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Maggu AR, Sharma B. Relationship Between Cognitive Abilities and Basic Auditory Processing in Young Adults. Am J Audiol 2024; 33:422-432. [PMID: 38501921 DOI: 10.1044/2024_aja-23-00261] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/20/2024] Open
Abstract
PURPOSE The diagnosis of auditory processing disorder (APD) is controversial particularly due to the influence of higher order factors of language and cognition on the diagnostic APD testing. As a result, there might be a need for testing for other domains (e.g., cognition) along with conducting the diagnostic APD testing to rule out the influence of other domains. In order to make recommendations on whether cognitive testing is needed along with the auditory processing testing, as a starting point, the current study was conducted to examine the relationship between cognitive abilities and basic auditory processing in young adults. METHOD A total of 38 young adults with normal audiometric thresholds between 250 and 8000 Hz participated in this study. They were tested on their executive function, language, processing speed, working memory, and episodic memory components of cognitive testing and tests for temporal fine structure and spectrotemporal sensitivity for auditory processing testing. RESULTS No significant correlation was found between the cognitive tests and the tests for basic auditory processing in young adults. CONCLUSIONS These findings present contrast to the existing findings in children and older adults where a stronger correlation between cognitive abilities and auditory processing has been found. The current findings suggest that testing for cognitive abilities may not be needed when testing for basic auditory processing in young adults.
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Affiliation(s)
- Akshay R Maggu
- Department of Speech, Language, and Hearing Sciences, University of Connecticut, Storrs
- Department of Speech-Language-Hearing Sciences, Hofstra University, Hempstead, NY
- The Institute for the Brain and Cognitive Sciences, University of Connecticut, Storrs
| | - Bhamini Sharma
- Department of Communication Arts, Sciences, and Disorders, Brooklyn College, The City University of New York, NY
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Bahramian E, Gohari N, Aazh H. Preliminary Study on Speech in Noise Training in Children with Sensory Processing Disorder and Hyperacusis. Indian J Otolaryngol Head Neck Surg 2024; 76:344-350. [PMID: 38440608 PMCID: PMC10908896 DOI: 10.1007/s12070-023-04160-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2023] [Accepted: 08/19/2023] [Indexed: 03/06/2024] Open
Abstract
Hyperacusis is the perception of certain everyday sounds as too loud or painful. Past research suggests that some individuals with Sensory Processing Disorder (SPD) may also have a comorbid hyperacusis. The aim of this preliminary study was to explore if hyperacusis symptoms in children with SPD change following Speech in noise training (SPINT). This was a retrospective cross-sectional study. Data were included for 28 children with SPD and sound intolerance (12/28 were female, mean age was 8.7 ± 1.9 years old). Patients were assessed using the Persian Buffalo Model Questionnaire-Revised version (P-BMQ-R) that measures various behavioural aspects of auditory processing disorder and word in noise test (WINT) before and after SPINT. After SPINT the subscales of DEC, TFM with its Noi, and Mem, subcategories, APD, ΣCAP, and Gen of P-BMQ-R questionnaire significantly improved (P < 0.05), however, the changes in subscales of Var, INT and ORG were not statistically significant (P > 0.05). In addition, SPINT led to better performance in WINT in both ears (P < 0.05). This preliminary study showed promising result for the effect of SPINT on improving behavioural indicators of APD (as measured via P-BMQ-R and WINT) and decreasing hyperacusis symptoms (as measured via Noi).
