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Dual sensory loss and depressive symptoms: the importance of hearing, daily functioning and activity engagement

Kiely, Kim M; Luszcz, Mary A; Anstey, Kaarin

Description

Background: The association between dual sensory loss (DSL) and mental health has been well established. However, most studies have relied on self-report data and lacked measures that would enable researchers to examine causal pathways between DSL and depression. This study seeks to extend this research by examining the effects of DSL on mental health, and identify factors that explain the longitudinal associations between sensory loss and depressive symptoms. Methods: Piecewise linear-mixed...[Show more]

dc.contributor.authorKiely, Kim M
dc.contributor.authorLuszcz, Mary A
dc.contributor.authorAnstey, Kaarin
dc.date.accessioned2014-02-17T22:31:57Z
dc.date.available2014-02-17T22:31:57Z
dc.identifier.issn1662-5161
dc.identifier.urihttp://hdl.handle.net/1885/11364
dc.description.abstractBackground: The association between dual sensory loss (DSL) and mental health has been well established. However, most studies have relied on self-report data and lacked measures that would enable researchers to examine causal pathways between DSL and depression. This study seeks to extend this research by examining the effects of DSL on mental health, and identify factors that explain the longitudinal associations between sensory loss and depressive symptoms. Methods: Piecewise linear-mixed models were used to analyze 16-years of longitudinal data collected on up to five occasions from 1611 adults (51% men) aged between 65 and 103 years. Depressive symptomswere assessed by the Centre for Epidemiological Studies Depression (CES-D).Vision loss (VL)was defined by corrected visual acuity >0.3 logMAR in the better eye, blindness, or glaucoma. Hearing loss (HL)was defined by pure-tone average (PTA) >25 dB in the better hearing ear. Analyses were adjusted for socio-demographics, medical conditions, lifestyle behaviors, activities of daily living (ADLs), cognitive function, and social engagement. Results: Unadjusted models indicated that higher levels of depressive symptoms were associated with HL (B D1.16, SED0.33) and DSL (B D2.15, SED0.39) but not VL. Greater rates of change in depressive symptoms were also evident after the onset of HL (B D0.16, SED0.06, p <0.01) and DSL (B D0.30, SED0.09, p <0.01). The associations between depressive symptoms and sensory loss were explained by difficulties with ADLs, and social engagement. Conclusion:Vision and HL are highly prevalent among older adults and their co-occurrence may compound their respective impacts on health, functioning, and activity engagement, thereby exerting strong effects on the mental health and wellbeing of those affected.There is therefore a need for rehabilitation programs to be sensitive to the combined effects of sensory loss on individuals.
dc.format13 pages
dc.publisherFrontiers
dc.rights"This Document is Protected by copyright and was first published by Frontiers. All rights reserved. it is reproduced with permission". http://www.sherpa.ac.uk/romeo/issn/1662-5161/author can archive pre-print (ie pre-refereeing); author can archive publisher's version/PDF.
dc.sourceFrontiers in human neuroscience 7.837 (2013): 1-13
dc.subjectdepression
dc.subjectmental health
dc.subjectdual sensory loss
dc.subjectaging
dc.subjecthearing loss
dc.subjectvisual impairment
dc.subjectAustralian Longitudinal Study of Aging
dc.titleDual sensory loss and depressive symptoms: the importance of hearing, daily functioning and activity engagement
dc.typeJournal article
local.identifier.citationvolume7
dc.date.issued2013-12-16
local.identifier.absfor110906 - Sensory Systems
local.identifier.ariespublicationu4056230xPUB239
local.publisher.urlhttp://www.frontiersin.org/
local.type.statusPublished Version
local.contributor.affiliationKiely, Kim M, Centre for Research on Ageing, Health and Wellbeing, Australian National University
local.contributor.affiliationAnstey, Kaarin J, Centre for Research on Ageing, Health and Wellbeing, Australian National University
dc.relationhttp://purl.org/au-research/grants/nhmrc/410215
dc.relationhttp://purl.org/au-research/grants/nhmrc/1002560
local.bibliographicCitation.issueDEC
local.bibliographicCitation.startpage1
local.bibliographicCitation.lastpage13
local.identifier.doi10.3389/fnhum.2013.00837
local.identifier.absseo920112 - Neurodegenerative Disorders Related to Ageing
dc.date.updated2015-12-09T08:50:57Z
local.identifier.scopusID2-s2.0-84890832532
local.identifier.thomsonID000328582900001
CollectionsANU Research Publications

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