Hearing thresholds and cognitive flexibility in young healthy individuals with normal hearing

Brännström, K. Jonas; Kastberg, Tobias; Waechter, Sebastian; Karlsson, Elisabeth

doi:10.1080/14992027.2019.1702223

Cited by 4 publications

(4 citation statements)

References 21 publications

(36 reference statements)

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“…At the other extreme, the replacement of an earlier misperceived sound with the correct sound when the error later becomes apparent presumably cannot occur without the application of working memory. We also note that even detection of pure tones (i.e., audiometry), which must be the simplest of auditory tasks, is weakly but significantly correlated with cognitive flexibility ( Brännström et al 2020 ).…”

Section: Model Of Speech Understandingmentioning

confidence: 90%

Separating the Causes of Listening Difficulties in Children

Dillon

Cameron

2021

Ear &Amp; Hearing

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Auditory processing disorder, defined here as a deficit in the way sounds are analyzed by the brain, has remained a controversial topic within audiology for decades. Some of the controversy concerns what it is called. More substantively, even its existence has been questioned. That view has likely emerged because there has not been sufficient rigor in determining when difficulty in understanding speech has been the consequence of some type of auditory processing deficit, versus when it is the consequence of a cognitive deficit or a language deficit. This article suggests that the field use the term “listening difficulty” as an umbrella term to indicate a reported deficit in recognizing sounds or understanding speech, one possible cause of which is an auditory processing disorder. Other possible causes are hearing deficits, cognitive deficits, and language deficits. This article uses a plausible, and hopefully noncontroversial, model of speech understanding that comprises auditory processing, speech processing, and language processing, all potentially affected by the degree of attention applied and the listener’s memory ability. In a fresh approach to the construction of test batteries, the stages of the model are linked to tests designed to assess either all or selected parts of the processes involved. For two of the stages, a listener’s performance is quantified as the additional signal to noise ratio that he or she needs to function equivalently to his or her age peers. Subtraction of the deficits revealed by each test enables the contributions of each processing stage to a listening deficit to be quantified. As a further novel contribution, the impact of memory and attention on each test score is quantitatively allowed for, by an amount that depends on each test’s dependence on memory and attention. Attention displayed during the test is estimated from the fluctuations in performance during the test. The article concludes with a summary of the research that must be conducted before the structured tests can be used to quantify the extent to which different potential causes of listening difficulties are responsible for real-life difficulties in an individual child.

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Section: Model Of Speech Understandingmentioning

confidence: 90%

Separating the Causes of Listening Difficulties in Children

Dillon

Cameron

2021

Ear &Amp; Hearing

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“…In the present study, we did not evaluate inner ear and cochlear nerve function, such as ABR and OAE, in the control group, so we cannot accurately determine whether this difference was due to differences in the condition of the inner ear and cochlear nerve of the subjects. However, considering the fact that the OAE and ABR in the patient group showed no obvious abnormalities and a previous report that cognitive function affects auditory thresholds (Brännström et al 2020), this difference may also have been due to possible problems in the cognitive system as an attention problem in the patient group.…”

Section: Discussionmentioning

confidence: 64%

Temporal and Directional Cue Effects on the Cocktail Party Problem for Patients With Listening Difficulties Without Clinical Hearing Loss

