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

2018 ◽  
Vol 28 (03) ◽  
pp. 343-355 ◽  
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.

scholarly journals IMPACT OF DUAL SENSORY IMPAIRMENT ON HEALTH CARE INTERACTION

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S44-S44
Author(s):  
Bonnielin Swenor ◽  
Bonnielin Swenor ◽  
Yasmeen Alshabasy ◽  
Emily Pedersen ◽  
Jennifer Deal ◽  
...  
Keyword(s):  
Health Care ◽  
Hearing Impairment ◽  
Odds Ratio ◽  
Vision Impairment ◽  
Sensory Impairment ◽  
Medicare Beneficiaries ◽  
Physician Visits ◽  
Using Data ◽  
The Relationship ◽  
Dual Sensory Impairment

Abstract Using data from 46,029,364 Medicare beneficiaries included in the 2015 Current Beneficiary Survey (MCBS), we examined the relationship between dual sensory impairment (DSI) – concurrent vision impairment (VI) and hearing impairment (HI) – and accompaniment to physician visits. Analyses examined reasons for accompaniment and self-reported sensory impairment was categorized as: no sensory impairment (89%), hearing impairment (HI) only (5%), vision impairment only (4%), and DSI (1%). There was no difference in odds of accompaniment among HI compared to those without sensory impairment (odds ratio [OR] = 1.04; 95% Confidence Interval [CI]: 0.84,1.29); however, VI and DSI were associated with accompaniment: (OR=2.14; [CI]:1.6,2.8 and [OR]= 2.70; [CI]:1.55,4.72, respectively). Our study further demonstrates that older adults with sensory impairment are accompanied to physician visits more often than those without sensory impairment, and transportation is the most frequently reported reason for accompaniment among adults with VI and communication for those with HI.

scholarly journals Sensory Loss and Delirium Among Medicare Beneficiaries

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.

scholarly journals Sensory Loss and the Healthcare System: Outcomes and Navigation

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 797-797
Author(s):  
Nicholas Reed ◽  
Charlotte Yeh
Keyword(s):  
Health Care ◽  
Hearing Impairment ◽  
Hearing Aids ◽  
Quality Care ◽  
Vision Impairment ◽  
Sensory Loss ◽  
Sensory Impairment ◽  
Age Related ◽  
Increased Risk ◽  
National Quality

Abstract Communication is fundamental to patient-centered care. However, sensory impairment limits communication among older adults. Specifically, hearing impairment strains communication via degraded auditory encoding while vision impairment distresses ability to read and interpret visual cues. The presence of dual sensory impairment, defined as concurrent hearing and vision impairment, may exacerbate these effects. The potential consequence s of age-related sensory loss on health care interactions and outcomes are beginning to surface in epidemiologic studies demonstrating poorer patient-provider communication, higher medical expenditures, increased risk of 30-day readmission, and longer length of stay when compared to individuals without sensory loss. Importantly, these associations may be amenable to intervention via sensory aids; however, uptake to sensory care is low. Notably, less than 20% of persons with hearing impairment have hearing aids and over 55% of Medicare Beneficiaries with reported vision problems have not had an eye examination in the prior year. Affordability and access may contribute to lack of sensory care uptake as Medicare explicitly excludes coverage of vision and hearing services. In this symposium, we will review current and new evidence for whether sensory loss affects health care outcomes, including satisfaction with care, incident delirium during hospitalization, navigation of Medicare, and present data on how persons with sensory loss are more likely to delay their care independent of cost and insurance factors suggesting fundamental changes in health care system interaction. We will place these results within the context of current national quality care and policy initiatives and review methods to address sensory loss.

Mental Health and Well-Being Among Individuals With a Sensory Loss During COVID-19 Lockdown Measures

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 409-409
Author(s):  
Natascha Merten ◽  
Amy Schultz ◽  
Matthew Walsh ◽  
Suzanne van Landingham ◽  
Paul Peppard ◽  
...  
Keyword(s):  
Mental Health ◽  
Hearing Impairment ◽  
Mental Health Problems ◽  
Well Being ◽  
Vision Impairment ◽  
Sensory Loss ◽  
Future Research ◽  
Sensory Impairment ◽  
Psychological Well Being ◽  
Health And Well Being

Abstract Hearing and vision impairment are highly prevalent chronic conditions and are associated with poorer mental health and well-being. Mental health problems may be exacerbated by COVID-19-related lockdown measures and limitations of in-person contacts may affect those with sensory impairments more severely. We aimed to determine whether hearing and/or visual impairment were associated with worse mental health and psychological well-being during lockdown measures in Spring/Summer 2020 in Wisconsin. We included 1341 (64% women, aged 20-92 years) Survey of the Health of Wisconsin participants of a COVID-19 survey (May-June, 2020). We assessed self-reported current mental health and psychological well-being and vision and hearing impairment. Logistic regression models with vision and hearing impairments as determinants and multiple mental health and well-being outcomes were used and adjusted for age, gender, race, education, heart disease, hypertension, hyperlipidemia and diabetes. In preliminary analyses, we found associations of vision impairment with increased odds of generalized anxiety disorder (odds ratio=2.10; 95% confidence interval=1.32-3.29) and depression (2.57; 1.58-4.11). Individuals with a vision impairment were more likely to be taking medication for depression (1.75; 1.13-2.68), report being lonely (1.65; 1.00-2.64) and report hopelessness (1.45; 1.01-2.08). Individuals with a hearing impairment were more likely to be taking depression medications (1.72; 1.07-2.73) and to report being lonely (1.80; 1.05-2.98). Sensory impairment was not associated with stress levels or sense of purpose in life. Individuals with sensory impairment may represent a particularly vulnerable population during the COVID-19 pandemic. Future research should determine underlying reasons and interventions to mitigate this populations’ disadvantages.

