Journal
JOURNAL OF AFFECTIVE DISORDERS
Volume 301, Issue -, Pages 225-232Publisher
ELSEVIER
DOI: 10.1016/j.jad.2022.01.066
Keywords
Depressive symptoms; Vision loss; Hearing loss; Dual sensory loss; Bidirectional associations; Middle-aged and older adults
Categories
Funding
- National Natural Sci-ence Foundation of China [81771938, 91846101, 82003529]
- Beijing Municipal Science & Technology Commission [7212201]
- Beijing Nova Programme Interdisciplinary Cooperation Project [Z191100001119008]
- National Key Research and Development Program of China [2018AAA0102100]
- University of Michigan Health System-Peking University Health Science Center Joint Institute for Translational and Clinical Research [BMU2020JI011]
- PKU-Baidu Fund [2020BD005, 2019BD017]
- Zhejiang Provincial Natural Science Foundation of China [LZ22F020014]
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This study found bidirectional associations between vision loss, hearing loss, and dual sensory loss with depressive symptoms. It suggests the importance of focusing on the mental health of individuals with vision and hearing loss, and recommends regular assessments of vision and hearing in individuals with depressive symptoms.
Background: Most studies on the relationship between sensory loss and depression focus on the unidirectional association between sensory loss and the risk of depression based on cross-sectional designs. The present study aimed to explore the bidirectional longitudinal associations of vison loss (VL),(1) hearing loss (HL),(2) and dual sensory loss (DSL)(3) with depressive symptoms among Chinese population. Methods: A longitudinal study was conducted among 13,690 participants aged 45 years and older over four years. VL, HL, and DSL were identified through self-reporting, and depressive symptoms were assessed using a 10-item Center for Epidemiologic Studies Depression Scale. Multivariable Cox proportional hazards regression models were constructed to estimate the bidirectional associations of VL, HL, and DSL with depressive symptoms. Results: Participants with self-reported VL (HR: 1.14, 95%CI: 1.04-1.24), HL (HR: 1.22, 95%CI: 1.07-1.37), and DSL (HR: 1.27, 95%CI: 1.08-1.49) were associated with higher risk of developing depressive symptoms, compared with those without VL, HL, and DSL, respectively. In comparison with those without depressive symptoms, participants with depressive symptoms in the baseline had higher risk of developing VL (HR: 1.43, 95%CI: 1.33-1.54), HL (HR: 1.49, 95%CI: 1.36-1.63), and DSL (HR: 1.76, 95%CI: 1.59-1.95). Limitations: Sensory loss was defined only based on participants' self-report. Conclusions: Significant bidirectional associations exist between self-reported VL, HL, or DSL and depressive symptoms. The mental health of people with VL and HL should be focused on, and regular assessments of vision and hearing in people with depressive symptoms are recommended.
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