Hearing loss and incident psychosis in later life: the Health In Men Study (HIMS)

Research output: Contribution to journalArticle

Abstract

OBJECTIVE: To determine if hearing loss is associated with increased risk of incident psychosis in later life.

METHODS: Longitudinal cohort study of a community-representative sample of 38173 men aged 65-85 years at the start of the follow up period of 18 years. We used the Western Australian Data Linkage System to ascertain the presence of hearing loss and of psychotic disorders according to the International Classification of Diseases (ICD versions 8, 9 and 10). We also collected information on concurrent morbidities: cancer and diseases of the cardiovascular, respiratory, digestive and renal systems.

RESULTS: 1442 (3.8%) and 464 (1.2%) men had a recorded diagnosis of hearing loss and psychosis at the start of follow up. After excluding the 464 participants with prevalent psychosis, 37709 men were available for the longitudinal study and, of these, 252 (0.7%) developed a psychotic disorder. Competing risk regression showed that hearing loss was associated incident psychosis (sub-hazard ratio = 2.03, 95%CI=1.24, 3.32; after statistical adjustment for age and concurrent morbidities).

CONCLUSIONS: Hearing loss is associated with double the risk of incident psychosis in older men. Available evidence suggests that this link could be causal, although conclusive evidence is still missing from randomised controlled trials designed to test the effect of correction of hearing loss on the prevalence and incidence of psychosis.

Original languageEnglish
Pages (from-to)408-414
Number of pages7
JournalInternational Journal of Geriatric Psychiatry
Volume34
Issue number3
DOIs
Publication statusPublished - Mar 2019

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Men's Health
Hearing Loss
Psychotic Disorders
Longitudinal Studies
Correction of Hearing Impairment
Morbidity
Digestive System
Information Storage and Retrieval
International Classification of Diseases
Information Systems
Cohort Studies
Cardiovascular Diseases
Randomized Controlled Trials
Kidney
Incidence

Cite this

@article{30bee578cf8b41a781a369a764603069,
title = "Hearing loss and incident psychosis in later life: the Health In Men Study (HIMS)",
abstract = "OBJECTIVE: To determine if hearing loss is associated with increased risk of incident psychosis in later life.METHODS: Longitudinal cohort study of a community-representative sample of 38173 men aged 65-85 years at the start of the follow up period of 18 years. We used the Western Australian Data Linkage System to ascertain the presence of hearing loss and of psychotic disorders according to the International Classification of Diseases (ICD versions 8, 9 and 10). We also collected information on concurrent morbidities: cancer and diseases of the cardiovascular, respiratory, digestive and renal systems.RESULTS: 1442 (3.8{\%}) and 464 (1.2{\%}) men had a recorded diagnosis of hearing loss and psychosis at the start of follow up. After excluding the 464 participants with prevalent psychosis, 37709 men were available for the longitudinal study and, of these, 252 (0.7{\%}) developed a psychotic disorder. Competing risk regression showed that hearing loss was associated incident psychosis (sub-hazard ratio = 2.03, 95{\%}CI=1.24, 3.32; after statistical adjustment for age and concurrent morbidities).CONCLUSIONS: Hearing loss is associated with double the risk of incident psychosis in older men. Available evidence suggests that this link could be causal, although conclusive evidence is still missing from randomised controlled trials designed to test the effect of correction of hearing loss on the prevalence and incidence of psychosis.",
keywords = "aged, cohort study, deafness, delusional disorder, elderly, hearing impairment, hearing loss, longitudinal study, psychosis, schizophrenia, IMPAIRMENT, DEPRESSION, STATES, RISK, ASSOCIATION, POPULATION, SYMPTOMS, COHORT",
author = "Almeida, {Osvaldo P} and Ford, {Andrew H} and Hankey, {Graeme J} and Yeap, {Bu B} and Jonathan Golledge and Leon Flicker",
note = "This article is protected by copyright. All rights reserved.",
year = "2019",
month = "3",
doi = "10.1002/gps.5028",
language = "English",
volume = "34",
pages = "408--414",
journal = "International Journal of Geriatric Psychiatry",
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T1 - Hearing loss and incident psychosis in later life

T2 - the Health In Men Study (HIMS)

AU - Almeida, Osvaldo P

AU - Ford, Andrew H

AU - Hankey, Graeme J

AU - Yeap, Bu B

AU - Golledge, Jonathan

AU - Flicker, Leon

N1 - This article is protected by copyright. All rights reserved.

PY - 2019/3

Y1 - 2019/3

N2 - OBJECTIVE: To determine if hearing loss is associated with increased risk of incident psychosis in later life.METHODS: Longitudinal cohort study of a community-representative sample of 38173 men aged 65-85 years at the start of the follow up period of 18 years. We used the Western Australian Data Linkage System to ascertain the presence of hearing loss and of psychotic disorders according to the International Classification of Diseases (ICD versions 8, 9 and 10). We also collected information on concurrent morbidities: cancer and diseases of the cardiovascular, respiratory, digestive and renal systems.RESULTS: 1442 (3.8%) and 464 (1.2%) men had a recorded diagnosis of hearing loss and psychosis at the start of follow up. After excluding the 464 participants with prevalent psychosis, 37709 men were available for the longitudinal study and, of these, 252 (0.7%) developed a psychotic disorder. Competing risk regression showed that hearing loss was associated incident psychosis (sub-hazard ratio = 2.03, 95%CI=1.24, 3.32; after statistical adjustment for age and concurrent morbidities).CONCLUSIONS: Hearing loss is associated with double the risk of incident psychosis in older men. Available evidence suggests that this link could be causal, although conclusive evidence is still missing from randomised controlled trials designed to test the effect of correction of hearing loss on the prevalence and incidence of psychosis.

AB - OBJECTIVE: To determine if hearing loss is associated with increased risk of incident psychosis in later life.METHODS: Longitudinal cohort study of a community-representative sample of 38173 men aged 65-85 years at the start of the follow up period of 18 years. We used the Western Australian Data Linkage System to ascertain the presence of hearing loss and of psychotic disorders according to the International Classification of Diseases (ICD versions 8, 9 and 10). We also collected information on concurrent morbidities: cancer and diseases of the cardiovascular, respiratory, digestive and renal systems.RESULTS: 1442 (3.8%) and 464 (1.2%) men had a recorded diagnosis of hearing loss and psychosis at the start of follow up. After excluding the 464 participants with prevalent psychosis, 37709 men were available for the longitudinal study and, of these, 252 (0.7%) developed a psychotic disorder. Competing risk regression showed that hearing loss was associated incident psychosis (sub-hazard ratio = 2.03, 95%CI=1.24, 3.32; after statistical adjustment for age and concurrent morbidities).CONCLUSIONS: Hearing loss is associated with double the risk of incident psychosis in older men. Available evidence suggests that this link could be causal, although conclusive evidence is still missing from randomised controlled trials designed to test the effect of correction of hearing loss on the prevalence and incidence of psychosis.

KW - aged

KW - cohort study

KW - deafness

KW - delusional disorder

KW - elderly

KW - hearing impairment

KW - hearing loss

KW - longitudinal study

KW - psychosis

KW - schizophrenia

KW - IMPAIRMENT

KW - DEPRESSION

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KW - RISK

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KW - POPULATION

KW - SYMPTOMS

KW - COHORT

U2 - 10.1002/gps.5028

DO - 10.1002/gps.5028

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JO - International Journal of Geriatric Psychiatry

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SN - 0885-6230

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ER -