{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T19:03:00Z","timestamp":1774551780797,"version":"3.50.1"},"reference-count":80,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2020,4,16]],"date-time":"2020-04-16T00:00:00Z","timestamp":1586995200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Tropical Med Int Health"],"published-print":{"date-parts":[[2020,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Hearing loss can have far\u2010reaching effects on social, emotional and cognitive development, but few studies have addressed the link with mental health conditions. We conducted a systematic review of the association between hearing loss and mental health conditions in low\u2010 and middle\u2010income countries (LMICs).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We searched six electronic databases using predetermined criteria to retrieve original research reporting mental health in people with hearing loss. We considered quantitative studies measuring any type of mental health conditions according to the ICD10 classifications of \u2018Mental and behavioural disorders\u2019 in relation to any measure of hearing loss. We assessed risk of bias using a set of criteria according to the SIGN50 guidelines.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We included 12 studies evaluating 35\u00a0604 people with hearing loss in 10 countries. Poorer mental health (measured as stress and anxiety, depression, and\/or behavioural and emotional disorders) was more common among people with hearing loss compared to those without in 10 studies. One study found no difference in mental health outcomes between people with hearing, visual and no impairment. Another study reported that after hearing aids, those with severe hearing loss had significant improvement in psychosocial function, compared to no change among those without hearing loss. Overall, one study was judged to be high quality, seven medium quality and four low quality.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Included studies showed a trend towards poorer mental health outcomes for people with hearing loss than for those without. However, our findings indicate that very few high\u2010quality studies have been conducted in LMICs.<\/jats:p><\/jats:sec>","DOI":"10.1111\/tmi.13393","type":"journal-article","created":{"date-parts":[[2020,3,27]],"date-time":"2020-03-27T08:56:30Z","timestamp":1585299390000},"page":"646-659","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":21,"title":["The relationship between mental health conditions and hearing loss in low\u2010 and middle\u2010income countries"],"prefix":"10.1111","volume":"25","author":[{"given":"Fan","family":"Jiang","sequence":"first","affiliation":[{"name":"International Centre for Evidence in Disability London School of Hygiene &amp; Tropical Medicine London UK"},{"name":"School of Public Health Shandong University Jinan China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chris","family":"Kubwimana","sequence":"additional","affiliation":[{"name":"International Centre for Evidence in Disability London School of Hygiene &amp; Tropical Medicine London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julian","family":"Eaton","sequence":"additional","affiliation":[{"name":"CBM Global and London School of Hygiene &amp;Tropical Medicine London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hannah","family":"Kuper","sequence":"additional","affiliation":[{"name":"International Centre for Evidence in Disability London School of Hygiene &amp; Tropical Medicine London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tess","family":"Bright","sequence":"additional","affiliation":[{"name":"International Centre for Evidence in Disability London School of Hygiene &amp; Tropical Medicine London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,4,16]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0125915"},{"key":"e_1_2_7_3_1","unstructured":"World Health Organization.Childhood hearing loss: strategies for prevention and care. 2016."},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurpub\/ckr176"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0165-5876(00)00307-4"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-7610.2009.02124.x"},{"key":"e_1_2_7_7_1","first-page":"909","volume":"35","author":"Brookhouser PE","year":"2002","journal-title":"Sensorineural hearing loss in children."},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1093\/deafed\/enm067"},{"key":"e_1_2_7_9_1","unstructured":"HewardW.Exceptional Children: An Introduction to Special. Education 2008."},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.4172\/2161-0487.1000323"},{"key":"e_1_2_7_11_1","unstructured":"SommersJ.The mental health status of deaf and hard of hearing children in the mainstream education system. Undergraduate Honors Theses. 