Psychophysical suppression measured with bandlimited noise extended below and/or above the signal: effects of age and hearing loss

Distortion Product Otoacoustic Emission (DPOAE) Growth in Aging Ears with Clinically Normal Behavioral Thresholds

Age-related hearing loss (ARHL) is a devastating public health issue. To successfully address ARHL using existing and future treatments, it is imperative to detect the earliest signs of age-related auditory decline and understand the mechanisms driving it. Here, we explore early signs of age-related auditory decline by characterizing cochlear function in 199 ears aged 10-65 years, all of which had clinically defined normal hearing (i.e., behavioral thresholds ≤ 25 dB HL from .25 to 8 kHz bilaterally) and no history of noise exposure. We characterized cochlear function by measuring behavioral thresholds in two paradigms (traditional audiometric thresholds from .25 to 8 kHz and Békésy tracking thresholds from .125 to 20 kHz) and distortion product otoacoustic emission (DPOAE) growth functions at f₂ = 2, 4, and 8 kHz. Behavioral thresholds through a standard clinical frequency range (up to 8 kHz) showed statistically, but not clinically, significant declines across increasing decades of life. In contrast, DPOAE growth measured in the same frequency range showed clear declines as early 30 years of age, particularly across moderate stimulus levels (L₂ = 25-45 dB SPL). These substantial declines in DPOAE growth were not fully explained by differences in behavioral thresholds measured in the same frequency region. Additionally, high-frequency Békésy tracking thresholds above ~11.2 kHz showed frank declines with increasing age. Collectively, these results suggest that early age-related cochlear decline (1) begins as early as the third or fourth decade of life, (2) is greatest in the cochlear base but apparent through the length of the cochlear partition, (3) cannot be detected fully by traditional clinical measures, and (4) is likely due to a complex mix of etiologies.

The effects of preceding sound and stimulus duration on measures of suppression in younger and older adults

Despite clinically normal audiometric thresholds, some older adults may experience difficulty in tasks such as understanding speech in a noisy environment. One potential reason may be reduced cochlear nonlinearity. A sensitive measure of cochlear nonlinearity is two-tone suppression, which is a reduction in the auditory system's response to one tone in the presence of a second tone. Previous research has been mixed on whether suppression decreases with age in humans. Studies of efferent cochlear gain reduction also suggest that stimulus duration should be considered in measuring suppression. In the present study, suppression was first measured psychoacoustically using stimuli that were too short to result in gain reduction. The potential effect of efferent cochlear gain reduction was then measured by using longer stimuli and presenting tonal or noise precursors before the shorter stimuli. Younger adults (ages 19-22 yr) and older adults (ages 57+ yr) with clinically normal hearing were tested. Suppression estimates decreased with longer stimuli or preceding sound which included the signal frequency, but did not decrease with preceding sound at the suppressor frequency. On average, the older group had lower suppression than the younger group, but this difference was not statistically significant.

Mid-bandwidth loudness depression in hearing-impaired listeners

The loudness of a bandpass-filtered noise depends on its bandwidth. For bandwidths larger than a critical bandwidth, loudness increases as the bandwidth increases, an effect commonly referred to as spectral loudness summation. For bandwidths smaller than the critical bandwidth, it was shown recently for normal-hearing listeners that loudness decreases as the bandwidth increases. This study investigated if listeners with a hearing impairment of primarily cochlear origin also showed this effect. Levels at equal loudness between a 1500-Hz pure-tone reference and noise-band targets centered at 1500 Hz were measured for bandwidths in the range from 15 to 1620 Hz. The reference level was adjusted individually on the basis of the audiogram. The average level difference at equal loudness increased from 0 dB at 15 Hz up to a maximum of about 4 dB at 810 Hz. Thus, the mid-bandwidth loudness depression is also observed for hearing-impaired listeners.

