Anxiety,Depression and Stress in Presbycusis

LIU Yang; SONG Zhuxuan; BAO Yiqi; CUI Na; ZHU Xuewei

doi:10.3969/j.issn.1672-2922.2025.01.006

Abstract：Objective To report anxiety,depression,and stress in elderly patients with sensorineural hearing loss,and the influence by bilateral hearing loss on the stress,anxiety and depression.Methods This was a retrospective study involving 30 patients with sensorineural hearing loss(study group)who were treated at the Department of Otolaryngology-Head and Neck Surgery,Sino-Japanese Friendship Hospital of Jilin University,from September 2021 to December 2022,and 30 elderly individuals with normal hearing(control group)who were seen during the same period.The Depression Anxiety Stress Scale-21(DASS-21)and Hamilton Depression Scale-17(HDRS-17)were used to assess depression,anxiety and stress levels,and compared between the study and control groups.The correlations between speech recognition scores(SRS)and depression,anxiety,and stress were analyzed in the study group.Results More patients in the study group showed depression,anxiety,stress than the control group of DASS-21(P<0.05).More patients in the study group showed depression than in the control group of HDRS-17(P<0.05).More patients in patients without tinnitus showed depression,anxiety,stress than the control group(P<0.05).Depression,anxiety and stress were negatively correlated with SRS scores(P<0.05)in the observed group,but not with the pattern of hearing loss(P>0.05).Conclusion Elderly patients with sensorineural hearing loss are more prone to have anxiety,depression and stress than elderly individuals with normal hearing.Early intervention should be provided for these patients,with effective communication to improve their emotional wellbeing.