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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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| Published in: | The Laryngoscope 2024-09, Vol.134 (9), p.4060-4065 |
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| container_end_page | 4065 |
| container_issue | 9 |
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| container_title | The Laryngoscope |
| container_volume | 134 |
| creator | 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. |
| description | 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 |
| doi_str_mv | 10.1002/lary.31536 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_3061136855</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3089816881</sourcerecordid><originalsourceid>FETCH-LOGICAL-c2466-63b409890cc7faa886f6c22ac199d54935c90e67fcb0248c992584223bcd3773</originalsourceid><addsrcrecordid>eNp90E9LwzAAh-EgipvTix9AAl5E6MyfJk2Oc3NOmApjiJ5KlqYa7ZqZdMq-vZmbHjx4SiAPP8ILwDFGXYwQuaiUX3UpZpTvgHY8cJJKyXZBOz7SRDDy2AIHIbwihDPK0D5oUSFQymnWBurBWW3gwAbnC-MDVHUBR0Z5Wz_DsQsB3qoVvDSwVxS2sR8GTmx4g0OlGxd16TwcmIU3IVhXQ1tDBe9UE--qgn334nxzCPZKVQVztD07YDq8mvZHyfj--qbfGyeapJwnnM5SJIVEWmelUkLwkmtClMZSFiyVlGmJDM9KPUMkFVpKwkRKCJ3pgmYZ7YCzzezCu_elCU0-t0GbqlK1ccuQU8QxplwwFunpH_rqlj7-eK2EFJgLgaM63yjtYwZvynzh7TymzjHK193zdff8u3vEJ9vJ5Wxuil_6EzoCvAGftjKrf6bycW_ytBn9AuFTi3g</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3089816881</pqid></control><display><type>article</type><title>Voice Disorders and Hearing Loss May Be Additive Risk Factors for Depression in a National Cohort</title><source>Wiley-Blackwell Read & Publish Collection</source><creator>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.</creator><creatorcontrib>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.</creatorcontrib><description>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 < 0.001) of depression. Those with HL and self‐reported voice disorder, versus those with neither, had 1.79 times the odds (1.27–2.48, p < 0.001) of depression.
Conclusions
This study demonstrates independent relationships between HL and depression and self‐reported voice disorder and depression. Combined HL and self‐reported voice disorder had nearly 1.8 times the odds of depression. This is likely due to the grossly additive effect of difficulty with incoming and outgoing communication streams.
Level of Evidence
II Laryngoscope, 134:4060–4065, 2024
This cross‐sectional study using national Korean National Health and Nutrition Examination Survey (KNHANES) data supports independent associations between hearing loss (HL) and depression, as well as self‐reported voice disorder and depression. Those with a combination of HL and self‐reported voice disorder had nearly double the odds of depression compared to those with neither condition. Future research should highlight using both objective and subjective metrics for the exposures of HL and voice disorder.</description><identifier>ISSN: 0023-852X</identifier><identifier>ISSN: 1531-4995</identifier><identifier>EISSN: 1531-4995</identifier><identifier>DOI: 10.1002/lary.31536</identifier><identifier>PMID: 38804637</identifier><language>eng</language><publisher>Hoboken, USA: John Wiley & Sons, Inc</publisher><subject>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</subject><ispartof>The Laryngoscope, 2024-09, Vol.134 (9), p.4060-4065</ispartof><rights>2024 The American Laryngological, Rhinological and Otological Society, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c2466-63b409890cc7faa886f6c22ac199d54935c90e67fcb0248c992584223bcd3773</cites><orcidid>0000-0003-1543-2634 ; 0000-0002-0962-0594 ; 0000-0003-2432-5291 ; 0000-0003-4062-0717 ; 0000-0003-0631-5997 ; 0009-0006-3247-6515</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38804637$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Rameau, Anaïs</creatorcontrib><creatorcontrib>Tucker, Lauren H.</creatorcontrib><creatorcontrib>Denham, Michael W.</creatorcontrib><creatorcontrib>Kang, Yung Jee</creatorcontrib><creatorcontrib>Choi, Nayeon</creatorcontrib><creatorcontrib>Lachs, Mark</creatorcontrib><creatorcontrib>Rosen, Tony Ehren</creatorcontrib><creatorcontrib>Stewart, Michael</creatorcontrib><creatorcontrib>Czaja, Sara</creatorcontrib><creatorcontrib>Golub, Justin S.</creatorcontrib><title>Voice Disorders and Hearing Loss May Be Additive Risk Factors for Depression in a National Cohort</title><title>The Laryngoscope</title><addtitle>Laryngoscope</addtitle><description>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 < 0.001) of depression. Those with HL and self‐reported voice disorder, versus those with neither, had 1.79 times the odds (1.27–2.48, p < 0.001) of depression.
