Congenital amusia is a neurogenetic disorder that affects the processing of musical pitch in speakers of non-tonal languages like English and French. We assessed whether this musical disorder exists among speakers of Mandarin Chinese who use pitch to alter the meaning of words. Using the Montreal Battery of Evaluation of Amusia, we tested 117 healthy young Mandarin speakers with no self-declared musical problems and 22 individuals who reported musical difficulties and scored two standard deviations below the mean obtained by the Mandarin speakers without amusia. These 22 amusic individuals showed a similar pattern of musical impairment as did amusic speakers of non-tonal languages, by exhibiting a more pronounced deficit in melody than in rhythm processing. Furthermore, nearly half the tested amusics had impairments in the discrimination and identification of Mandarin lexical tones. Six showed marked impairments, displaying what could be called lexical tone agnosia, but had normal tone production. Our results show that speakers of tone languages such as Mandarin may experience musical pitch disorder despite early exposure to speech-relevant pitch contrasts. The observed association between the musical disorder and lexical tone difficulty indicates that the pitch disorder as defining congenital amusia is not specific to music or culture but is rather general in nature.

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Research suggests that musical skills are associated with phonological abilities. To further investigate this association, we examined whether phonological impairments are evident in individuals with poor music abilities. Twenty individuals with congenital amusia and 20 matched controls were assessed on a pure-tone pitch discrimination task, a rhythm discrimination task, and four phonological tests. Amusic participants showed deficits in discriminating pitch and discriminating rhythmic patterns that involve a regular beat. At a group level, these individuals performed similarly to controls on all phonological tests. However, eight amusics with severe pitch impairment, as identified by the pitch discrimination task, exhibited significantly worse performance than all other participants in phonological awareness. A hierarchical regression analysis indicated that pitch discrimination thresholds predicted phonological awareness beyond that predicted by phonological short-term memory and rhythm discrimination. In contrast, our rhythm discrimination task did not predict phonological awareness beyond that predicted by pitch discrimination thresholds. These findings suggest that accurate pitch discrimination is critical for phonological processing. We propose that deficits in early-stage pitch discrimination may be associated with impaired phonological awareness and we discuss the shared role of pitch discrimination for processing music and speech.