Bidirectional relation between depression and sudden sensorineural hearing loss: Two longitudinal follow-up studies using a national sample cohort

A few studies have explored the association between depression and sudden sensorineural hearing loss (SSNHL). This study was aimed to investigate the reciprocal relations between SSNHL and depression using a nationwide cohort of the Korean population. Subjects aged > 20 years from the Korean Nati...

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Published in:	Scientific reports Vol. 10; no. 1; p. 1482
Main Authors:	Kim, So Young, Min, Chanyang, Lee, Chang Ho, Park, Bumjung, Choi, Hyo Geun
Format:	Journal Article
Language:	English
Published:	London Nature Publishing Group UK 30.01.2020 Nature Publishing Group
Subjects:	692/499 692/700/478/174 Adult Aged Aged, 80 and over Case-Control Studies Cohort Studies Comorbidity Depression - complications Depression - epidemiology Female Follow-Up Studies Hearing loss Hearing Loss, Sensorineural - complications Hearing Loss, Sensorineural - epidemiology Hearing Loss, Sudden - complications Hearing Loss, Sudden - epidemiology Humanities and Social Sciences Humans Incidence Kaplan-Meier Estimate Longitudinal Studies Male Mental depression Middle age Middle Aged multidisciplinary Proportional Hazards Models Republic of Korea - epidemiology Risk Factors Science Science (multidisciplinary) Young Adult Republic of Korea
ISSN:	2045-2322, 2045-2322
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Abstract	A few studies have explored the association between depression and sudden sensorineural hearing loss (SSNHL). This study was aimed to investigate the reciprocal relations between SSNHL and depression using a nationwide cohort of the Korean population. Subjects aged > 20 years from the Korean National Health Insurance Service-National Sample Cohort were enrolled from 2002 to 2013. In study I, a total of 60,178 depressed patients were matched 1:4 with 242,872 control I subjects. In study II, a total of 4,328 SSNHL patients were 1:4 matched with 17,312 control II subjects. They were matched for age, sex, income, and region of residence. The Charlson comorbidity index (CCI) was adjusted. Subgroup analysis was performed according to age and sex. The crude and adjusted CCI hazard ratios (HRs) of SSNHL in depressed patients (study I) and depression in SSNHL patients (study II) were analyzed using the stratified Cox proportional-hazard model. In study I, the depression group exhibited an elevated adjusted HR of SSNHL 1.16 times that of the control group (confidence interval [95% CI] = 1.02–1.31, P < 0.023). The middle-aged women subgroup demonstrated an increased risk of SSNHL within the depression group. In study II, the SSNHL group showed a higher adjusted HR of depression 1.29 times that of control II group (95% CI = 1.06–1.57, P = 0.010). The middle-aged women subgroup showed an elevated risk of depression in the SSNHL group. The risk of SSNHL was elevated in the depressed patients and the risk of depression was increased in the SSNHL patients.
AbstractList	A few studies have explored the association between depression and sudden sensorineural hearing loss (SSNHL). This study was aimed to investigate the reciprocal relations between SSNHL and depression using a nationwide cohort of the Korean population. Subjects aged > 20 years from the Korean National Health Insurance Service-National Sample Cohort were enrolled from 2002 to 2013. In study I, a total of 60,178 depressed patients were matched 1:4 with 242,872 control I subjects. In study II, a total of 4,328 SSNHL patients were 1:4 matched with 17,312 control II subjects. They were matched for age, sex, income, and region of residence. The Charlson comorbidity index (CCI) was adjusted. Subgroup analysis was performed according to age and sex. The crude and adjusted CCI hazard ratios (HRs) of SSNHL in depressed patients (study I) and depression in SSNHL patients (study II) were analyzed using the stratified Cox proportional-hazard model. In study I, the depression group exhibited an elevated adjusted HR of SSNHL 1.16 times that of the control group (confidence interval [95% CI] = 1.02–1.31, P < 0.023). The middle-aged women subgroup demonstrated an increased risk of SSNHL within the depression group. In study II, the SSNHL group showed a higher adjusted HR of depression 1.29 times that of control II group (95% CI = 1.06–1.57, P = 0.010). The middle-aged women subgroup showed an elevated risk of depression in the SSNHL group. The risk of SSNHL was elevated in the depressed patients and the risk of depression was increased in the SSNHL patients. A few studies have explored the association between depression and sudden sensorineural hearing loss (SSNHL). This study was aimed to investigate the reciprocal relations between SSNHL and depression using a nationwide cohort of the Korean population. Subjects aged > 20 years from the Korean National Health Insurance Service-National Sample Cohort were enrolled from 2002 to 