scholarly journals Dual sensory impairment: The association between glaucomatous vision loss and hearing impairment and function

PLoS ONE ◽  
2018 ◽  
Vol 13 (7) ◽  
pp. e0199889 ◽  
Author(s):  
Lucy I. Mudie ◽  
Varshini Varadaraj ◽  
Prateek Gajwani ◽  
Beatriz Munoz ◽  
Pradeep Ramulu ◽  
...  
Keyword(s):  
Hearing Impairment ◽  
Vision Loss ◽  
Sensory Impairment ◽  
And Function ◽  
Dual Sensory Impairment

scholarly journals Common mental illness in people with sensory impairment: results from the 2014 adult psychiatric morbidity survey

BJPsych Open ◽  
2019 ◽  
Vol 5 (6) ◽  
Author(s):  
Natalie Shoham ◽  
Gemma Lewis ◽  
Sally McManus ◽  
Claudia Cooper
Keyword(s):  
Social Functioning ◽  
Hearing Impairment ◽  
Structural Equation ◽  
Psychiatric Morbidity ◽  
Anxiety Symptoms ◽  
Vision Impairment ◽  
Psychological Morbidity ◽  
Secondary Outcome ◽  
Sensory Impairment ◽  
Increased Risk

Background People with sensory impairments may be at increased risk of depression and anxiety but experience barriers to accessing treatment. Aims To investigate whether people with sensory impairment have more depressive and anxiety symptoms than people without, whether this is mediated by social functioning and whether they report greater non-treatment. Method We analysed data from the English 2014 Adult Psychiatric Morbidity Survey using regression models, with the Clinical Interview Schedule-Revised (CIS-R) score as the primary outcome and self-reported hearing and vision impairment as exposures. A secondary outcome was self-reported receipt of mental health diagnosis and treatment. We used structural equation modelling to assess for mediation by social functioning. Results A total of 19.0% of people with hearing impairment, and 30.9% and 24.5% with distance and near visual impairments, respectively, had clinically significant psychological morbidity. Adjusted mean CIS-R score was 1.86 points higher in people with hearing impairment compared with those without (95% CI 1.30–2.42, P<0.001). People with distance and near vision impairment had mean CIS-R scores 3.61 (95% CI 2.58–4.63, P<0.001) and 2.74 (95% CI 2.12–3.37, P<0.001) points higher, respectively, than those without. Social functioning accounted for approximately 50% of these relationships between sensory impairment and psychological morbidity. We found no evidence of an increased treatment gap for people with sensory impairment. Conclusions Social functioning, a potentially modifiable target, may mediate an association between sensory impairment and depressive and anxiety symptoms.

scholarly journals Subjective Age in the Oldest Old: What is the Association with Disability and Sensory Impairment?

2020 ◽  
Vol 31 (04) ◽  
pp. 257-261
Author(s):  
Sarah Schroyen ◽  
Céeline Meillon ◽  
Manon Marquet ◽  
Jean-François Dartigues ◽  
Karine Pérès ◽  
...  
Keyword(s):  
Hearing Impairment ◽  
Functional Disability ◽  
Strong Predictor ◽  
Oldest Old ◽  
Multiple Linear Regression Model ◽  
Population Based ◽  
Sensory Impairment ◽  
Subjective Age ◽  
Data Collection And Analysis ◽  
Health Related

Abstract Background and Purpose Disability and sensory impairment are particularly pronounced among the oldest old population (80 years and older). Considering these specificities, we analyzed the association of such parameters with subjective age, a strong predictor of health-related outcomes. We assumed that greater disability and sensory impairment (hearing and visual) would be linked with an older subjective age. Research Design Prospective population-based study. Study Sample Data were gathered from the 27th year follow-up of the PAQUID cohort, visit where the question on subjective age was collected. Our sample included 75 participants older than 93 years, with a mean age of 96 years. Data Collection and Analysis Disability was assessed with Activities of Daily Living and sensory impairments by asking participants if they have visual or hearing difficulties. A multiple linear regression model was performed with subjective age as the dependent variable. Independent variables were functional disability and visual and hearing impairments. Results On average, the participants felt 12 years younger than their actual age. Multiple regression analyses controlled for age, gender, education, depression, and dementia indicated that self-reported hearing loss (p = 0.03) was associated with an older subjective age, whereas no significant associations were observed for disability (p = 0.42) and self-reported visual loss (p = 0.18). Conclusions Hearing impairment, in contrast to visual impairment and disability, is associated with feeling older. These results are discussed in light of health consequences and age stigma carried by hearing impairment.

Treating the Elderly Patient with Acute Myelogenous Leukemia

Hematology ◽  
2010 ◽  
Vol 2010 (1) ◽  
pp. 62-69 ◽  
Author(s):  
Selina M. Luger
Keyword(s):  
Elderly Patient ◽  
Acute Myelogenous Leukemia ◽  
Intensive Therapy ◽  
Age Groups ◽  
The Elderly ◽  
Population Based ◽  
Myelogenous Leukemia ◽  
Best Interest ◽  
Related Factors ◽  
Acute Myelogenous

Abstract Decisions regarding the optimal treatment of acute myelogenous leukemia in the elderly patient requires the consideration of multiple factors. Population-based studies have demonstrated that, for all age groups, aggressive therapy results in improved survival and quality of life when compared with palliative care. The optimal induction and postremission regimen for older patients has yet to be determined. Furthermore, not all patients are candidates for such therapy. Consideration of patient and disease-related factors can help to determine the appropriateness of intensive therapy in a given patient. For those patients for whom aggressive induction therapy does not seem to be in their best interest, novel agents are being investigated that will hopefully address the issues of induction death and early relapse associated with these patient populations.

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