Age-Related Hearing Loss, Cognitive Decline, and Social Interaction: Testing a Framework.

Purpose: Aging increases risk for hearing loss, cognitive decline, and social isolation; however, the nature of their interconnection remains unclear. This study examined the interplay between age-related hearing loss, cognitive decline, and social isolation in adults by testing the ability to under...

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Publicado en:Journal of Speech, Language & Hearing Research Vol. 67; no. 8; pp. 2743 - 2761
Autores principales: Arjmandi, Meisam K., Neils-Strunjas, Jean, Nemati, Samaneh, Fridriksson, Julius, Newman-Norlund, Sarah, Newman-Norlund, Roger, Bonilha, Leonardo
Formato: Artículo
Publicado: American Speech-Language-Hearing Association Aug2024
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Acceso en línea:Ver este registro en EBSCOhost
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      dt: Aug2024
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      pub: American Speech-Language-Hearing Association
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        10.1044/2024_JSLHR-23-00810
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        atl: Age-Related Hearing Loss, Cognitive Decline, and Social Interaction: Testing a Framework.
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          Arjmandi, Meisam K.
          Neils-Strunjas, Jean
          Nemati, Samaneh
          Fridriksson, Julius
          Newman-Norlund, Sarah
          Newman-Norlund, Roger
          Bonilha, Leonardo
        affil:
          Department of Communication Sciences and Disorders, University of South Carolina, Columbia
          Institute for Mind and Brain, University of South Carolina, Columbia
          Department of Neurology, University of South Carolina, Columbia
      su:
        South Carolina
        Cross-sectional method
        Interpersonal relations
        Social isolation
        Noise
        Research funding
        Questionnaires
        Audiometry
        Descriptive statistics
        Presbycusis
        Longitudinal method
        Cognition disorders
        Speech perception
        Confidence intervals
        Data analysis software
      sug:
        subj:
          Cross-sectional method
          Interpersonal relations
          Social isolation
          South Carolina
          Noise
          Research funding
          Questionnaires
          Audiometry
          Descriptive statistics
          Presbycusis
          Longitudinal method
          Cognition disorders
          Speech perception
          Confidence intervals
          Data analysis software
      ab: Purpose: Aging increases risk for hearing loss, cognitive decline, and social isolation; however, the nature of their interconnection remains unclear. This study examined the interplay between age-related hearing loss, cognitive decline, and social isolation in adults by testing the ability to understand speech in background noise, a challenge frequently reported by many older adults. Method: We analyzed data collected from 128 adults (20-79 years of age, Mage = 51 years) recruited as part of the Aging Brain Cohort at the University of South Carolina repository. The participants underwent testing for hearing, cognition, and social interaction, which included pure-tone audiometry, a words-in-noise (WIN) test, a hearing questionnaire (Speech, Spatial and Qualities of Hearing Scale [SSQ12]), a social questionnaire (Patient-Reported Outcomes Measurement Information System-57 Social), and the Montreal Cognitive Assessment. We used a single pure-tone average (PTA) threshold value and a single WIN threshold value for each participant because there were no differences on average between the left and right ears. Results: Poorer hearing was significantly associated with cognitive decline, through both PTA and WIN thresholds, with a stronger association observed for WIN threshold. Adults with poorer hearing also exhibited greater social isolation, as evidenced by their WIN threshold and SSQ12 score, although not through PTA. This connection was more pronounced with the WIN threshold than with the SSQ12 score. Cognition was not related to social isolation, suggesting that social isolation is affected more by the ability to understand words in noise than by cognition in a nondemented population. Conclusions: Understanding speech in challenging auditory environments rather than mere threshold detection is strongly linked to social isolation and cognitive decline. Thus, inclusion of a word-recognition-in-noise test and a social isolation survey in clinical settings is warranted.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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