Depression in middle-aged and older adults with hearing loss: the use and construction of a nomogram tool

ObjectiveThis study aims to explore the influencing factors of depressive symptoms in middle-aged and older adult patients with hearing loss and to construct a nomogram risk prediction model.MethodsA total of 2,729 middle-aged and older adult patients with hearing loss from the community were select...

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Main Authors: Qiankun Liu, Zhongtao Zhou, Yang Xu, Jiaxue Pang, Chunlu Zeng, Xiaoqing Ma, Pengyao Li, Ma Li, Juju Huang, Hui Xie
Format: Article
Language:English
Published: Frontiers Media S.A. 2024-12-01
Series:Frontiers in Public Health
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Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2024.1452285/full
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author Qiankun Liu
Zhongtao Zhou
Yang Xu
Jiaxue Pang
Chunlu Zeng
Xiaoqing Ma
Pengyao Li
Ma Li
Juju Huang
Hui Xie
author_facet Qiankun Liu
Zhongtao Zhou
Yang Xu
Jiaxue Pang
Chunlu Zeng
Xiaoqing Ma
Pengyao Li
Ma Li
Juju Huang
Hui Xie
author_sort Qiankun Liu
collection DOAJ
description ObjectiveThis study aims to explore the influencing factors of depressive symptoms in middle-aged and older adult patients with hearing loss and to construct a nomogram risk prediction model.MethodsA total of 2,729 middle-aged and older adult patients with hearing loss from the community were selected as the study subjects. Single-factor and multifactorial stepwise logistic regression analyses were used to screen influencing factors. Based on these predictive factors, a nomogram prediction model was constructed. The model’s efficacy was validated using the area under the receiver operating characteristic curve (AUC) and 1,000 bootstrap resamples.ResultsMultifactorial logistic regression analysis revealed that age, gender, pain, cognitive abilities, daily living abilities, sleep duration, and self-rated health status are the main influencing factors for depressive symptoms. Based on these factors, the constructed nomogram model demonstrated good calibration (χ2 = 3.367, p = 0.909), with an AUC value of 0.741 (95% CI: 0.723–0.759), and a sensitivity of 0.683, showing good discriminative ability and accuracy.ConclusionThe incidence of depressive symptoms is relatively high among middle-aged and older adult individuals with hearing loss. The model developed in this study can effectively identify middle-aged and older adult patients with hearing loss who are at risk of depressive symptoms. This provides strong empirical support for the early detection, diagnosis, and intervention of depressive symptoms in middle-aged and older adult patients with hearing loss.
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spelling doaj-art-62abcbd02e4e4648982a94c1853eba3b2024-12-11T05:10:22ZengFrontiers Media S.A.Frontiers in Public Health2296-25652024-12-011210.3389/fpubh.2024.14522851452285Depression in middle-aged and older adults with hearing loss: the use and construction of a nomogram toolQiankun LiuZhongtao ZhouYang XuJiaxue PangChunlu ZengXiaoqing MaPengyao LiMa LiJuju HuangHui XieObjectiveThis study aims to explore the influencing factors of depressive symptoms in middle-aged and older adult patients with hearing loss and to construct a nomogram risk prediction model.MethodsA total of 2,729 middle-aged and older adult patients with hearing loss from the community were selected as the study subjects. Single-factor and multifactorial stepwise logistic regression analyses were used to screen influencing factors. Based on these predictive factors, a nomogram prediction model was constructed. The model’s efficacy was validated using the area under the receiver operating characteristic curve (AUC) and 1,000 bootstrap resamples.ResultsMultifactorial logistic regression analysis revealed that age, gender, pain, cognitive abilities, daily living abilities, sleep duration, and self-rated health status are the main influencing factors for depressive symptoms. Based on these factors, the constructed nomogram model demonstrated good calibration (χ2 = 3.367, p = 0.909), with an AUC value of 0.741 (95% CI: 0.723–0.759), and a sensitivity of 0.683, showing good discriminative ability and accuracy.ConclusionThe incidence of depressive symptoms is relatively high among middle-aged and older adult individuals with hearing loss. The model developed in this study can effectively identify middle-aged and older adult patients with hearing loss who are at risk of depressive symptoms. This provides strong empirical support for the early detection, diagnosis, and intervention of depressive symptoms in middle-aged and older adult patients with hearing loss.https://www.frontiersin.org/articles/10.3389/fpubh.2024.1452285/fullhearing lossdepressive symptomsmiddle-aged and older adult people in communitynomogramCHARLS
spellingShingle Qiankun Liu
Zhongtao Zhou
Yang Xu
Jiaxue Pang
Chunlu Zeng
Xiaoqing Ma
Pengyao Li
Ma Li
Juju Huang
Hui Xie
Depression in middle-aged and older adults with hearing loss: the use and construction of a nomogram tool
Frontiers in Public Health
hearing loss
depressive symptoms
middle-aged and older adult people in community
nomogram
CHARLS
title Depression in middle-aged and older adults with hearing loss: the use and construction of a nomogram tool
title_full Depression in middle-aged and older adults with hearing loss: the use and construction of a nomogram tool
title_fullStr Depression in middle-aged and older adults with hearing loss: the use and construction of a nomogram tool
title_full_unstemmed Depression in middle-aged and older adults with hearing loss: the use and construction of a nomogram tool
title_short Depression in middle-aged and older adults with hearing loss: the use and construction of a nomogram tool
title_sort depression in middle aged and older adults with hearing loss the use and construction of a nomogram tool
topic hearing loss
depressive symptoms
middle-aged and older adult people in community
nomogram
CHARLS
url https://www.frontiersin.org/articles/10.3389/fpubh.2024.1452285/full
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