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We live in an aging world. Illnesses that are prevalent and cause significant morbidity and mortality in older people will consume an increasing share of health care resources. One such illness is depression. This illness has a particularly devastating impact in the elderly because it is often undiagnosed or inadequately treated. Depression not only has a profound impact on quality of life but it is associated with an increased risk of mortality from suicide and vascular disease. In fact for every medical illness studied, e.g. heart disease, diabetes, cancer, individuals who are depressed have a worse prognosis. Research has illuminated the physiological and behavioral effects of depression that accounts for these poor outcomes. The deleterious relationship between depression and other illnesses has changed the concept of late-life depression from a "psychiatric disorder" that is diagnosed and treated by a psychiatrist to a common and serious disorder that is the responsibility of all physicians who care for patients over the age of 60. This is the first volume devoted to the epidemiology, phenomenology, psychobiology, treatment and consequences of late-life depression. Although much has been written about depressive disorders, the focus has been primarily on the illness as experienced in younger adults. The effects of aging on the brain, the physiological and behavioral consequences of recurrent depression, and the impact of other diseases common in the elderly, make late-life depression a distinct entity. There is a compelling need for a separate research program, specialized treatments, and a book dedicated to this disorder. This book will be invaluable to psychiatrists, gerontologists, clinical psychologists, social workers, students, trainees, and others who care for individuals over the age of sixty.
Millions of Americans experience some degree of hearing loss. The Social Security Administration (SSA) operates programs that provide cash disability benefits to people with permanent impairments like hearing loss, if they can show that their impairments meet stringent SSA criteria and their earnings are below an SSA threshold. The National Research Council convened an expert committee at the request of the SSA to study the issues related to disability determination for people with hearing loss. This volume is the product of that study. Hearing Loss: Determining Eligibility for Social Security Benefits reviews current knowledge about hearing loss and its measurement and treatment, and provides an evaluation of the strengths and weaknesses of the current processes and criteria. It recommends changes to strengthen the disability determination process and ensure its reliability and fairness. The book addresses criteria for selection of pure tone and speech tests, guidelines for test administration, testing of hearing in noise, special issues related to testing children, and the difficulty of predicting work capacity from clinical hearing test results. It should be useful to audiologists, otolaryngologists, disability advocates, and others who are concerned with people who have hearing loss.
The eighth edition of Introduction to Audiologic Rehabilitation offers a comprehensive exploration of aural rehabilitation spanning across the lifespan. Written in an accessible style for undergraduate students, the text covers the fundamentals, methods of assessment and management, technologies, and contemporary issues for a thorough understanding of audiologic rehabilitation practices. Two chapters focus solely on real-world case studies addressing the needs of children and adults. There are detailed chapters on hearing aids and hearing assistive technologies, cochlear implants, auditory and visual stimuli in communication, language and speech of the deaf and hard of hearing, psychosocial aspects of hearing loss, and more. New to the Eighth Edition: * Discussion of current issues and trending topics including over-the-counter hearing aids * Highlights related to telepractice and teleaudiology * Addition of diversity, equity, and inclusion topics related to hearing health disparities and audiologic rehabilitations Key Features: * Based on a proven model framed within the concepts of the World Health Organization * Authored by leading experts ensuring current, evidence-based information * Emphasis on a multidisciplinary approach, recognizing the collaborative nature of audiologic rehabilitation involving professionals in audiology, speech-language pathology, and related fields * Case studies offer application opportunities across the lifespan * Each chapter includes activities, recommended readings, and websites for additional resources * Visual aids, including figures, tables, and photos enhance student comprehension, particularly for complex topics such as cochlear implants and auditory stimulation * Appendices containing valuable terms, definitions, and additional resources for easy reference
The Auditory Brain and Age-Related Hearing Impairment provides an overview of the interaction between age-related hearing impairments and cognitive brain function. This monograph elucidates the techniques used in the connectome and other brain-network studies based on electrophysiological methods. Discussions of the manifestations of age-related hearing impairment, the causes of degradation of sound processing, compensatory changes in the human brain, and rehabilitation and intervention are included. There is currently a surge in content on aging and hearing loss, the benefits of hearing aids and implants, and the correlation between hearing loss, cognitive decline and early onset of dementia. Given the changing demographics, treatment of age-related hearing impairment need not just be bottom-up (i.e., by amplification and/or cochlear implantation), but also top-down by addressing the impact of the changing brain on communication. The role of age-related capacity for audio-visual integration and its role in assisting treatment have only recently been investigated, thus this area needs more attention. - Relates the techniques used in the connectome and other brain-network studies to the human auditory-cortex and age-related hearing loss research findings - Examines the side effects of age-related hearing impairment and their impact on the quality of life for the elderly - Evaluates the importance of multi-modal means in the rehabilitation of the elderly with hearing aids and cochlear implants - Discusses the role of neurostimulation and various training procedures to halt, or potentially reverse, cognitive decline in the elderly
Healthy ageing can lead to declines in both perceptual and cognitive functions. Impaired perception, such as that resulting from hearing loss or reduced visual or tactile resolution, increases demands on ‘higher-level’ cognitive functions to cope or compensate. It is possible, for example, to use focused attention to overcome perceptual limitations. Unfortunately, cognitive functions also decline in old age. This can mean that perceptual impairments are exacerbated by cognitive decline, and vice versa, but also means that interventions aimed at one type of decline can lead to improvements in the other. Just as improved cognition can ameliorate perceptual deficits, improving the stimulus can help offset cognitive deficits. For example, making directions and routes easy to follow can help compensate for declines in navigation abilities. In this Topic, we bring together papers from both auditory and visual researchers that address the interaction between perception and cognition in the ageing brain. Many of the studies demonstrate that a broadening of representations or increased reliance on gist underlie perceptual and cognitive age-related declines. There is also clear evidence that impaired perception is associated with poor cognition although, encouragingly, it can also be seen that good perception is associated with better cognition. Compensatory cognitive strategies were less successful in improving perception than might be expected. We also present papers which highlight important methodological considerations that are required when studying the older brain.
Efficient auditory processing requires the rapid integration of transient sensory inputs. This is exemplified in human speech perception, in which long stretches of a complex acoustic signal are typically processed accurately and essentially in real-time. Spoken language thus presents listeners’ auditory systems with a considerable challenge even when acoustic input is clear. However, auditory processing ability is frequently compromised due to congenital or acquired hearing loss, or altered through background noise or assistive devices such as cochlear implants. How does loss of sensory fidelity impact neural processing, efficiency, and health? How does this ultimately influence behavior? This Research Topic explores the neural consequences of hearing loss, including basic processing carried out in the auditory periphery, computations in subcortical nuclei and primary auditory cortex, and higher-level cognitive processes such as those involved in human speech perception. By pulling together data from a variety of disciplines and perspectives, we gain a more complete picture of the acute and chronic consequences of hearing loss for neural functioning.