ArticleFrontiers in public health2023
The impact of hearing loss on cognitive impairment: The mediating role of depressive symptoms and the moderating role of social relationships.
Article in Frontiers in public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A systematic review of the association of Type I diabetes with sensorineural hearing loss.PloS one · 2024Pooled it
- Cognitive benefits of hearing intervention vary by risk of cognitive decline: A secondary analysis of the ACHIEVE trial.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025Trial
- Hearing impairment following radiotherapy in patients with nasopharyngeal carcinoma (Review).Molecular and clinical oncology · 2026Review
- Hearing Loss, Cognitive Decline, and Dementia: Clinical Intersections.Audiology research · 2026Review
- Machine learning-based risk classification of depressive symptoms among patients with hearing loss: evidence from the Health and Retirement Study (HRS).Comprehensive psychoneuroendocrinology · 2026Article
- Review
- Hearing loss and cognitive impairment among older adults: findings from the China health and retirement longitudinal study.BMC public health · 2025Article
- Activity participation on executive functions and well- being of hearing impaired children.BMC public health · 2025Article
- Performance of Hearing Test Software Applications to Detect Hearing Loss.JAMA network open · 2025Article
- Age-related hearing loss associated with cognitive impairment in the Polish cohort of the PURE study.Frontiers in aging neuroscience · 2025Article
- Long-term outcomes among survivors of childhood osteosarcoma: A report from the Childhood Cancer Survivor Study (CCSS).Pediatric blood & cancer · 2024Article
- Association between blood volatile organic aromatic compound concentrations and hearing loss in US adults.BMC public health · 2024Article
- Association between disability and cognitive function in older Chinese people: a moderated mediation of social relationships and depressive symptoms.Frontiers in public health · 2024Article
- Hearing loss, depression, and cognition in younger and older adult CI candidates.Frontiers in neurology · 2023Article
- Bidirectional associations between hearing difficulty and cognitive function in Chinese adults: a longitudinal study.Frontiers in aging neuroscience · 2023Article
- Impact of hearing loss on cognitive function in community-dwelling older adults: serial mediation of self-rated health and depressive anxiety symptoms.Frontiers in aging neuroscience · 2023Article
- Social Leisure Activities and Cognitive Functioning among Married and Unmarried Older Men and Women in Mexico.Research on agingArticle
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Authors and funding
5 authors.
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Abstract
Background: Given the potentially negative effects of hearing loss on mental health and cognitive function, it is critical to gain a better understanding of the mechanisms underlying the link between hearing loss and cognitive impairment. This study aimed to investigate the moderating effects of social relationships, including their components in the role of depressive symptoms as a mediator between hearing loss and cognitive impairment. Methods: Cross-sectional analyses were conducted with 8,094 Chinese older adults (aged ≥65 years) from the Chinese Longitudinal Healthy Longevity Survey in 2018. Simple mediation analysis and moderated mediation analysis were conducted to examine the roles of depressive symptoms and social relationships in the association between hearing loss and cognitive impairment. Results: There is a significant correlation between hearing loss, depressive symptoms, social relationships, and cognitive function. Depressive symptoms partially mediated the association between hearing loss and cognitive function [standardized regression B-coefficient (B) = -0.114; 95% confidence interval (CI): (-0.158, -0.076)]. Social relationships moderated the effect of hearing loss on cognitive function through both path b (depressive symptoms - cognitive function) [ Conclusion: Social relationships moderated both the direct and indirect effects of depressive symptoms on the association between hearing loss and cognitive impairment. These findings shed light on the mechanisms underlying the relationship between hearing loss and cognitive impairment in Chinese older adults. It might be worthwhile to recommend multidimensional health and social interventions aimed at improving mental health and social inclusion among older adults with hearing loss.
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