Voice Disorders and Hearing Loss May Be Additive Risk Factors for Depression in a National Cohort

Objectives Hearing loss (HL) (receptive communication impairment) is a known risk factor for depression. However, dysphonia (expressive communication impairment), has received little study. We study HL, self‐reported voice disorder, and combined impairment as risk factors for depression in a large n...

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Bibliographic Details
Published in:The Laryngoscope 2024-09, Vol.134 (9), p.4060-4065
Main Authors: Rameau, Anaïs, Tucker, Lauren H., Denham, Michael W., Kang, Yung Jee, Choi, Nayeon, Lachs, Mark, Rosen, Tony Ehren, Stewart, Michael, Czaja, Sara, Golub, Justin S.
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Cohort Studies
Communication
Cross-Sectional Studies
depression
Depression - epidemiology
Depression - etiology
dysphonia
Female
Hearing loss
Hearing Loss - epidemiology
Hearing Loss - etiology
Hearing Loss - psychology
Humans
Male
Middle Aged
Nutrition Surveys
Republic of Korea - epidemiology
Risk Factors
Self Report
Voice Disorders - epidemiology
Voice Disorders - etiology
Voice Disorders - psychology
Young Adult
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Summary:Objectives Hearing loss (HL) (receptive communication impairment) is a known risk factor for depression. However, dysphonia (expressive communication impairment), has received little study. We study HL, self‐reported voice disorder, and combined impairment as risk factors for depression in a large national cohort. Methods This was a cross‐sectional epidemiologic study. Data were analyzed from the Korean National Health and Nutrition Examination Survey (KNHANES) cycles 2008–2012 and 2019–2020. KNHANES uniquely contains both audiometry and voice disorder data. HL (yes/no) was defined as ≥25 dB pure tone average. Voice disorder (yes/no) was defined by self‐report. Depression (yes/no) was defined by physician diagnosis. Odds ratios for depression were calculated using multivariable logistic regressions with HL and voice disorder. Results 8,524 individuals aged 19 to 80 years old had complete data. The mean age was 57.3 years (SD = 13.4) and 64% were women. All regressions were controlled for age and sex. Those with HL, versus those without, had 1.27 times the odds (95% CI = 1.07–1.52, p = 0.007) of depression. Those with self‐reported voice disorder, versus those without, had 1.48 times the odds (1.22–1.78, p 
ISSN:0023-852X
1531-4995
1531-4995
DOI:10.1002/lary.31536