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
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
Study Type
OBSERVATIONAL
Enrollment
132
measuring hearing impairment to select patients with hearing loss to evaluate who can this hearing impairment affects their quality of life
Evaluate the impact of hearing impairment on mental health by using Beck's depression scale
we will use Beck's depression scale which is a 21-question multiple-choice self-report inventory, one of the most widely used psychometric tests for measuring the severity of depression. The highest possible total for the whole test would besixty-three.the lowest possible score for the test would be zero. High score indicate worse outcome
Time frame: baseline
Evaluate the impact of hearing impairment on cognition by using montreal cognitive assessment
we will use MoCA to assess cognition among people with hearing impairment. MoCA is widely used screening assessment for detecting cognitive impairment. It includes 11 questions with a maximum score of 30,a score of less than 24 indicates mild cognitive impairment
Time frame: baseline
Evaluate the impact of hearing impairment on quality of life by using hearing handicap inventory for adults
the Hearing Handicap Inventory for Adults (HHIA), is a 25-item self-assessment scale composed of two subscales (emotional and social/situational).this scale varies between 0 and 100; the social scale score can vary between 0 and 48 and the emotional scale can vary between 0 and 52. Higher values indicate a greater perception of the auditory handicap.
Time frame: baseline
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