Psychiatric and Cognitive Assessment of Adult Patients With Hearing Impairment

Not yet recruiting

• Conditions: Hearing Loss

• Registration Number: NCT06238102
• Lead Sponsor: Assiut University

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

Study Timeline

• Status Verified: 2024-01
• Study First Submitted: 2024-01-13
• Study First Submitted QC: 2024-01-31
• Last Update Submitted: 2024-01-31
• Study First Posted: 2024-02-02
• Last Update Posted: 2024-02-02
• Study Start: 2024-03-01
• Primary Completion: 2025-03-01
• Study Completion: 2025-03-01

Recruitment & Eligibility

• Status: NOT_YET_RECRUITING
• Sex: All
• Target Recruitment: 132

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

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Evaluate the impact of hearing impairment on quality of life by using hearing handicap inventory for adults	baseline	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.
Evaluate the impact of hearing impairment on mental health by using Beck's depression scale	baseline	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
Evaluate the impact of hearing impairment on cognition by using montreal cognitive assessment	baseline	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