Aging Effects on Behavioural Estimates of Suppression with Short Suppressors

Auditory two-tone suppression is a nearly instantaneous reduction in the response of the basilar membrane to a tone or noise when a second tone or noise is presented simultaneously. Previous behavioural studies provide conflicting evidence on whether suppression changes with increasing age, and aging effects may depend on whether a suppressor above (high-side) or below (low-side) the signal frequency is used. Most previous studies have measured suppression using stimuli long enough to elicit the medial olivocochlear reflex (MOCR), a sound-elicited reflex that reduces cochlear amplification or gain. It has a "sluggish" onset of approximately 25 ms. There is physiological evidence that suppression may be reduced or altered by elicitation of the MOCR. In the present study, suppression was measured behaviourally in younger adults and older adults using a forward-masking paradigm with 20-ms and 70-ms maskers and suppressors. In experiment 1, gain was estimated by comparing on-frequency (2 kHz) and off-frequency (1.2 kHz) masker thresholds for a short, fixed-level 2-kHz signal. In experiment 2, the fixed-level signal was preceded by an off-frequency suppressor (1.2 or 2.4 kHz) presented simultaneously with the on-frequency masker. A suppressor level was chosen that did not produce any forward masking of the signal. Suppression was measured as the difference in on-frequency masker threshold with and without the suppressor present. The effects of age on gain and suppression estimates will be discussed.

Exploring the source of the mid-level hump for intensity discrimination in quiet and the effects of noise

Intensity discrimination Weber fractions (WFs) measured for short, high-frequency tones in quiet are larger at mid levels than at lower or higher levels. The source of this "mid-level hump" is a matter of debate. One theory is that the mid-level hump reflects basilar-membrane compression, and that WFs decrease at higher levels due to spread-of-excitation cues. To test this theory, Experiment 1 measured the mid-level hump and growth-of-masking functions to estimate the basilar membrane input/output (I/O) function in the same listeners. Results showed the initial rise in WFs could be accounted for by the change in I/O function slope, but there was additional unexplained variability in WFs. Previously, Plack [(1998). J. Acoust. Soc. Am. 103(5), 2530-2538] showed that long-duration notched noise (NN) presented with the tone reduced the mid-level hump even with a temporal gap in the NN. Plack concluded the results were consistent with central profile analysis. However, simultaneous, forward, and backward NN were not examined separately, which may independently test peripheral and central mechanisms of the NN. Experiment 2 measured WFs at the mid-level hump in the presence of NN and narrowband noise of different durations and temporal positions relative to the tone. Results varied across subjects, but were consistent with more peripheral mechanisms.

Two-tone auditory suppression in younger and older normal-hearing adults and its relationship to speech perception in noise

One approach for establishing how age affects psychoacoustic abilities is to compare the performance of young and older adults with normal auditory sensitivity. The present study used this approach to determine if age affects two-tone suppression - a reduction in masked thresholds (henceforth, unmasking) following the introduction of a second (suppressing) tone to a masker-plus-signal stimulus complex. A secondary goal of the study was to assess whether individual differences in suppression would predict identification scores for words presented in a forward masking noise. Unmasking was measured by comparing forward-masked thresholds for a 2000 Hz signal with a tonal (2000 Hz) masker alone or the tonal masker plus a 2300 Hz tonal suppressor. Speech perception in noise was assessed by obtaining forward-masked speech reception thresholds (SRTs) for isolated words presented with speech-shaped noise. Young, but not older, normal-hearing adults exhibited significant amounts of unmasking. Nineteen of the 20 young adults tested exhibited unmasking, whereas less that half of the 25 older participants exhibited any unmasking. The correlation between suppression as indexed by unmasking and SRTs in young adults was approximately -0.6, suggesting that more suppression was associated with lower SRTs. The findings suggest that auditory suppression is one of the few psychoacoustic abilities that demonstrate significant changes with age even for older adults with minimal hearing loss.

Discrimination of the spectral structures of sound signals on the background of interference

Presentation of test signals consisting of sounds with rippled spectra allowed measurements of the frequency-resolving ability (FRA) of hearing to be performed in humans without using frequency-dependent masking techniques. This allowed studies of changes in FRA in the presence of noise interference. In conditions of diotic presentation (to both ears in parallel) of the test signal and noise, FRA decreased significantly if the interference frequency was lower or equal to the test signal frequency. The relationship between this effect and the sound intensity and noise:signal ratio varied for low-frequency noise and for noise at the same frequency as the test signal, which indicates that these two types of interference have different mechanisms. However, in both cases, noise of sufficient intensity led to a complete inability to discriminate the fine spectral structure of the test signal. In dichotic presentation (test signal to one ear, noise to the other), noise had virtually no effect on FRA over a wide range of test signal and noise frequencies and noise:signal ratios. Thus, there was essentially complete dichotic release of FRA from the effects noise, which has potential to be used in constructing prosthetic hearing devices.

