Browse > Article

The Effect of Visual and Hearing Impairment on Depression and Cognitive Function in Community-dwelling Elderly : The Korean Longitudinal Study of Aging 2008  

Kim, Hee-Jeong (Division of Nursing Science, Ewha Womans University)
Kim, Bo-Hye (Division of Nursing Science, Ewha Womans University)
Kim, Ok-Soo (Division of Nursing Science, Ewha Womans University)
Publication Information
Korean Journal of Adult Nursing / v.23, no.6, 2011 , pp. 584-594 More about this Journal
Abstract
Purpose: The purpose of this study was to identify the prevalence of visual and hearing impairment and to investigate the effect of visual and hearing impairment on depression and cognitive function in community-dwelling Korean elderly. Methods: The study population consisted of a representative community sample of 4,028 persons aged 65 and older from the Korean Longitudinal Study of Aging 2008. Depression and cognitive function were measured by CES-D 10-item scale and K-MMSE. Visual and hearing impairment were measured by 5-Likert scale. Data were analyzed using Rao-Scott ${\chi}^2$-test, simple and multiple logistic regression. Results: The prevalence of visual and hearing impairment were 37.3% and 14.0%, respectively. Of the participants, the prevalence of depression was 58.4% and cognitive impairment was 50.6%. There were significant differences in depression and cognitive function according to visual and hearing impairment. Far vision and hearing impairment were predictors for both depression and cognitive impairment even after covariates had been adjusted. Conclusion: These data suggest that visual and hearing impairment in older adults may increase their probability of experiencing depression and cognitive impairment. Thus sensory impairment should be considered a risk factor for mental health and the cognitive function of elderly.
Keywords
Aged; Vision; Hearing; Depression; Cognition;
Citations & Related Records
Times Cited By KSCI : 1  (Citation Analysis)
연도 인용수 순위
1 Bagai, A., Thavendiranathan, P., & Detsky, A. S. (2006). Does this patient have hearing impairment? JAMA: The Journal of the American Medical Association, 295 (4), 416-428.
2 Bakke, M. H., Bernstein, C. M., Bally, S. J., & Pray, J. L. (2008). Managing hearing loss in older adults. In M. Alwan & R. A. Felder(ed.), Eldercare technology for clinical practitioners (pp. 143-185). Totowa, NJ: Humana Press.
3 Bennett, D. A., Schneider, J. A., Tang, Y., Arnold, S. E., & Wilson, R. S. (2006). The effect of social networks on the relation between Alzheimer's disease pathology and level of cognitive function in old people: A longitudinal cohort study. Lancet Neurology, 5, 406-412.
4 Bernabei, V., Morini, V., Moretti, F., Marchiori, A., Ferrari, B., Dalmonte, E., et al. (2011). Vision and hearing impairments are associated with depressive-anxiety syndrome in Italian elderly. Aging & Mental Health, 15 (4), 467-474.
5 Caban, A. J., Lee, D. J., Gomez-Marin, O., Lam, B. L., & Zheng, D. D. (2005). Prevalence of concurrent hearing and visual impairment in US adults: The National Health Interview Survey, 1997-2002. American Journal of Public Health, 95 (11), 1940-1942.
6 Chou, K. L. (2008). Combined effect of vision and hearing impairment on depression in older adults: Evidence from the English Longitudinal Study of Ageing. Journal of Affective Disorders, 106, 191-196.   DOI
7 Clemons, T. E., Rankin, M. W., & McBee, W. L. (2006). Cognitive impairment in the age-related eye disease study: AREDS Report No. 16. Archives of Ophthalmology, 124 (4), 537-543.   DOI
8 Dalle Carbonare, L., Maggi, S., Noale, M., Giannini, S., Rozzini, R., Lo Cascio, V., et al. (2009). Physical disability and depressive symptomatology in an elderly population: A complex relationship. The Italian Longitudinal Study on Aging(ILSA). American Journal of Geriatric Psychiatry, 17 (2), 144-154.   DOI
9 Fischer, M. E., Cruickshanks, K. J., Klein, B. E. K., Klein, R., Schubert, C. R., & Wiley, T. L. (2009). Multiple sensory impairment and quality of life. Ophthalmic Epidemiology, 16 (6), 346-353.
10 Folstein, M. F., Folstein, S. E., & McHugh, P. R. (1975). "Mini-mental state." A practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12, 189-198.
11 Heine, C., & Browning, C. J. (2002). Communication and psychosocial consequences of sensory loss in older adults: Overview and rehabilitation directions. Disability and Rehabilitation, 24 (15), 763-773.
