TY - JOUR
T1 - Bidirectional associations of vision and hearing loss with anxiety
T2 - prospective findings from the Three-City Study
AU - Cosh, Suzanne
AU - Nael, V.
AU - Carrière, I.
AU - Daien, V.
AU - Amieva, H.
AU - Delcourt, C.
AU - Helmer, C.
AU - Sense-Cog consortium
AU - Bertelsen, Geir
AU - Cougnard-Grégoire, Audrey
AU - Dawes, Piers
AU - Constantinidou, Fofi
AU - Arfan Ikram, M.
AU - Klaver, Caroline C. W.
AU - Leroi, Iracema
AU - Maharani, Asri
AU - Meester-Smor, Magda
AU - Mutlu, Unal
AU - Pendleton, Neil
AU - Schirmer, Henrik
AU - Tampubolon, Gindo
AU - Tiemeier, Henning
AU - Von Hanno, Therese
PY - 2018/7
Y1 - 2018/7
N2 - Objective: the aim of this study was to examine the bidirectional association of vision loss (VL) and hearing loss (HL) with anxiety over a 12-year period. Design: this was a prospective population-based study. Setting: community-dwelling French adults. Participants: the study included 3,928 adults aged 65 and above from the Three-City study. Methods: the relationships of VL, as assessed by near visual acuity and self-reported HL to a diagnosis of generalised anxiety disorder (GAD) were assessed over 12 years. A further objective was to explore whether sensory loss has a differential relationship with GAD than with anxiety symptoms, assessed by the Spielberger's State-Trait Anxiety Inventory. Results: at baseline, HL [odds ratio (OR) = 1.41, 95% confidence interval (CI) 1.02-1.96, P = 0.04], but not mild or moderate to severe VL, was associated with self-reported anxiety symptoms (OR = 1.07 95% CI 0.63-1.83, P = 0.80; OR = 0.66 95% CI 0.12-2.22, P = 0.50, respectively). Neither vision nor HL was significantly associated with incident GAD. Baseline GAD was related to increased risk of incident HL (OR = 1.17, 95% CI 1.07-1.28, P < 0.001), but not mild or moderate to severe vision loss (OR = 1.01, 95% CI 0.96-1.06, P = 0.81; OR = 0.97, 95% CI 0.89-1.05, P = 0.45, respectively). Conclusions: increased anxiety symptoms were observed in older adults with HL, whereas we found no evidence for an association between VL and anxiety. Anxiety was prospectively associated with increased risk of reporting HL. Improved detection of anxiety in older adults with HL may improve quality of life.
AB - Objective: the aim of this study was to examine the bidirectional association of vision loss (VL) and hearing loss (HL) with anxiety over a 12-year period. Design: this was a prospective population-based study. Setting: community-dwelling French adults. Participants: the study included 3,928 adults aged 65 and above from the Three-City study. Methods: the relationships of VL, as assessed by near visual acuity and self-reported HL to a diagnosis of generalised anxiety disorder (GAD) were assessed over 12 years. A further objective was to explore whether sensory loss has a differential relationship with GAD than with anxiety symptoms, assessed by the Spielberger's State-Trait Anxiety Inventory. Results: at baseline, HL [odds ratio (OR) = 1.41, 95% confidence interval (CI) 1.02-1.96, P = 0.04], but not mild or moderate to severe VL, was associated with self-reported anxiety symptoms (OR = 1.07 95% CI 0.63-1.83, P = 0.80; OR = 0.66 95% CI 0.12-2.22, P = 0.50, respectively). Neither vision nor HL was significantly associated with incident GAD. Baseline GAD was related to increased risk of incident HL (OR = 1.17, 95% CI 1.07-1.28, P < 0.001), but not mild or moderate to severe vision loss (OR = 1.01, 95% CI 0.96-1.06, P = 0.81; OR = 0.97, 95% CI 0.89-1.05, P = 0.45, respectively). Conclusions: increased anxiety symptoms were observed in older adults with HL, whereas we found no evidence for an association between VL and anxiety. Anxiety was prospectively associated with increased risk of reporting HL. Improved detection of anxiety in older adults with HL may improve quality of life.
KW - anxiety disorders
KW - generalised anxiety disorder
KW - mental well-being
KW - sensory impairment
KW - older adults
UR - http://www.scopus.com/inward/record.url?scp=85054473812&partnerID=8YFLogxK
U2 - 10.1093/ageing/afy062
DO - 10.1093/ageing/afy062
M3 - Article
C2 - 29726887
AN - SCOPUS:85054473812
SN - 0002-0729
VL - 47
SP - 582
EP - 589
JO - Age and Ageing
JF - Age and Ageing
IS - 4
ER -