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Affiliation(s)
- Elaheh Bahramian
- Audiology Clinic of Ordibehesht Rehabilitation Center, Tehran, Iran
| | - Nasrin Gohari
- Department of Audiology, School of Rehabilitation, Hamadan University of Medical Sciences, Hamadan, Iran
| | - Hashir Aazh
- Hashir International Specialist Clinics and Research Institute for Misophonia, Tinnitus and Hyperacusis, Guildford, UK
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Porto L, Wouters J, van Wieringen A. Speech perception in noise, working memory, and attention in children: A scoping review. Hear Res 2023; 439:108883. [PMID: 37722287 DOI: 10.1016/j.heares.2023.108883] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/30/2023] [Revised: 08/28/2023] [Accepted: 09/07/2023] [Indexed: 09/20/2023]
Abstract
PURPOSE Speech perception in noise is an everyday occurrence for adults and children alike. The factors that influence how well individuals cope with noise during spoken communication are not well understood, particularly in the case of children. This article aims to review the available evidence on how working memory and attention play a role in children's speech perception in noise, how characteristics of measures affect results, and how this relationship differs in non-typical populations. METHOD This article is a scoping review of the literature available on PubMed. Forty articles were included for meeting the inclusion criteria of including children as participants, some measure of speech perception in noise, some measure of attention and/or working memory, and some attempt to establish relationships between the measures. Findings were charted and presented keeping in mind how they relate to the research questions. RESULTS The majority of studies report that attention and especially working memory are involved in speech perception in noise by children. We provide an overview of the impact of certain task characteristics on findings across the literature, as well as how these affect non-typical populations. CONCLUSION While most of the work reviewed here provides evidence suggesting that working memory and attention are important abilities employed by children in overcoming the difficulties imposed by noise during spoken communication, methodological variability still prevents a clearer picture from emerging.
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Affiliation(s)
- Lyan Porto
- Department of Neurosciences, University of Leuven, Research group Experimental Oto-Rino-Laryngologie. O&N II, Herestraat 49, Leuven 3000, Belgium.
| | - Jan Wouters
- Department of Neurosciences, University of Leuven, Research group Experimental Oto-Rino-Laryngologie. O&N II, Herestraat 49, Leuven 3000, Belgium
| | - Astrid van Wieringen
- Department of Neurosciences, University of Leuven, Research group Experimental Oto-Rino-Laryngologie. O&N II, Herestraat 49, Leuven 3000, Belgium; Department of Special Needs Education, University of Oslo, Norway
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Tepe V, Guillory L, Boudin-George A, Cantelmo T, Murphy S. Central Auditory Processing Dysfunction in Service Members and Veterans: Treatment Considerations and Strategies. JOURNAL OF SPEECH, LANGUAGE, AND HEARING RESEARCH : JSLHR 2023:1-28. [PMID: 37379242 DOI: 10.1044/2023_jslhr-23-00095] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/30/2023]
Abstract
PURPOSE Military risk factors such as blast exposure, noise exposure, head trauma, and neurotoxin exposure place Service members and Veterans at risk for deficits associated with auditory processing dysfunction. However, there is no clinical guidance specific to the treatment of auditory processing deficits in this unique population. We provide an overview of available treatments and their limited supporting evidence for use in adults, emphasizing the need for multidisciplinary case management and interdisciplinary research to support evidence-based solutions. METHOD We explored relevant literature to inform the treatment of auditory processing dysfunction in adults, with emphasis on findings involving active or former military personnel. We were able to identify a limited number of studies, pertaining primarily to the treatment of auditory processing deficits through the use of assistive technologies and training strategies. We assessed the current state of the science for knowledge gaps that warrant additional study. CONCLUSIONS Auditory processing deficits often co-occur with other military injuries and may pose significant risk in military operational and occupational settings. Research is needed to advance clinical diagnostic and rehabilitative capabilities, guide treatment planning, support effective multidisciplinary management, and inform fitness-for-duty standards. We emphasize the need for an inclusive approach to the assessment and treatment of auditory processing concerns in Service members and Veterans and for evidence-based solutions to address complex military risk factors and injuries.
