, medical comorbidity, and functional impairment. Auditory, vision, and dual impairment were also associated with an increased risk for depressive and anxiety symptoms that persist or were of new onset after 1 year. Discussion: Screening older adults with sensory impairments for depression and anxiety, and screening those with late-life depression and anxiety for sensory impairments, may identify treatment opportunities to optimize health and well-being.

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Prevalence, Associated Factors and Health-related Quality of Life of Dual Sensory Impairment in Residential Care Facilities in Singapore

Ophthalmic Epidemiology ◽

10.1080/09286586.2021.1926515 ◽

2021 ◽

pp. 1-9

Author(s):

Kam Chun Ho ◽

Eva K Fenwick ◽

Preeti Gupta ◽

Alfred Gan ◽

Jenny HY Loo ◽

...

Keyword(s):

Quality Of Life ◽

Associated Factors ◽

Sensory Impairment ◽

Health Related Quality ◽

Residential Care Facilities ◽

Care Facilities ◽

Related Quality ◽

Health Related ◽

Dual Sensory Impairment

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Sensory Loss and Delirium Among Medicare Beneficiaries

Innovation in Aging ◽

10.1093/geroni/igaa057.2890 ◽

2020 ◽

Vol 4 (Supplement_1) ◽

pp. 797-797

Author(s):

Emmanuel Garcia Morales ◽

Nicholas Reed

Keyword(s):

Claims Data ◽

Sensory Deprivation ◽

Vision Impairment ◽

Sensory Loss ◽

Future Research ◽

Sensory Impairment ◽

Medicare Beneficiaries ◽

Increase Risk ◽

The Impact ◽

Dual Sensory Impairment

Abstract Sensory impairment is prevalent among older adults and may increase risk for delirium via mechanisms including sensory deprivation and poor communication which may result in confusion and agitation. In the Medicare Current Beneficiary Study (MCBS), delirium was measured using a validated algorithm of claims data. Sensory impairment was defined as any self-reported trouble hearing or seeing, with the use of aids, and was categorized as no impairment, hearing impairment only (HI), vision impairment only (VI), and dual sensory impairment (DSI). Among, 3,240 hospitalized participants in 2016-2017, 346 (10.7%) experienced delirium. In a model adjusted for socio-demographic and health characteristics, those with HI only, VI only, and DSI had 0.84 (95% CI: 0.6-1.3), 1.1 (95% CI 0.7-1.7), and 1.5 (95% CI 1.0-2.1) times the odds of experiencing delirium compared to those without sensory impairment. Future research should focus on mechanisms underlying association and determine the impact of treatment of sensory loss.

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Satisfaction With Health Care by Dual Sensory Impairment Status

Innovation in Aging ◽

10.1093/geroni/igaa057.2892 ◽

2020 ◽

Vol 4 (Supplement_1) ◽

pp. 798-798

Author(s):

Lama Assi ◽

Ahmed Shakarchi ◽

Bonnielin Swenor ◽

Nicholas Reed

Keyword(s):

Quality Of Care ◽

Healthcare Providers ◽

Health Determinants ◽

Sensory Impairment ◽

Medicare Beneficiaries ◽

The Past ◽

Patient Provider Communication ◽

Care Satisfaction ◽

Dual Sensory Impairment

Abstract Sensory impairment is a barrier to patient-provider communication and access to care, which may impact satisfaction with care. Satisfaction with the quality of care received in the past year was assessed in the 2017 Medicare Current Beneficiary Survey (weighted sample=53,905,182 Medicare beneficiaries). Self-reported sensory impairment was categorized as no sensory impairment, hearing impairment (HI)-only, vision impairment (VI)-only, and dual sensory impairment (DSI) – concurrent HI and VI. In a model adjusted for sociodemographic characteristics and health determinants, having DSI was associated with higher odds of dissatisfaction with the quality of care received (Odds Ratio [OR]=1.53, 95%Confidence Interval [CI]=1.14-2.06) relative to no sensory impairment; however, having HI-only or VI-only were not (OR=1.33, 95%CI=1.94-1.89, and OR=1.32, 95%CI=0.95-1.93, respectively). These findings have implications for healthcare providers as Medicare shifts to value-based reimbursement. Moreover, previous work that singularly focused on HI or VI alone may have failed to recognize the compounded effect of DSI.

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Effects of self-reported hearing or vision impairment on depressive symptoms: a population-based longitudinal study

Epidemiology and Psychiatric Sciences ◽

10.1017/s2045796018000045 ◽

2018 ◽

Vol 28 (03) ◽

pp. 343-355 ◽

Cited By ~ 16

Author(s):

J. H. Han ◽

H. J. Lee ◽

J. Jung ◽

E.-C. Park

Keyword(s):

Depressive Symptoms ◽

Longitudinal Study ◽

Hearing Impairment ◽

Age Groups ◽

Estimating Equation ◽

Population Based ◽

Vision Impairment ◽

Sensory Impairment ◽

Related Factors ◽

Dual Sensory Impairment

Aims.The aims of this study were to investigate the effects of either hearing, vision or dual sensory impairment on depressive symptoms and to identify subgroups that are vulnerable and significantly affected.Methods.Data from the 2006–2014 Korean Longitudinal Study of Aging (KLoSA) were used and a total of 5832 individuals were included in this study. Depressive symptoms were assessed using the Center for Epidemiologic Studies Depression (CES-D10) scale. Sensory impairment was assessed according to the levels of self-reported hearing or vision, which were categorised as either good (excellent, very good or good) or poor (fair or poor). The changes in hearing or vision from records of previous survey were investigated. Changes from good to poor, which indicates new onset, were defined as hearing impairment or vision impairment. Interactions of changes in hearing and vision were considered in the analysis. Dual sensory impairment was indicated when hearing impairment and vision impairment both developed at the same time. Demographic, socioeconomic and health-related factors were considered as potential confounders and were adjusted for in the generalised estimating equation model.Results.Individuals with hearing impairment demonstrated significantly more severe depressive symptoms [β = 0.434, standard errors (s.e.) = 0.097, p < 0.001] than those who had good hearing. Those with vision impairment also showed significantly elevated depressive symptoms (β = 0.253, s.e. = 0.058, p < 0.001) than those with good vision. When the interactions between hearing and vision were considered, participants with dual sensory impairment showed significantly more severe depressive symptoms (β = 0.768, s.e. = 0.197, p < 0.001) than those with good hearing and vision. The effect of a single and dual sensory impairment on depressive symptoms was significant in both sexes and across age groups, except for vision impairment in male participants.Conclusions.Hearing, vision and dual sensory impairment are significantly associated with depressive symptoms. Our results suggest that treatment or rehabilitation of either hearing or vision impairment would help prevent depression.

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