et al. 2022

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Objectives: To evaluate the listening difficulty in a cocktail party environment in the sound field in order to better demonstrate patients’ difficulties listening in noise, and to examine temporal and directional cue effects on the speech intelligibility in patients with listening difficulties in noise in comparison with control subjects. Design: This study examined and analyzed 16 control subjects without any complaints of listening difficulties and 16 patients who had visited the outpatient clinic of the Department of Otolaryngology-Head and Neck Surgery, Tohoku University Hospital, with complaints of listening difficulties, especially in background crowded conditions, despite having relatively good hearing on routine audiograms and speech audiometry. Using five loudspeakers located in front of the subject and at 30° and 60° to the left and right from the front, word intelligibility for the target voice (female talker) presented from one of the loudspeakers in random order with four distractor voices (male talker) was assessed under the following cue conditions: (1) “no additional temporal/directional cue (only talker sex as a cue)”; (2) “fixed temporal cue without directional cue” (white noise bursts [cue sounds] were presented from the five loudspeakers just before word presentation at 500-ms intervals); (3) “directional + variable temporal cues” [cue sounds were presented from the loudspeaker where the next target word would be presented with a variable inter-stimulus interval [ISI] of 500, 1000, 1500, or 2000 ms between the cue sound and word presentation); and (4) “directional + fixed temporal cues” (cue sounds were presented from the loudspeaker where the next target word would be presented with a fixed ISI of 500 ms). Results: The results indicated the following: (1) word intelligibility under distractors was significantly deteriorated in patients with listening difficulties compared with control subjects, although the clinical speech in noise test using the headphone system did not show any significant differences between the two groups; (2) word intelligibility under distractors for patients with listening difficulties was significantly improved with directional cues presented in advance; and (3) under most cue conditions, individual differences in word intelligibility among patients with listening difficulties were significantly correlated with their dichotic listening ability, which is one of the indicators used to assess auditory selective attention ability. Conclusions: The results of this study indicate the usefulness of the presentation of directional cues for speech comprehension in the cocktail party situation in patients with listening difficulties, as well as the importance of evaluating the degree of listening difficulties spatially in the cocktail party situation.

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“…In our study, hearing loss and tinnitus characteristics (loudness and frequency) were indeed positively correlated with the psychoacoustic score of tinnitus, but their correlation was small, which also demonstrated its limitations in predicting psychoacoustic outcomes in tinnitus patients. The significantly higher frequency of tinnitus in the vanishing group than in the remission and unchanged groups may be explained by the fact that the daily auditory frequency in humans is predominantly low to medium frequencies, thus making it easier to benefit from transient neural suppression with sound therapy [ 30 ]. At the same time, when the ROC analysis was carried out, the results showed that the tinnitus frequency was helpful to the outcome of T-MIST.…”

Section: Discussionmentioning

confidence: 99%

Comparison of Different Therapeutic Effects of T-MIST for Chronic Idiopathic Tinnitus

Chaoqun

Fang

Chen

et al. 2022

BioMed Research International

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Objective. Tinnitus, as a common clinical symptom, has the characteristics of high incidence and great heterogeneity among different patients. As one of the common treatment strategies for tinnitus, this study is aimed at exploring the factors influencing tinnitus sound therapy and the correlation between different tinnitus acoustic characteristics. Methods. 315 patients with chronic tinnitus were enrolled and divided into three groups according to the tinnitus multielement integration sound therapy (T-MIST): (1) vanishing, (2) remission, and (3) unchanged. The general characteristics, psychoacoustic scores (tinnitus handicap inventory (THI) and visual analog scale (VAS)), residual inhibition (RI), degree of hearing loss, and tinnitus characteristics of each group were compared. Finally, we analyze the predictive significance of different features for acoustic effects. Results. The frequency of tinnitus in the vanishing group was higher than that in the remission and unchanged groups ( P < 0.05 ). There were no differences in age, initial onset time, course of the disease, and VSAD between the vanishing group and the unchanged group ( P > 0.05 ). High-frequency tinnitus may predict the vanishing of tinnitus after treatment ( P < 0.05 ), but the degree of hearing loss, tinnitus characteristics (loudness and frequency), and psychoacoustic score (THI and VAS) were only weakly correlated ( P < 0.05 ). Residual inhibition test (RI) was an independent risk factor for the efficacy of acoustic therapy ( P < 0.001 ). Conclusion. The patients were divided into three groups by T-MIST treatment effect; Kruskal-Wallis test and chi-square test were used to compare the baseline information of each group. Then, we analyzed the correlation between patient characteristics and psychoacoustic scores. Finally, logistic regression was performed to explore predictors that might influence the treatment effect. High-frequency tinnitus may have a better therapeutic effect; age, disease course, and other factors can not be stable explanation factors for a poor therapeutic effect of tinnitus. The residual inhibition (RI) test was an independent factor in predicting the efficacy of T-MIST.

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Hearing thresholds and cognitive flexibility in young healthy individuals with normal hearing

Cited by 4 publications

References 21 publications

Separating the Causes of Listening Difficulties in Children

Separating the Causes of Listening Difficulties in Children

Temporal and Directional Cue Effects on the Cocktail Party Problem for Patients With Listening Difficulties Without Clinical Hearing Loss

Comparison of Different Therapeutic Effects of T-MIST for Chronic Idiopathic Tinnitus

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