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Affiliation(s)
- Victoria Tepe
- Department of Defense Hearing Center of Excellence, JBSA Lackland, TX
- The Geneva Foundation, Tacoma, WA
| | - Lisa Guillory
- Harry S. Truman Memorial Veterans' Hospital, Columbia, MO
| | - Amy Boudin-George
- Department of Defense Hearing Center of Excellence, JBSA Lackland, TX
| | - Tasha Cantelmo
- Alexander T. Augusta Military Medical Center, Fort Belvoir, VA
| | - Sara Murphy
- Department of Defense Hearing Center of Excellence, JBSA Lackland, TX
- The Geneva Foundation, Tacoma, WA
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Ji H, Yu X, Xiao Z, Zhu H, Liu P, Lin H, Chen R, Hong Q. Features of Cognitive Ability and Central Auditory Processing of Preschool Children With Minimal and Mild Hearing Loss. JOURNAL OF SPEECH, LANGUAGE, AND HEARING RESEARCH : JSLHR 2023; 66:1867-1888. [PMID: 37116308 DOI: 10.1044/2023_jslhr-22-00395] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/05/2023]
Abstract
OBJECTIVE This study aimed to investigate the current status of cognitive development and central auditory processing development of preschool children with minimal and mild hearing loss (MMHL) in Nanjing, China. METHOD We recruited 34 children with MMHL and 45 children with normal hearing (NH). They completed a series of tests, including cognitive tests (i.e., Wechsler Preschool and Primary Scale of Intelligence and Continuous Performance Test), behavioral auditory tests (speech-in-noise [SIN] test and frequency pattern test), and objective electrophysiological audiometry (speech-evoked auditory brainstem response and cortical auditory evoked potential). In addition, teacher evaluations and demographic information and questionnaires completed by parents were collected. RESULTS Regarding cognitive ability, statistical differences in the verbal comprehensive index, full-scale intelligence quotient, and abnormal rate of attention test score were found between the MMHL group and the NH group. The children with MMHL performed poorer on the SIN test than the children with NH. As for the auditory electrophysiology of the two groups, the latency and amplitude of some waves of the speech-evoked auditory brainstem response and cortical auditory evoked potential were statistically different between the two groups. We attempted to explore the relationship between some key indicators of auditory processing and some key indicators of cognitive development. CONCLUSIONS Children with MMHL are already at increased developmental risk as early as preschool. They are more likely to have problems with attention and verbal comprehension than children with NH. This condition is not compensated with increasing age during the preschool years. The results suggest a possible relationship between the risk of cognitive deficit and divergence of auditory processing. SUPPLEMENTAL MATERIAL https://doi.org/10.23641/asha.22670473.
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Affiliation(s)
- Hui Ji
- Women's Hospital of Nanjing Medical University, Nanjing Maternity and Child Health Care Hospital, Jiangsu, China
| | - Xinyue Yu
- School of Pediatrics, Nanjing Medical University, Jiangsu, China
| | - Zhenglu Xiao
- School of Pediatrics, Nanjing Medical University, Jiangsu, China
| | - Huiqin Zhu
- School of Pediatrics, Nanjing Medical University, Jiangsu, China
| | - Panting Liu
- Women's Hospital of Nanjing Medical University, Nanjing Maternity and Child Health Care Hospital, Jiangsu, China
| | - Huanxi Lin
- School of Nursing, Nanjing Medical University, Jiangsu, China
| | - Renjie Chen
- The Second Affiliated Hospital of Nanjing Medical University, Jiangsu, China
| | - Qin Hong
- Women's Hospital of Nanjing Medical University, Nanjing Maternity and Child Health Care Hospital, Jiangsu, China
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Gohari N, Dastgerdi ZH, Rouhbakhsh N, Afshar S, Mobini R. Training Programs for Improving Speech Perception in Noise: A Review. J Audiol Otol 2023; 27:1-9. [PMID: 36710414 PMCID: PMC9884994 DOI: 10.7874/jao.2022.00283] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2022] [Accepted: 10/26/2022] [Indexed: 01/20/2023] Open
Abstract
Understanding speech in the presence of noise is difficult and challenging, even for people with normal hearing. Accurate pitch perception, coding and decoding of temporal and intensity cues, and cognitive factors are involved in speech perception in noise (SPIN); disruption in any of these can be a barrier to SPIN. Because the physiological representations of sounds can be corrected by exercises, training methods for any impairment can be used to improve speech perception. This study describes the various types of bottom-up training methods: pitch training based on fundamental frequency (F0) and harmonics; spatial, temporal, and phoneme training; and top-down training methods, such as cognitive training of functional memory. This study also discusses music training that affects both bottom-up and top-down components and speech training in noise. Given the effectiveness of all these training methods, we recommend identifying the defects underlying SPIN disorders and selecting the best training approach.