12 Kang, Y., Na, D. L., & Hahn, S. (1997). A validity study on the Korean Mini-Mental State Examination(K-MMSE) in dementia patients. Journal of the Korean Neurological Association, 15, 300-308.
13 Irwin, M., Artin, K. H., & Oxman, M. N. (1999). Screening for depression in the older adult: Criterion validity of the 10-item Center for Epidemiological Studies Depression Scale(CES-D). Archives of Internal Medicine, 159, 1701-1704.
14 Ishii, K., Kabata, T., & Oshika, T. (2008) The impact of cataract surgery on cognitive impairment and depressive mental status in elderly patients. American Journal of Ophthalmology, 146, 404-409.
15 Jeon, E. Y. (2009). Functional status and long-term care services for the community-dwelling low-income elderly. The Korean Journal of Rehabilitation Nursing, 12 (2), 92-101.
16 Lee, Y., & Shinkai, S. (2005). Correlates of cognitive impairment and depressive symptoms among older adults in Korea and Japan. International Journal of Geriatric Psychiatry, 20, 576-586.
17 Li, Y., Crews, J. E., Elam-Evans, L. D., Fan, A. Z., Zhang, X., Elliott, A. F., et al. (2011). Visual impairment and health-related quality of life among elderly adults with age-related eye diseases. Quality of Life Research, 20, 845-852.
18 Lin, F. R. (2011). Hearing loss and cognition among older adults in the United States. The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences, 66, 1131-1136.
19 Missotten, P., Squelard, G., Ylieff, M., Di Notte, D., Paquay, L., De Lepeleire, J., et al. (2008). Quality of life in older Belgian people: Comparison between people with dementia, mild cognitive impairment, and controls. International Journal of Geriatric Psychiatry, 23, 1103-1109.
20 Patino, C. M., McKean-Cowdin, R., Azen, S. P., Allison, J. C., Choudhury, F., & Varma, R. (2010). Central and peripheral visual impairment and the risk of falls and falls with injury. Ophthalmology, 117 (2), 199-214.
21 Radloff, L. S. (1977). The CES-D scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1, 385-401.   DOI
22 Schoevers, R. A., Geerlings, M. I., Deeg, D. J. H., Holwerda, T. J., Jonker, C., & Beekman, A. T. F. (2009). Depression and excess mortality: Evidence for a dose response relation in community living elderly. International Journal of Geriatric Psychiatry, 24, 169-176.
23 Resnikoff, S., Pascolini, D., Etya'ale, D., Kocur, I., Pararajasegaram, R., Pokharel, G. P., et al. (2004). Global data on visual impairment in the year 2002. Bulletin of the World Health Organization, 82 (11), 844-851.
24 Saito, H., Nishiwaki, Y., Michikawa, T., Kikuchi, Y., Mizutari, K., Takebayashi, T., et al. (2010). Hearing handicap predicts the development of depressive symptoms after 3 years in older community-dwelling Japanese. Journal of the American Geriatrics Society, 58 (1), 93-97.
25 Schneider, J., Gopinath, B., Karpa, M. J., McMahon, C. M., Rochtchina, E., Leeder, S. R., et al. (2010). Hearing loss impacts on the use of community and informal supports. Age and Ageing, 39, 458-464.
26 Steffens, D. C., Fisher, G. G., Langa, K. M., Potter, G. G., & Plassman, B. L. (2009). Prevalence of depression among older Americans: The Aging, Demographics and Memory Study. International Psychogeriatrics, 21 (5), 879-888.
27 Strawbridge, W. J., Wallhagen, M. I., Shema, S. J., & Kaplan, G. A. (2000). Negative consequences of hearing impairment in old age: A longitudinal analysis. The Gerontologist, 40 (3), 320-326.
28 Tervo, S., Kivipelto, M., Hannine, T., Vanhanen, M., Hallikainen, M., Mannermaa, A., et al. (2004). Incidence and risk factors for mild cognitive impairment: A population- based three-year follow-up study of congnitively healthy elderly subjects. Dementia and Geriatric Cognitive Disorders, 17, 196-203.
29 Tooth, L., Russell, A., Lucke, J., Byrne, G., Lee, C., Wilson, A., et al. (2008). Impact of cognitive and physical impairment on carer burden and quality of life. Quality of Life Research, 17, 267-273.
30 Wallhagen, M. I. (2009). The stigma of hearing loss. The Gerontologist, 50 (1), 66-75.