Clinical trial NCT06238102: Psychiatric and Cognitive Assessment of Adult Patients With Hearing Impairment
Official title: Psychiatric and Cognitive Assessment of Adult Patients With Hearing Impairment: the Impact on Quality of Life
Study type: OBSERVATIONAL
Overall status: NOT_YET_RECRUITING
Conditions: Hearing Loss
Lead sponsor: Assiut University
Sponsor class: OTHER
First posted: 2024-02-02
Enrollment: 132
Sex: ALL
Minimum age (years): 18
Maximum age (years): 80
Standard ages: ADULT
OLDER_ADULT
Observational model: CASE_CONTROL
Time perspective: RETROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: people with hearing impairment (case) normal people without hearing impairment (control)

Brief summary: 1. Assess the impact of hearing impairment on cognition
2. Evaluate the impact of hearing impairment on mental health
3. Evaluate the impact of hearing impairment on quality of life
4. Assess the relation between hearing loss and psychiatric disorder

Detailed description: Hearing impairment is described as the partial or total loss of hearing ability. On the basis of the severity of the problem hearing impairment can be classified as mild, moderate, severe and profound. Age related hearing impairment is a very common disorder in older adulthood. It is considered as third most prevalent chronic health condition in people over 65 years of age. Hearing impairment in old age typically stems from some pathological changes inside the ear which are related to aging, it may lead to the impairment of low to high frequency hearing. This problem comes up with greater difficulty in listening process that significantly impairs person's ability to communicate with others, which in turn is a serious concern related to the mental health of individual.

It has been reported that adults with hearing loss tend to exhibit more symptoms of depression, anxiety, psychological distress, and emotional sensitivity as compared to people with normal hearing.

Hearing loss poses a serious risk to the mental well-being and overall quality of life in older adults. People may experience diminished self-esteem that in effect leads to the poor mental health and decline in psychological well-being.

Also, recent studies have demonstrated independent associations of hearing loss with incident dementia.

In Egypt such studies are lacking so investigators try to assess the impact of hearing loss on Psychiatry, Cognition and Quality of life by psychiatric interview, psychometric assessment , cognition assessment and quality of life assessment.

the aim is to evaluate the impact of hearing impairment on the above domains in Egypt

Eligibility criteria: Inclusion Criteria:

1. All patients diagnosed with hearing impairment
2. Age : 18 years and above
3. Gender: both sexes are included
4. willing to participate in the study
5. willing and able to provide informed consent

Exclusion Criteria:

1. Patients with intellectual disabilities
2. Patient with previous psychiatric and cognitive disorders
3. Patients with neurological diseases that affect hearing
4. Patients with history of chronic/ significant medical condition

Primary outcomes:
measure: Evaluate the impact of hearing impairment on mental health by using Beck's depression scale
timeFrame: baseline
measure: Evaluate the impact of hearing impairment on cognition by using montreal cognitive assessment
timeFrame: baseline
measure: Evaluate the impact of hearing impairment on quality of life by using hearing handicap inventory for adults
timeFrame: baseline
Secondary outcomes:
Other outcomes:
Locations:
Study officials:
affiliation: Assiut University
name: Hossam eldin khalifa, prof
role: STUDY_DIRECTOR
References:
citation: Iwagami M, Kobayashi Y, Tsukazaki E, Watanabe T, Sugiyama T, Wada T, Hara A, Tamiya N. Associations between self-reported hearing loss and outdoor activity limitations, psychological distress and self-reported memory loss among older people: Analysis of the 2016 Comprehensive Survey of Living Conditions in Japan. Geriatr Gerontol Int. 2019 Aug;19(8):747-754. doi: 10.1111/ggi.13708. Epub 2019 Jun 24.
citation: Shear MK, Vander Bilt J, Rucci P, Endicott J, Lydiard B, Otto MW, Pollack MH, Chandler L, Williams J, Ali A, Frank DM. Reliability and validity of a structured interview guide for the Hamilton Anxiety Rating Scale (SIGH-A). Depress Anxiety. 2001;13(4):166-78.
citation: Lin FR, Metter EJ, O'Brien RJ, Resnick SM, Zonderman AB, Ferrucci L. Hearing loss and incident dementia. Arch Neurol. 2011 Feb;68(2):214-20. doi: 10.1001/archneurol.2010.362.
citation: BECK AT, WARD CH, MENDELSON M, MOCK J, ERBAUGH J. An inventory for measuring depression. Arch Gen Psychiatry. 1961 Jun;4:561-71. doi: 10.1001/archpsyc.1961.01710120031004. No abstract available.
citation: Nasreddine ZS, Phillips NA, Bedirian V, Charbonneau S, Whitehead V, Collin I, Cummings JL, Chertkow H. The Montreal Cognitive Assessment, MoCA: a brief screening tool for mild cognitive impairment. J Am Geriatr Soc. 2005 Apr;53(4):695-9. doi: 10.1111/j.1532-5415.2005.53221.x.
citation: Isaacson B. Hearing loss. Med Clin North Am. 2010 Sep;94(5):973-88. doi: 10.1016/j.mcna.2010.05.003.
citation: Newman CW, Weinstein BE, Jacobson GP, Hug GA. Test-retest reliability of the hearing handicap inventory for adults. Ear Hear. 1991 Oct;12(5):355-7. doi: 10.1097/00003446-199110000-00009.