HEARING LOSS IN PARANOID AND AFFECTIVE PSYCHOSES OF THE ELDERLY
| Autor: | A. F. Cooper, A.R. Curry, D.W.K. Kay, Martin Roth, R.F. Garside |
|---|---|
| Rok vydání: | 1974 |
| Předmět: |
Hospitals
Psychiatric Male Paranoid Disorders medicine.medical_specialty Psychosis Hearing loss Population Bilateral Deafness Disease Deafness Audiology Medical Records Sex Factors Audiometry Paraphrenia Paranoid Personality Disorder otorhinolaryngologic diseases medicine Humans Affective Symptoms education Psychiatry Aged education.field_of_study medicine.diagnostic_test business.industry Medical record Age Factors General Medicine Middle Aged Presbycusis medicine.disease Hospitalization Otosclerosis Hearing Loss Noise-Induced Dementia Female medicine.symptom business |
| Zdroj: | The Lancet. 304:851-854 |
| ISSN: | 0140-6736 |
| Popis: | The reported association between acquired deafness and paranoid illness in the elderly was re-examined. Social deafness and its probable duration was assessed by clinical interviews with patients and relatives and by information from hospital records in sixty-five patients with paranoid psychosis and sixty-seven patients with primary affective disorder. A hundred and eleven of these hundred and thirty-two patients were also tested audiometrically after recovery from the acute phase of the illness, and all those with abnormal audiograms or with evidence of social deafness were examined aurally and an otological diagnosis made. After taking into consideration age and possible selective factors, it was concluded that patients with paranoid psychosis have a more severe degree of hearing loss and are more often socially deaf than patients with affective illness, who probably resemble the general population. The differences seem to be due to a significantly higher proportion of paranoid patients having longstanding, usually severe, bilateral deafness, which is most commonly caused by chronic middle-ear disease. The long interval between the onset of deafness and the onset of psychosis seems to offer opportunities for prevention. |
| Databáze: | OpenAIRE |
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