Rippled-spectrum resolution dependence on masker-to-probe ratio

Resolution of rippled sound spectrum (probe) in the presence of additional noise band (masker) was studied as a function of masker-to-probe ratio and sound level in normal listeners. The probe bands were 0.5-oct wide (ERB) centered at 2 kHz; the masker band either coincided with the probe (on-frequency masker), or was 3/4 octaves below (low-frequency masker), or 3/4 octaves above the probe (high-frequency masker). Ripple-density resolution in the probe band was measured by finding the highest ripple density at which an interchange of ripple peaks and valleys was detectable (the phase-reversal test). (i) The effect of the low-frequency masker increased (resolution decreased) when masker-to-probe ratio changed from -25 dB to +20 dB; the effect increased (resolution decreased) with sound level increase. (ii) The effect of the on-frequency masker steeply increased (resolution abruptly decreased) when masker-to-probe ratio exceeded 0 dB; the effect was little dependent on sound level. (iii) The high-frequency masker was little effective unless the masker-to-probe ratio reached 30-40 dB; the effect increased (resolution decreased) with sound level decrease. Thus, different position of the masker band relative to the probe resulted in qualitatively different kinds of spectrum-pattern resolution dependence on both the masker-to-probe ratio and sound level.

Psychophysical estimates of nonlinear cochlear processing in younger and older listeners

The primary goal of this project was to compare the performance of younger and older listeners on a number of psychophysical measures thought to be influenced by nonlinear cochlear processing. Younger (mean of 25.6 years) and older (mean of 63.8 years) listeners with normal hearing were matched (within 5 dB) according to their quiet thresholds at the two test frequencies of 1200 and 2400 Hz. They were similarly matched at the adjacent octave frequencies of 600 and 4800 Hz (within 5 dB at one and 9 dB at the other). Performance was compared on measures of auditory filter shape, psychophysical suppression, and growth of forward masking. There was no difference between the two age groups on these psychophysical estimates reflecting nonlinear processing, suggesting that aging per se does not affect the cochlear nonlinearity, at least for the ages sampled here. The results did, however, consistently demonstrate an age-related increase in the susceptibility to forward masking.

Some problems in the measurement of the frequency-resolving ability of hearing

Despite the detailed development of masking methods for measurement of the frequency selectivity of hearing, these measurements are hardly used for diagnostic purposes because they are time-consuming and because of the uncertain extrapolation of the results to the perception of complex spectral patterns. A method for the direct measurement of the spectral resolving ability of hearing using test signals with rippled spectra is proposed. These measurements showed 1) that the resolving ability of the auditory system in terms of discriminating complex spectra is greater than that suggested by the acuity of auditory frequency filters; 2) that changes in the acuity of frequency auditory filters associated with sound intensity hardly affect the ability to resolve complex spectra; 3) that the effects of interference on frequency-resolving ability do not lead to decreases in the spectral contrast of signals due to superimposition of noise.

Rippled-spectrum resolution dependence on level

Rippled-density resolution of a rippled sound spectrum (probe band) in both the presence and absence of another band (masker) was studied as a function of sound level in normal listeners. The resolvable ripple density in the probe band was measured by finding the highest ripple density at which an interchange of ripple peak and valley positions was detectable (the phase-reversal test). Probe bands were 0.5 oct wide with center frequencies of 1, 2, and 4 kHz. In the control condition (no masker), the ripple-density resolution was almost independent of sound level within a range of 40-90 dB SPL. When an on-frequency masker coincided with the probe band (that resulted in reduced ripple depth), resolution decreased slightly relative to the control condition but remained little dependent on level. With an off-frequency low-side masker, the ripple-density resolution was a little less than in the control but almost independent of level within a range of 40-60 dB SPL and progressively decreased with level increase from 70 to 90 dB SPL. The dependence on level was qualitatively similar at all probe frequencies and at various widths and positions of the low-side off-frequency masker band.