2013. In study I, a total of 60,178 depressed patients were matched 1:4 with 242,872 control I subjects. In study II, a total of 4,328 SSNHL patients were 1:4 matched with 17,312 control II subjects. They were matched for age, sex, income, and region of residence. The Charlson comorbidity index (CCI) was adjusted. Subgroup analysis was performed according to age and sex. The crude and adjusted CCI hazard ratios (HRs) of SSNHL in depressed patients (study I) and depression in SSNHL patients (study II) were analyzed using the stratified Cox proportional-hazard model. In study I, the depression group exhibited an elevated adjusted HR of SSNHL 1.16 times that of the control group (confidence interval [95% CI] = 1.02-1.31, P < 0.023). The middle-aged women subgroup demonstrated an increased risk of SSNHL within the depression group. In study II, the SSNHL group showed a higher adjusted HR of depression 1.29 times that of control II group (95% CI = 1.06-1.57, P = 0.010). The middle-aged women subgroup showed an elevated risk of depression in the SSNHL group. The risk of SSNHL was elevated in the depressed patients and the risk of depression was increased in the SSNHL patients.A few studies have explored the association between depression and sudden sensorineural hearing loss (SSNHL). This study was aimed to investigate the reciprocal relations between SSNHL and depression using a nationwide cohort of the Korean population. Subjects aged > 20 years from the Korean National Health Insurance Service-National Sample Cohort were enrolled from 2002 to 2013. In study I, a total of 60,178 depressed patients were matched 1:4 with 242,872 control I subjects. In study II, a total of 4,328 SSNHL patients were 1:4 matched with 17,312 control II subjects. They were matched for age, sex, income, and region of residence. The Charlson comorbidity index (CCI) was adjusted. Subgroup analysis was performed according to age and sex. The crude and adjusted CCI hazard ratios (HRs) of SSNHL in depressed patients (study I) and depression in SSNHL patients (study II) were analyzed using the stratified Cox proportional-hazard model. In study I, the depression group exhibited an elevated adjusted HR of SSNHL 1.16 times that of the control group (confidence interval [95% CI] = 1.02-1.31, P < 0.023). The middle-aged women subgroup demonstrated an increased risk of SSNHL within the depression group. In study II, the SSNHL group showed a higher adjusted HR of depression 1.29 times that of control II group (95% CI = 1.06-1.57, P = 0.010). The middle-aged women subgroup showed an elevated risk of depression in the SSNHL group. The risk of SSNHL was elevated in the depressed patients and the risk of depression was increased in the SSNHL patients.
ArticleNumber	1482
Author	Kim, So Young Park, Bumjung Choi, Hyo Geun Min, Chanyang Lee, Chang Ho
Author_xml	– sequence: 1 givenname: So Young surname: Kim fullname: Kim, So Young organization: Department of Otorhinolaryngology-Head & Neck Surgery, CHA Bundang Medical Center, CHA University – sequence: 2 givenname: Chanyang surname: Min fullname: Min, Chanyang organization: Hallym Data Science Laboratory, Hallym University College of Medicine, Graduate School of Public Health, Seoul National University – sequence: 3 givenname: Chang Ho surname: Lee fullname: Lee, Chang Ho organization: Department of Otorhinolaryngology-Head & Neck Surgery, CHA Bundang Medical Center, CHA University – sequence: 4 givenname: Bumjung surname: Park fullname: Park, Bumjung organization: Department of Otorhinolaryngology-Head & Neck Surgery, Hallym University College of Medicine – sequence: 5 givenname: Hyo Geun orcidid: 0000-0003-1655-9549 surname: Choi fullname: Choi, Hyo Geun email: pupen@naver.com organization: Hallym Data Science Laboratory, Hallym University College of Medicine, Department of Otorhinolaryngology-Head & Neck Surgery, Hallym University College of Medicine
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Snippet	A few studies have explored the association between depression and sudden sensorineural hearing loss (SSNHL). This study was aimed to investigate the...
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SubjectTerms	692/499 692/700/478/174 Adult Aged Aged, 80 and over Case-Control Studies Cohort Studies Comorbidity Depression - complications Depression - epidemiology Female Follow-Up Studies Hearing loss Hearing Loss, Sensorineural - complications Hearing Loss, Sensorineural - epidemiology Hearing Loss, Sudden - complications Hearing Loss, Sudden - epidemiology Humanities and Social Sciences Humans Incidence Kaplan-Meier Estimate Longitudinal Studies Male Mental depression Middle age Middle Aged multidisciplinary Proportional Hazards Models Republic of Korea - epidemiology Risk Factors Science Science (multidisciplinary) Young Adult
Title	Bidirectional relation between depression and sudden sensorineural hearing loss: Two longitudinal follow-up studies using a national sample cohort
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