Relações entre perda auditiva, zumbido e sintomatologia depressiva no idoso

• Autor(a) principal: Zambenedetti, Márcia
• Data de Publicação: 2012
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Biblioteca Digital de Teses e Dissertações da PUC_SP
• Texto Completo: https://tede2.pucsp.br/handle/handle/11922
• topic: Envelhecimento; Zumbido; Perda auditiva; Sintomas depressivos; Aging; Tinnitus; Hearing loss; Depression; CNPQ::CIENCIAS DA SAUDE::FONOAUDIOLOGIA

Population aging is a worldwide phenomenon and with advancing age several physiological alterations begin to be noticed by individuals. Thus, health problems can affect significantly life quality for seniors, and one of the most common injuries in this age group is depression, followed by hearing impairment, associated or not to tinnitus. Faced with this reality, the social and economic repercussion of direct and indirect damages like tinnitus, hearing impairment and depression in the elderly are reflected as a public health problem, which needs deepening. In this sense, the systematic use of validated instruments is justified in trying to facilitate research in clinical practice and thus generate subsidies for the planning of intervention strategies that minimize the negative impact on the elderly life. Objective: To assess the relationship between hearing loss, tinnitus and depression in the elderly. Method: Prospective cross-sectional comparative study, conducted with 81 elderly, with an average age of 71, 54 and users of a Hearing Health Service of medium complexity, located in the city of Caxias do Sul, Rio Grande do Sul state. After performing an audiological evaluation, all responded to a clinical history and to the Geriatric Depression Scale (GDS). The Tinnitus Handicap Inventory (THI) questionnaire was applied only in subjects with tinnitus complaints. Results: There was a significant correlation between level of education (p= 0.016), monthly income (p= 0.038) and hearing loss variables. The median score for the GDS was 5.06 and 38.35 for the THI, without any significant statistic relationship with the other study variables. Conclusion: The more pronounced hearing loss is present in individuals with a lower education level. The higher the economic level of the subject, the better is his or her hearing and, consequently, the lower the occurrence of tinnitus. Even though not significant, a trend of increasing age influencing the presence of a more pronounced hearing loss was noticed, as well as a strong tendency of elderly with tinnitus showing more signs of depression