“…Thus, we could eliminate other factors relevant to hearing impairment, such as the suprathreshold deficits or age-related cognitive decline. A more deleterious effect of the combination of two distortions, e.g., spectral smearing and background noise, as compared with sole distortion, e.g., spectral smearing, is known (Baer and Moore, 1993). Similarly, the combined effect of suprathreshold auditory deficits and periodic interruptions is known to be detrimental to speech intelligibility, e.g., amplitude modulation and frequency modulation filtering and interruptions (Gnansia et al, 2010;Nelson and Jin, 2004;Gilbert et al, 2007).…”