Evidence map›Paper›PMID 34489159›Full record

Trial reportThe American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry2022

Hearing Rehabilitative Treatment for Older Adults With Comorbid Hearing Loss and Depression: Effects on Depressive Symptoms and Executive Function.

Katharine Brewster, C Jean Choi, Xiaofu He, Ana H Kim, Justin S Golub, Patrick J Brown, Ying Liu, Steven P Roose, Bret R Rutherford

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
1.3field-weighted citation impact, top 22% of its field
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

12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 17 citations in OpenAlex.

  1. Hearing aids for mild to moderate hearing loss in adults.The Cochrane database of systematic reviews · 2026
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

Katharine BrewsterNew York State Psychiatric Institute (KB), Columbia University Vagelos College of Physicians and Surgeons, New York, NY. Electronic address: Katharine.Brewster@nyspi.columbia.edu.
C Jean ChoiDivision of Mental Health Data Science (CJC), New York State Psychiatric Institute, New York, NY.
Xiaofu HeNew York State Psychiatric Institute (XH, PJB, YL, SPR, BRR), Columbia University Vagelos College of Physicians and Surgeons, New York, NY.
Ana H KimColumbia University Vagelos College of Physicians and Surgeons (AHK, JSG), New York, NY.
Justin S GolubColumbia University Vagelos College of Physicians and Surgeons (AHK, JSG), New York, NY.
Patrick J BrownNew York State Psychiatric Institute (XH, PJB, YL, SPR, BRR), Columbia University Vagelos College of Physicians and Surgeons, New York, NY.
Ying LiuNew York State Psychiatric Institute (XH, PJB, YL, SPR, BRR), Columbia University Vagelos College of Physicians and Surgeons, New York, NY.
Steven P RooseNew York State Psychiatric Institute (XH, PJB, YL, SPR, BRR), Columbia University Vagelos College of Physicians and Surgeons, New York, NY.
Bret R RutherfordNew York State Psychiatric Institute (XH, PJB, YL, SPR, BRR), Columbia University Vagelos College of Physicians and Surgeons, New York, NY.
Columbia University · USNew York State Psychiatric Institute

Funding

Research Training in Late-Life NeuroPsychiatric DisordersT32MH020004 · NIMH · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI Patrick J Brown · 1998 to 2026
$6.1M
Sensation and Psychiatry: Linking Age-Related Hearing Loss toLate-Life Depression and Cognitive DeclineR21AG059130 · NIA · NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC · PI RUTHERFORD, BRET R · 2018 to 2019
$459k
NIA NIH HHS R21 AG059130NIMH NIH HHS T32 MH020004
6 · The paper itself

Abstract

objectivesRecent research has revealed important neural and psychiatric consequences of hearing loss (HL) in older adults. This pilot study examined the neural effects of HL and the impact of hearing aids on neuropsychiatric outcomes in major depressive disorder (MDD).

designTwelve-week, double-blind, randomized controlled trial. PARTICIPANTS/

interventionN = 25 (≥60 years) with MDD and moderate-profound HL were randomized to receive hearing aids (100% gain targets) or sham hearing aids (flat 30 dB HL) in addition to psychiatric treatment-as-usual. MEASUREMENTS: Depressive symptoms (Hamilton Rating Scale for Depression [HRSD]), executive functioning (NIH Toolbox Flanker), integrity of auditory brain areas (structural MRI, diffusion tensor imaging).

resultsAt baseline, worse speech discrimination was associated with auditory cortical thinning (Left anterior transverse temporal gyrus: r = 0.755, p = 0.012) and lower integrity of the superior longitudinal fasciculus (FA: Left r = 0.772, p = 0.025, Right r = 0.782, p = 0.022). After 12-weeks, hearing aids were effective at improving hearing functioning (Hearing Handicap for the Elderly: active -12.47 versus sham -4.19, t = -2.64, df = 18, p = 0.016) and immediate memory (active +14.9 versus sham +5.7, t = 2.28, df = 16, p = 0.037). Moderate improvement was observed for hearing aids on executive functioning but did not reach statistical significance (Flanker: active +4.8 versus sham -2.4, t = 1.95, df = 15, p = 0.071). No significant effect on depression was found (HRSD: active -5.50 versus sham -7.32, t = 0.75, df = 19, p = 0.46).

conclusionsHL can affect brain regions important for auditory and cognitive processing, and hearing remediation may have beneficial effects on executive functioning in MDD. Future studies may evaluate whether impairment in cognitive control consequent to HL may be an important risk mechanism for MDD.

Indexed as

Hearing LossMajor Depressive DisorderAgedDepressionDiffusion Tensor ImagingExecutive FunctionHearingHumansMiddle AgedPilot Projectsexecutive dysfunctionhearing aidshearing lossLate life depression

Identifiers

PMID34489159
PMCPMC8841567
OpenAlexW3195563761

What OpenQuestion holds

Textmetadata
LicenceTDM
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.