노인 난청의 우울성향에 관한 연구

서지정보

· 발행기관 : 한국청각언어재활학회
· 수록지 정보 : 청능재활 / 1권 / 1호
· 저자명 : 천행태, 조소현, 조수진

목차

INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
CONCLUSIONS
REFERENCES

초록

노인 인구의 급속한 증가로 인구의 고령화 현상이 대두되면서 예상되는 문제점은 새로 장애를 갖게 되는 사람들(ageing into disabilities)과 장애를 가진 채 나이가 드는 사람들(ageing with isabilities)이 증가한다. 특히 고령화가 될수록 난청이 심해지는 경향이 두드러저서 65~74세에는 33%, 75~84세에는 45%, 85세 이상에서는 62%가 경도난청(mild hearing loss) 이상을 보인다고 한다.5) 노인의 경우 난청은 육체적인 안녕 상태뿐만 아니라 행동적인, 사회적인 기능수행 상태를 떨어뜨리고, 나아가서는 일상 활동의 제한까지도 초래하는 것으로 되어 있다.14) 또한 난청은 인지기능에 영향을 미치는 것으로 알려져 있는데, 생태학적 연구에 따르면 난청으로 인한 청각장애는 우울증과 치매와 관련성이 있다.12)14) 특히 난청은 불안과 우울성향 그리고 인지기능에 영향을 미치는 것으로 알려져 있다.19)Herbst 등14)에 의하면 청력이 손실된 노인의 69%와 청

영어초록

The present study was focused on examining into the hearing loss-based depression that is frequently observed the aged over 65 years old. Hereupon, author analyzed the correlation of depression between normal and hearing loss, using KGDS (Korean Form of Geriatric Depression Scale), as well as ascertained the influence of hearing loss on depression and the applicability to screening test data. Methods：The subjects were composed of the 108 aged over 65 years old (normal；37, hearing loss；71) and their average age was 77.06 years old. Pure-tone audiometry was practiced over the whole frequency band and KGDS was drawn up through bone conduction test and tympanometer. Results：Results were as follows. First, The male accounted for higher proportion of the hearing loss in the aged over 65 years old, but the female was higher in geriatric depression. Considering the cause of depression,
the males were mostly caused by negative thinking and unhappiness feeling, and physical weakening and decreased vitality had the highest percentage of the female’s. Second, The group whose hearing threshold heightened in high-frequency band hearing lose was observed showed more serious depression, compared with the group doing not have hearing loss. Moderate hearing loss-based depression was prominent in case of trisection method, and moderate severe hearing loss was prominent in case of quadrisection methd. Third, The reason why the aged over 65 years old, who have hearing loss, feel depressive was mostly caused by physical weakening and decreased vitality, concurrently with some psychological factors such as cognitive dysfunction, negative thinking and unhappiness feeling, etc. Finally, In proportion to the increase of their depression, their complaints about hearing loss increased.
Conversely, their complaints decreased when their depression was relatively low. Conclusions：It is expected that the result of this study may be used to make the aged over 65 years old rightly recognize the problem of hearing loss and the importance of early treatment and rehabilitative therapy, and may be used to correctly ascertain the geriatric depression that psychologically depresses the aged. Moreover, it may be applied to the screening test data that helps the specialists to counsel those who have hearing loss and to select hearing aids and something else.

KEY WORDS：Hearing loss·Geriatric depression·psychological factor.

참고자료

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