Hearing Loss Among People With Schizophrenia: Implications for Clinical Practice

Psychiatr Serv. 2023 May 1;74(5):543-546. doi: 10.1176/appi.ps.20220226. Epub 2022 Sep 27.

Abstract

Objective: The authors characterized hearing loss among individuals diagnosed as having schizophrenia to inform provision of routine behavioral health services to this population.

Methods: Audiometry data collected between October 2019 and December 2021 from 84 community-dwelling adults with schizophrenia and 81 age-matched participants without the condition were analyzed. Rates of hearing loss were identified within groups and across age decades (20-50 years). Hearing threshold and rates of hearing loss were compared between groups.

Results: Participants with schizophrenia had significantly higher mean hearing thresholds (p=0.006), indicating worse hearing. This difference remained significant after controlling for age (p=0.01). A significantly larger proportion of participants with schizophrenia had mild hearing loss (24%) compared with age-matched participants (6%) (p=0.002), with higher rates of mild hearing loss observed across all ages.

Conclusions: Screening for and detection of hearing loss among adults with schizophrenia may be an unmet need. Hearing loss is a treatable source of cognitive and psychosocial disability, warranting scalable assessment and intervention practices.

Keywords: Audiometry screening; Hearing loss; Psychiatric research; Schizophrenia.

MeSH terms

  • Adult
  • Audiometry
  • Deafness*
  • Hearing Loss* / diagnosis
  • Hearing Loss* / epidemiology
  • Humans
  • Middle Aged
  • Schizophrenia* / epidemiology
  • Young Adult