Cognitive Improvement After Cochlear Implantation in Older Adults With Severe or Profound Hearing Impairment: A Prospective, Longitudinal, Controlled, Multicenter Study.
Journal
Ear and hearing
ISSN: 1538-4667
Titre abrégé: Ear Hear
Pays: United States
ID NLM: 8005585
Informations de publication
Date de publication:
Historique:
pubmed:
16
10
2020
medline:
29
7
2021
entrez:
15
10
2020
Statut:
ppublish
Résumé
To compare the cognitive evolution of older adults with severe or profound hearing impairment after cochlear implantation with that of a matched group of older adults with severe hearing impairment who do not receive a cochlear implant (CI). In this prospective, longitudinal, controlled, and multicenter study, 24 older CI users were included in the intervention group and 24 adults without a CI in the control group. The control group matched the intervention group in terms of gender, age, formal education, cognitive functioning, and residual hearing. Assessments were made at baseline and 14 months later. Primary outcome measurements included the change in the total score on the Repeatable Battery for the Assessment of Neuropsychological Status for Hearing impaired individuals score and on its subdomain score to assess cognitive evolution in both groups. Secondary outcome measurements included self-reported changes in sound quality (Hearing Implant Sound Quality Index), self-perceived hearing disability (Speech, Spatial, and Qualities of Hearing Scale), states of anxiety and depression (Hospital Anxiety and Depression Scale), and level of negative affectivity and social inhibition (Type D questionnaire). Improvements of the overall cognitive functioning (p = 0.05) and the subdomain "Attention" (p = 0.02) were observed after cochlear implantation in the intervention group; their scores were compared to the corresponding scores in the control group. Significant positive effects of cochlear implantation on sound quality and self-perceived hearing outcomes were found in the intervention group. Notably, 20% fewer traits of Type D personalities were measured in the intervention group after cochlear implantation. In the control group, traits of Type D personalities increased by 13%. Intervention with a CI improved cognitive functioning (domain Attention in particular) in older adults with severe hearing impairment compared to that of the matched controls with hearing impairment without a CI. However, older CI users did not, in terms of cognition, bridge the performance gap with adults with normal hearing after 1 year of CI use. The fact that experienced, older CI users still present subnormal cognitive functioning may highlight the need for additional cognitive rehabilitation in the long term after implantation.
Identifiants
pubmed: 33055579
pii: 00003446-202105000-00012
doi: 10.1097/AUD.0000000000000962
pmc: PMC8088820
doi:
Types de publication
Journal Article
Multicenter Study
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
606-614Informations de copyright
Copyright © 2020 The Authors. Ear & Hearing is published on behalf of the American Auditory Society, by Wolters Kluwer Health, Inc.
Références
Ear Hear. 2016 Jul-Aug;37 Suppl 1:5S-27S
pubmed: 27355771
Acta Otolaryngol. 2014 Sep;134(9):915-23
pubmed: 24975453
Front Neurosci. 2016 Nov 15;10:512
pubmed: 27895549
Arch Neurol. 2011 Feb;68(2):214-20
pubmed: 21320988
Laryngoscope. 2015 Jun;125(6):1279-81
pubmed: 25423907
Acta Psychiatr Scand. 1983 Jun;67(6):361-70
pubmed: 6880820
Acta Otolaryngol. 2016;136(1):48-55
pubmed: 26406547
Otol Neurotol. 2017 Sep;38(8):e282-e284
pubmed: 28806339
J Am Geriatr Soc. 2015 Oct;63(10):2099-104
pubmed: 26480972
Clin Interv Aging. 2016 May 12;11:603-13
pubmed: 27274210
Otol Neurotol. 2017 Sep;38(8):e296-e301
pubmed: 28806342
J Am Geriatr Soc. 2018 Aug;66(8):1553-1561
pubmed: 30091185
Int J Cardiol. 2016 Jul 1;214:256-61
pubmed: 27077545
Cochlear Implants Int. 2018 Sep;19(5):239-254
pubmed: 29909732
Acta Otolaryngol Suppl. 2013;(564):3-13
pubmed: 24328756
JAMA Intern Med. 2013 Feb 25;173(4):293-9
pubmed: 23337978
Acta Otolaryngol. 2015;135(11):1138-45
pubmed: 26220300
Psychosom Med. 2005 Jan-Feb;67(1):89-97
pubmed: 15673629
Otol Neurotol. 2018 Oct;39(9):e765-e773
pubmed: 30153132
Otol Neurotol. 2017 Sep;38(8):e289-e295
pubmed: 28806341
PLoS Med. 2017 Mar 21;14(3):e1002261
pubmed: 28323832
PLoS One. 2015 Mar 11;10(3):e0119616
pubmed: 25760329
J Formos Med Assoc. 2009 Oct;108(10):754-64
pubmed: 19864195
Int J Audiol. 2004 Feb;43(2):85-99
pubmed: 15035561
J Clin Exp Neuropsychol. 1998 Jun;20(3):310-9
pubmed: 9845158
Arch Gerontol Geriatr. 2011 May-Jun;52(3):250-2
pubmed: 20472312
Clin Epidemiol. 2013 Apr 26;5:135-45
pubmed: 23658499
Audiol Neurootol. 2016;21 Suppl 1:21-28
pubmed: 27806352
Laryngoscope. 2017 May;127 Suppl 1:S4-S11
pubmed: 28409842
Scand J Psychol. 2009 Oct;50(5):371-84
pubmed: 19778385
JAMA Otolaryngol Head Neck Surg. 2015 May 1;141(5):442-50
pubmed: 25763680
Int J Audiol. 2005 May;44(5):265-71
pubmed: 16028789
J Am Geriatr Soc. 2005 Mar;53(3):374-80
pubmed: 15743277
Psychol Aging. 1997 Mar;12(1):12-21
pubmed: 9100264
Neurology. 2012 Oct 9;79(15):1583-90
pubmed: 23019269
Front Neurosci. 2019 Apr 24;13:340
pubmed: 31105513
Neuropsychol Dev Cogn B Aging Neuropsychol Cogn. 2015;22(1):42-71
pubmed: 24580119
Clin Interv Aging. 2018 Apr 20;13:701-712
pubmed: 29719382
Psychol Aging. 1994 Sep;9(3):339-55
pubmed: 7999320
Neuropsychol Dev Cogn B Aging Neuropsychol Cogn. 2015;22(4):413-37
pubmed: 25325767
Cochlear Implants Int. 2013 Mar;14 Suppl 1:S18-25
pubmed: 23453148
J Am Geriatr Soc. 2012 Oct;60(10):1936-45
pubmed: 22974240