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Affiliation(s)
- Nasrin Gohari
- Hearing Disorders Research Center, Department of Audiology, School of Rehabilitation, Hamadan University of Medical Sciences, Hamadan, Iran
| | - Zahra Hosseini Dastgerdi
- Department of Audiology, School of Rehabilitation, Isfahan University of Medical Sciences, Isfahan, Iran,Address for correspondence Zahra Hosseini Dastgerdi, PhD Department of Audiology, School of Rehabilitation, Isfahan University of Medical Sciences, Isfahan, Iran Tel +98-09132947800 Fax +98-(311)5145-668 E-mail
| | - Nematollah Rouhbakhsh
- Department of Audiology, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran
| | - Sara Afshar
- Hearing Disorders Research Center, Department of Audiology, School of Rehabilitation, Hamadan University of Medical Sciences, Hamadan, Iran
| | - Razieh Mobini
- Hearing Disorders Research Center, Department of Audiology, School of Rehabilitation, Hamadan University of Medical Sciences, Hamadan, Iran
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Buisson Savin J, Reynard P, Bailly-Masson E, Joseph C, Joly CA, Boiteux C, Thai-Van H. Adult Normative Data for the Adaptation of the Hearing in Noise Test in European French (HINT-5 Min). Healthcare (Basel) 2022; 10:healthcare10071306. [PMID: 35885831 PMCID: PMC9315974 DOI: 10.3390/healthcare10071306] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2022] [Revised: 07/07/2022] [Accepted: 07/11/2022] [Indexed: 12/05/2022] Open
Abstract
Decreased speech-in-noise (SpIN) understanding is an early marker not only of presbycusis but also of auditory processing disorder. Previous research has shown a strong relationship between hearing disorders and cognitive limitations. It is therefore crucial to allow SpIN testing in subjects who cannot sustain prolonged diagnostic procedures. The objectives of this study were to develop a rapid and reproducible version of the Hearing in Noise Test (HINT-5 min), and to determine its adult normative values in free-field and monaural or binaural headphone conditions. Following an adaptive signal-to-noise ratio (SNR) protocol, the test used a fixed noise level, while the signal level varied to reach the 50% speech reception threshold (SRT50). The speech material consisted of five lists of 20 sentences each, all recorded in European French. The whole semi-automated procedure lasted 5 min and was administered to 83 subjects aged 19 to 49 years with no reported listening difficulties. Fifty-two subjects were retested between 7 and 8 days later. For the binaural free-field condition, the mean SRT50 was −1.0 dB SNR with a standard deviation of 1.3 dB SNR. There was no significant difference between the results obtained at test and retest, nor was there any effect of listening condition, sex, or age on SRT50. The results indicate that the procedure is robust and not affected by any learning phenomenon. The HINT-5 min was found to be both a fast and reliable marker of the ability to understand speech in background noise.
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Affiliation(s)
- Johanna Buisson Savin
- Institut de l’Audition, Institut Pasteur, INSERM U1120, 75012 Paris, France; (J.B.S.); (P.R.); (C.-A.J.)
- Amplifon France, 94110 Arcueil, France; (E.B.-M.); (C.J.); (C.B.)
| | - Pierre Reynard
- Institut de l’Audition, Institut Pasteur, INSERM U1120, 75012 Paris, France; (J.B.S.); (P.R.); (C.-A.J.)
- Service d’Audiologie et d’Explorations Otoneurologiques, Hospices Civils de Lyon, Hôpital Edouard Herriot, 69003 Lyon, France
- Faculty of Medicine, University Claude Bernard Lyon 1, 69100 Villeurbanne, France
| | | | - Célia Joseph
- Amplifon France, 94110 Arcueil, France; (E.B.-M.); (C.J.); (C.B.)
| | - Charles-Alexandre Joly
- Institut de l’Audition, Institut Pasteur, INSERM U1120, 75012 Paris, France; (J.B.S.); (P.R.); (C.-A.J.)
- Service d’Audiologie et d’Explorations Otoneurologiques, Hospices Civils de Lyon, Hôpital Edouard Herriot, 69003 Lyon, France
- Faculty of Medicine, University Claude Bernard Lyon 1, 69100 Villeurbanne, France
| | | | - Hung Thai-Van
- Institut de l’Audition, Institut Pasteur, INSERM U1120, 75012 Paris, France; (J.B.S.); (P.R.); (C.-A.J.)
- Service d’Audiologie et d’Explorations Otoneurologiques, Hospices Civils de Lyon, Hôpital Edouard Herriot, 69003 Lyon, France
- Faculty of Medicine, University Claude Bernard Lyon 1, 69100 Villeurbanne, France
- Correspondence:
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