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<p>Sensorineural hearing loss (SNHL) has been strongly associated with adverse mental health outcomes. While extensive research exists for children and the elderly, younger adults remain understudied—especially in the Indian context. This study aimed to assess the prevalence of depression, anxiety, stress, and loneliness in Indian adults aged 18–55 years with SNHL. This observational case-control study was conducted at a tertiary care hospital in North India from October 2022 to February 2025. A total of 850 patients with bilateral symmetrical SNHL and 440 age-matched controls with normal hearing were enrolled. Mental health parameters were assessed using the Depression Anxiety Stress Scale (DASS-21), while loneliness was measured using the DeJong Gierveld Loneliness Scale. Pure-tone audiometry was used to confirm SNHL. Cases exhibited significantly higher scores on all mental health and loneliness parameters compared to controls (p &lt; 0.001). Depression (72.1%), anxiety (84.2%), Powered by Editorial Manager® and ProduXion Manager® from Aries Systems Corporation and stress (12.8%) were markedly prevalent among cases, while nearly all (98.3%) reported significant loneliness. Odds ratios revealed an extremely strong association between SNHL and anxiety (OR = 1496.93), depression (OR = 725.87), stress (OR = 41.5), and loneliness (OR = 2329). Gender distribution showed no significant differences (p = 0.233). These findings highlight the urgent need for holistic management approach beyond hearing rehabilitation alone. Routine psychological screening using tools like DASS-21 and Loneliness scale and early psychiatric referrals should be integrated into ENT practice to address the hidden psychosocial burden of hearing loss.</p>

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Beyond Hearing Aids: Mental Health and Loneliness in Younger Adults with Bilateral Sensori-neural Hearing Loss: A Case Control Study

  • 期刊论文

  • 发表日期：

    2025年11月28日

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  • Shailendra Tripathi,
  • Ahmad Rizvan,
  • Amit Chail,
  • Ranjit Lahel,
  • Akshay Bhatnagar,
  • Supreet Singh Nayyar,
  • Nandini Bisht,
  • Mohnish Dixit

摘要

Sensorineural hearing loss (SNHL) has been strongly associated with adverse mental health outcomes. While extensive research exists for children and the elderly, younger adults remain understudied—especially in the Indian context. This study aimed to assess the prevalence of depression, anxiety, stress, and loneliness in Indian adults aged 18–55 years with SNHL. This observational case-control study was conducted at a tertiary care hospital in North India from October 2022 to February 2025. A total of 850 patients with bilateral symmetrical SNHL and 440 age-matched controls with normal hearing were enrolled. Mental health parameters were assessed using the Depression Anxiety Stress Scale (DASS-21), while loneliness was measured using the DeJong Gierveld Loneliness Scale. Pure-tone audiometry was used to confirm SNHL. Cases exhibited significantly higher scores on all mental health and loneliness parameters compared to controls (p < 0.001). Depression (72.1%), anxiety (84.2%), Powered by Editorial Manager® and ProduXion Manager® from Aries Systems Corporation and stress (12.8%) were markedly prevalent among cases, while nearly all (98.3%) reported significant loneliness. Odds ratios revealed an extremely strong association between SNHL and anxiety (OR = 1496.93), depression (OR = 725.87), stress (OR = 41.5), and loneliness (OR = 2329). Gender distribution showed no significant differences (p = 0.233). These findings highlight the urgent need for holistic management approach beyond hearing rehabilitation alone. Routine psychological screening using tools like DASS-21 and Loneliness scale and early psychiatric referrals should be integrated into ENT practice to address the hidden psychosocial burden of hearing loss.