Conclusions
This study demonstrates independent relationships between HL and depression and self‐reported voice disorder and depression. Combined HL and self‐reported voice disorder had nearly 1.8 times the odds of depression. This is likely due to the grossly additive effect of difficulty with incoming and outgoing communication streams.
Level of Evidence
II Laryngoscope, 134:4060–4065, 2024
This cross‐sectional study using national Korean National Health and Nutrition Examination Survey (KNHANES) data supports independent associations between hearing loss (HL) and depression, as well as self‐reported voice disorder and depression. Those with a combination of HL and self‐reported voice disorder had nearly double the odds of depression compared to those with neither condition. Future research should highlight using both objective and subjective metrics for the exposures of HL and voice disorder.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Cohort Studies</subject><subject>Communication</subject><subject>Cross-Sectional Studies</subject><subject>depression</subject><subject>Depression - epidemiology</subject><subject>Depression - etiology</subject><subject>dysphonia</subject><subject>Female</subject><subject>Hearing loss</subject><subject>Hearing Loss - epidemiology</subject><subject>Hearing Loss - etiology</subject><subject>Hearing Loss - psychology</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Nutrition Surveys</subject><subject>Republic of Korea - epidemiology</subject><subject>Risk Factors</subject><subject>Self Report</subject><subject>Voice Disorders - epidemiology</subject><subject>Voice Disorders - etiology</subject><subject>Voice Disorders - psychology</subject><subject>Young Adult</subject><issn>0023-852X</issn><issn>1531-4995</issn><issn>1531-4995</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><recordid>eNp90E9LwzAAh-EgipvTix9AAl5E6MyfJk2Oc3NOmApjiJ5KlqYa7ZqZdMq-vZmbHjx4SiAPP8ILwDFGXYwQuaiUX3UpZpTvgHY8cJJKyXZBOz7SRDDy2AIHIbwihDPK0D5oUSFQymnWBurBWW3gwAbnC-MDVHUBR0Z5Wz_DsQsB3qoVvDSwVxS2sR8GTmx4g0OlGxd16TwcmIU3IVhXQ1tDBe9UE--qgn334nxzCPZKVQVztD07YDq8mvZHyfj--qbfGyeapJwnnM5SJIVEWmelUkLwkmtClMZSFiyVlGmJDM9KPUMkFVpKwkRKCJ3pgmYZ7YCzzezCu_elCU0-t0GbqlK1ccuQU8QxplwwFunpH_rqlj7-eK2EFJgLgaM63yjtYwZvynzh7TymzjHK193zdff8u3vEJ9vJ5Wxuil_6EzoCvAGftjKrf6bycW_ytBn9AuFTi3g</recordid><startdate>202409</startdate><enddate>202409</enddate><creator>Rameau, Anaïs</creator><creator>Tucker, Lauren H.</creator><creator>Denham, Michael W.</creator><creator>Kang, Yung Jee</creator><creator>Choi, Nayeon</creator><creator>Lachs, Mark</creator><creator>Rosen, Tony Ehren</creator><creator>Stewart, Michael</creator><creator>Czaja, Sara</creator><creator>Golub, Justin S.</creator><general>John Wiley & Sons, Inc</general><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-1543-2634</orcidid><orcidid>https://orcid.org/0000-0002-0962-0594</orcidid><orcidid>https://orcid.org/0000-0003-2432-5291</orcidid><orcidid>https://orcid.org/0000-0003-4062-0717</orcidid><orcidid>https://orcid.org/0000-0003-0631-5997</orcidid><orcidid>https://orcid.org/0009-0006-3247-6515</orcidid></search><sort><creationdate>202409</creationdate><title>Voice Disorders and Hearing Loss May Be Additive Risk Factors for Depression in a National Cohort</title><author>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.