2014: 4(30)."},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1753-6405.2011.00744.x"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00787-008-0683-y"},{"key":"e_1_2_7_14_1","unstructured":"ScheetzNA.Psychosocial Aspects of Deafness. Pearson Schweiz Ag. 2003."},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1093\/deafed\/enu031"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(11)61143-4"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00127-018-1638-3"},{"key":"e_1_2_7_18_1","unstructured":"Action on Hearing Loss. Facts and Figures. 2016. (Available fromhttps:\/\/www.actiononhearingloss.org.uk\/about\u2010us\/media\/facts\u2010and\u2010figures\/)."},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/gnz009"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2013.3974"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.26424"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1177\/0898264314529329"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/coa.12937"},{"key":"e_1_2_7_24_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2017.2513"},{"key":"e_1_2_7_25_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12877-016-0347-6"},{"key":"e_1_2_7_26_1","doi-asserted-by":"publisher","DOI":"10.1002\/gps.2054"},{"key":"e_1_2_7_27_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev-clinpsy-032814-112828"},{"key":"e_1_2_7_28_1","first-page":"1","article-title":"Deaf adults and mental health: A review of recent research on the prevalence and distribution of psychiatric symptoms and disorders in the prelingually deaf adult population","volume":"1","author":"\u00d8hre B","year":"2011","journal-title":"Int J Ment Health Deafness"},{"key":"e_1_2_7_29_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-013-2715-6"},{"key":"e_1_2_7_30_1","doi-asserted-by":"publisher","DOI":"10.1177\/0898264316634571"},{"key":"e_1_2_7_31_1","doi-asserted-by":"publisher","DOI":"10.1002\/gps.618"},{"key":"e_1_2_7_32_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1041610216001459"},{"key":"e_1_2_7_33_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.14986"},{"key":"e_1_2_7_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bbr.2018.01.003"},{"key":"e_1_2_7_35_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0447.2009.01350.x"},{"key":"e_1_2_7_36_1","first-page":"1","article-title":"Recognition of disorders and emotional problems of deaf children using house\u2010tree\u2010person and draw\u2010a\u2010person tests in comparison with normal children of Hamadan province","volume":"20","author":"Amini D","year":"2013","journal-title":"Sci J Hamadan Univ Med Sci"},{"key":"e_1_2_7_37_1","doi-asserted-by":"publisher","DOI":"10.1353\/aad.2005.0024"},{"key":"e_1_2_7_38_1","doi-asserted-by":"publisher","DOI":"10.1097\/00004583-199612000-00008"},{"key":"e_1_2_7_39_1","doi-asserted-by":"publisher","DOI":"10.1093\/deafed\/enl015"},{"key":"e_1_2_7_40_1","first-page":"950","article-title":"Prevalence and correlates of psychopathology in a sample of deaf adolescents","volume":"48","author":"Tiejo VG","year":"2010","journal-title":"J Child Psychol Psychiatry"},{"key":"e_1_2_7_41_1","unstructured":"PRISMA.Prisma Statement 2015. (Available from:http:\/\/www.prismastatement.org\/PRISMAStatement\/Default.aspx)."},{"key":"e_1_2_7_42_1","unstructured":"World Health Organization.ICD 10 2016. (Available from:https:\/\/icd.who.int\/browse10\/2016\/en)."},{"key":"e_1_2_7_43_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(17)31363-6"},{"key":"e_1_2_7_44_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(18)30579-8"},{"key":"e_1_2_7_45_1","unstructured":"Intercollegiate Scottish.Guidelines Network. SIGN 50: A guideline development handbook 2011. (Available from:http:\/\/www.sign.ac.uk\/assets\/sign502011.pdf)."},{"key":"e_1_2_7_46_1","first-page":"125","article-title":"A comparative study of sources of stress among disabled boys and girls","volume":"7","author":"Reddy VS","year":"1991","journal-title":"J Personal Clin Stud"},{"key":"e_1_2_7_47_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.maturitas.2017.10.007"},{"key":"e_1_2_7_48_1","doi-asserted-by":"publisher","DOI":"10.1353\/aad.2010.0048"},{"key":"e_1_2_7_49_1","first-page":"252","article-title":"Relationship between quality of life, anxiety and depression in unilateral hearing loss","volume":"6","author":"Cetin B","year":"2010","journal-title":"J Int Adv Otol"},{"key":"e_1_2_7_50_1","first-page":"140","article-title":"Anxiety and influencing factors of laborers with high frequency hearing loss","volume":"32","author":"Xie QY","year":"2015","journal-title":"J Environ Occup Med"},{"key":"e_1_2_7_51_1","first-page":"75","article-title":"Psychosocial functions before and after the use or hearing aids in acquired hearing loss patients","volume":"24","author":"Namsssv SK","year":"1997","journal-title":"Dept Otoloryngol Psychiatry"},{"key":"e_1_2_7_52_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcgg.2014.08.004"},{"key":"e_1_2_7_53_1","first-page":"59","article-title":"Evaluation of behavioral and emotional problems in deaf children by using the child behavior checklist","volume":"13","author":"Konuk N","year":"2006","journal-title":"Neurol Psychiatry Brain Res"},{"key":"e_1_2_7_54_1","doi-asserted-by":"publisher","DOI":"10.1179\/1557069X15Y.0000000002"},{"key":"e_1_2_7_55_1","first-page":"53","article-title":"Epidemiological study of mental health problems among handicapped school children","volume":"3","author":"Singh TB","year":"1988","journal-title":"Int J Rehabil Res"},{"key":"e_1_2_7_56_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajp.2015.09.014"},{"key":"e_1_2_7_57_1","doi-asserted-by":"publisher","DOI":"10.4172\/2378-5756.1000350"},{"key":"e_1_2_7_58_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2011.07.023"},{"key":"e_1_2_7_59_1","doi-asserted-by":"publisher","DOI":"10.1093\/deafed\/enj042"},{"key":"e_1_2_7_60_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.maturitas.2018.02.002"},{"key":"e_1_2_7_61_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000005312"},{"key":"e_1_2_7_62_1","doi-asserted-by":"publisher","DOI":"10.1136\/jech.38.1.75"},{"key":"e_1_2_7_63_1","doi-asserted-by":"publisher","DOI":"10.3109\/09638288.2014.982833"},{"key":"e_1_2_7_64_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.genhosppsych.2016.11.002"},{"key":"e_1_2_7_65_1","doi-asserted-by":"publisher","DOI":"10.1016\/0277-9536(86)90107-3"},{"key":"e_1_2_7_66_1","doi-asserted-by":"publisher","DOI":"10.1017\/S2045796018000045"},{"key":"e_1_2_7_67_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291718001617"},{"key":"e_1_2_7_68_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2011.07.023"},{"key":"e_1_2_7_69_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.1993.tb06948.x"},{"key":"e_1_2_7_70_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291718003409"},{"key":"e_1_2_7_71_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0094521"},{"key":"e_1_2_7_72_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.schres.2006.03.036"},{"key":"e_1_2_7_73_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.schres.2007.04.006"},{"key":"e_1_2_7_74_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0167-4943(03)00003-7"},{"key":"e_1_2_7_75_1","doi-asserted-by":"publisher","DOI":"10.1176\/ps.2010.61.2.196"},{"key":"e_1_2_7_76_1","doi-asserted-by":"crossref","unstructured":"HeineC BrowningCJ.Mental health and dual sensory loss in older adults: a systematic review. 2014.","DOI":"10.3389\/fnagi.2014.00083"},{"key":"e_1_2_7_77_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00787-015-0697-1"},{"key":"e_1_2_7_78_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00127-018-1638-3"},{"key":"e_1_2_7_79_1","unstructured":"World Health Organization.Community\u2010based rehabilitation: promoting ear and hearing care through CBR. 2012."},{"key":"e_1_2_7_80_1","unstructured":"World Health Organization.Primary ear and hearing care training resources. 2006. (Available from:https:\/\/www.who.int\/pbd\/deafness\/activities\/hearing_care\/trainer.pdf?ua=1)."},{"key":"e_1_2_7_81_1","unstructured":"World Health Organization.Multi\u2010country assessment of national capacity to provide hearing care. 2013. (Available from:https:\/\/www.who.int\/pbd\/publications\/WHOReportHearingCare_Englishweb.pdf.)"}],"container-title":["Tropical Medicine &amp; International Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Ftmi.13393","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/tmi.13393","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/tmi.13393","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/tmi.13393","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,6]],"date-time":"2023-09-06T00:04:14Z","timestamp":1693958654000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/tmi.13393"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,4,16]]},"references-count":80,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2020,6]]}},"alternative-id":["10.1111\/tmi.13393"],"URL":"https:\/\/doi.org\/10.1111\/tmi.13393","archive":["Portico"],"relation":{},"ISSN":["1360-2276","1365-3156"],"issn-type":[{"value":"1360-2276","type":"print"},{"value":"1365-3156","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,4,16]]},"assertion":[{"value":"2020-04-16","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}