Evidence map›Paper›PMID 30547211›Full record

SynthesisSocial psychiatry and psychiatric epidemiology2019

Prevalence of anxiety disorders and symptoms in people with hearing impairment: a systematic review.

Natalie Shoham, Gemma Lewis, Graziella Favarato, Claudia Cooper

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Social psychiatry and psychiatric epidemiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

45 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Hearing aids for mild to moderate hearing loss in adults.The Cochrane database of systematic reviews · 2026
    Pooled it
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  12. Severe-to-Profound Hearing Loss and Mental Health: Initial Evidence That Cochlear Implantation Helps Alleviate Symptoms of Anxiety and Stress.Clinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery · 2025
    Article
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  19. Caregivers' Experience of Supporting Deaf Adults with Mental Health Disorders in Ghana.International journal of environmental research and public health · 2025
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Natalie ShohamDivision of Psychiatry, University College London, 6th Floor Maple House, 149 Tottenham Court Road, London, W1T 7BN, UK. Natalie.shoham.16@ucl.ac.uk.
Gemma LewisDivision of Psychiatry, University College London, 6th Floor Maple House, 149 Tottenham Court Road, London, W1T 7BN, UK.
Graziella FavaratoDivision of Psychiatry, University College London, 6th Floor Maple House, 149 Tottenham Court Road, London, W1T 7BN, UK.
Claudia CooperDivision of Psychiatry, University College London, 6th Floor Maple House, 149 Tottenham Court Road, London, W1T 7BN, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAnxiety disorders are common. Prevalence is likely to be raised in people with hearing impairment, who experience higher rates of associated risk factors. We conducted, to our knowledge, the first systematic review of the prevalence and correlates of anxiety in people with hearing impairment.

methodsWe searched electronic databases and references of included studies, using predetermined criteria to retrieve original research reporting prevalence of anxiety disorders or symptoms in adult, hearing impaired populations. We assessed risk of bias using the adapted Newcastle Ottawa Scale.

resultsWe included 25 studies evaluating 17,135 people with hearing impairment. Community studies of higher quality reported a lifetime prevalence of anxiety disorder of 11.1% (one study) and point prevalences of 15.4-31.3% for clinically significant anxiety symptoms (five studies) in people who predominantly had acquired hearing impairment. Anxiety prevalence was higher in hearing impaired people in 8/10 studies with a comparator non-hearing impaired group. Anxiety symptoms decreased after surgical intervention for hearing in all studies investigating this. Correlates consistently associated with anxiety were tinnitus and hearing impairment severity.

conclusionsPrevalence of anxiety is higher among people with hearing impairment than the general population; our findings indicate that this excess morbidity may be related to the hearing impairment itself, as it was associated with the severity of impairment, and reduced after surgical treatment. Clinicians should be aware of the potential impact of hearing on mental health, and that where hearing ability can be improved, this may reduce anxiety. PROSPERO REGISTRATION NUMBER: CRD42018088463.

Indexed as

AdultAnxietyAnxiety DisordersCorrection of Hearing ImpairmentFemaleHearing LossHumansMalePrevalenceAnxietyHearingPrevalenceTinnitus

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.