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2466-63b409890cc7faa886f6c22ac199d54935c90e67fcb0248c992584223bcd3773</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Cohort Studies</topic><topic>Communication</topic><topic>Cross-Sectional Studies</topic><topic>depression</topic><topic>Depression - epidemiology</topic><topic>Depression - etiology</topic><topic>dysphonia</topic><topic>Female</topic><topic>Hearing loss</topic><topic>Hearing Loss - epidemiology</topic><topic>Hearing Loss - etiology</topic><topic>Hearing Loss - psychology</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Nutrition Surveys</topic><topic>Republic of Korea - epidemiology</topic><topic>Risk Factors</topic><topic>Self Report</topic><topic>Voice Disorders - epidemiology</topic><topic>Voice Disorders - etiology</topic><topic>Voice Disorders - psychology</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Rameau, Anaïs</creatorcontrib><creatorcontrib>Tucker, Lauren H.</creatorcontrib><creatorcontrib>Denham, Michael W.</creatorcontrib><creatorcontrib>Kang, Yung Jee</creatorcontrib><creatorcontrib>Choi, Nayeon</creatorcontrib><creatorcontrib>Lachs, Mark</creatorcontrib><creatorcontrib>Rosen, Tony Ehren</creatorcontrib><creatorcontrib>Stewart, Michael</creatorcontrib><creatorcontrib>Czaja, Sara</creatorcontrib><creatorcontrib>Golub, Justin S.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>The Laryngoscope</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Rameau, Anaïs</au><au>Tucker, Lauren H.</au><au>Denham, Michael W.</au><au>Kang, Yung Jee</au><au>Choi, Nayeon</au><au>Lachs, Mark</au><au>Rosen, Tony Ehren</au><au>Stewart, Michael</au><au>Czaja, Sara</au><au>Golub, Justin S.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Voice Disorders and Hearing Loss May Be Additive Risk Factors for Depression in a National Cohort</atitle><jtitle>The Laryngoscope</jtitle><addtitle>Laryngoscope</addtitle><date>2024-09</date><risdate>2024</risdate><volume>134</volume><issue>9</issue><spage>4060</spage><epage>4065</epage><pages>4060-4065</pages><issn>0023-852X</issn><issn>1531-4995</issn><eissn>1531-4995</eissn><abstract>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 < 0.001) of depression. Those with HL and self‐reported voice disorder, versus those with neither, had 1.79 times the odds (1.27–2.48, p < 0.001) of depression.
Conclusions
This study demonstrates independent relationships between HL and depression and self‐reported voice disorder and depression. Combined HL and self‐reported voice disorder had nearly 1.8 times the odds of depression. This is likely due to the grossly additive effect of difficulty with incoming and outgoing communication streams.
Level of Evidence
II Laryngoscope, 134:4060–4065, 2024
This cross‐sectional study using national Korean National Health and Nutrition Examination Survey (KNHANES) data supports independent associations between hearing loss (HL) and depression, as well as self‐reported voice disorder and depression. Those with a combination of HL and self‐reported voice disorder had nearly double the odds of depression compared to those with neither condition. Future research should highlight using both objective and subjective metrics for the exposures of HL and voice disorder.</abstract><cop>Hoboken, USA</cop><pub>John Wiley & Sons, Inc</pub><pmid>38804637</pmid><doi>10.1002/lary.31536</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0003-1543-2634</orcidid><orcidid>https://orcid.org/0000-0002-0962-0594</orcidid><orcidid>https://orcid.org/0000-0003-2432-5291</orcidid><orcidid>https://orcid.org/0000-0003-4062-0717</orcidid><orcidid>https://orcid.org/0000-0003-0631-5997</orcidid><orcidid>https://orcid.org/0009-0006-3247-6515</orcidid></addata></record> |
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| source | Wiley-Blackwell Read & Publish Collection |
| 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 |
| title | Voice Disorders and Hearing Loss May Be Additive Risk Factors for Depression in a National Cohort |
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