Psychophysical suppression effects for tonal and speech signals

This experiment assessed the benefits of suppression and the impact of reduced or absent suppression on speech recognition in noise. Psychophysical suppression was measured in forward masking using tonal maskers and suppressors and band limited noise maskers and suppressors. Subjects were 10 younger and 10 older adults with normal hearing, and 10 older adults with cochlear hearing loss. For younger subjects with normal hearing, suppression measured with noise maskers increased with masker level and was larger at 2.0 kHz than at 0.8 kHz. Less suppression was observed for older than younger subjects with normal hearing. There was little evidence of suppression for older subjects with cochlear hearing loss. Suppression measured with noise maskers and suppressors was larger in magnitude and more prevalent than suppression measured with tonal maskers and suppressors. The benefit of suppression to speech recognition in noise was assessed by obtaining scores for filtered consonant-vowel syllables as a function of the bandwidth of a forward masker. Speech-recognition scores in forward maskers should be higher than those in simultaneous maskers given that forward maskers are less effective than simultaneous maskers. If suppression also mitigated the effects of the forward masker and resulted in an improved signal-to-noise ratio, scores should decrease less in forward masking as forward-masker bandwidth increased, and differences between scores in forward and simultaneous maskers should increase, as was observed for younger subjects with normal hearing. Less or no benefit of suppression to speech recognition in noise was observed for older subjects with normal hearing or hearing loss. In general, as suppression measured with tonal signals increased, the combined benefit of forward masking and suppression to speech recognition in noise also increased.

Psychophysical suppression measured with bandlimited noise extended below and/or above the signal: effects of age and hearing loss

The objectives of this study were to measure suppression with bandlimited noise extended below and above the signal, at lower and higher signal frequencies, between younger and older subjects, and between subjects with normal hearing and cochlear hearing loss. Psychophysical suppression was assessed by measuring forward-masked thresholds at 0.8 and 2.0 kHz in bandlimited maskers as a function of masker bandwidth. Bandpass-masker bandwidth was increased by introducing noise components below and above the signal frequency while keeping the noise centered on the signal frequency, and also by adding noise below the signal only, and above the signal only. Subjects were younger and older adults with normal hearing and older adults with cochlear hearing loss. For all subjects, suppression was larger when noise was added below the signal than when noise was added above the signal, consistent with some physiological evidence of stronger suppression below a fiber's characteristic frequency than above. For subjects with normal hearing, suppression was greater at higher than at lower frequencies. For older subjects with hearing loss, suppression was reduced to a greater extent above the signal than below and where thresholds were elevated. Suppression for older subjects with normal hearing was poorer than would be predicted from their absolute thresholds, suggesting that age may have contributed to reduced suppression or that suppression was sensitive to changes in cochlear function that did not result in significant threshold elevation.

Forward- and simultaneous-masked thresholds in bandlimited maskers in subjects with normal hearing and cochlear hearing loss

Forward- and simultaneous-masked thresholds were measured at 0.5 and 2.0 kHz in bandpass maskers as a function of masker bandwidth and in a broadband masker with the goal of estimating psychophysical suppression. Suppression was operationally defined in two ways: (1) as a change in forward-masked threshold as a function of masker bandwidth, and (2) as a change in effective masker level with increased masker bandwidth, taking into account the nonlinear growth of forward masking. Subjects were younger adults with normal hearing and older adults with cochlear hearing loss. Thresholds decreased as a function of masker bandwidth in forward masking, which was attributed to effects of suppression; thresholds remained constant or increased slightly with increasing masker bandwidth in simultaneous masking. For subjects with normal hearing, slightly larger estimates of suppression were obtained at 2.0 kHz rather than at 0.5 kHz. For hearing-impaired subjects, suppression was reduced in regions of hearing loss. The magnitude of suppression was strongly correlated with the absolute threshold at the signal frequency, but did not vary with thresholds at frequencies remote from the signal. The results suggest that measuring forward-masked thresholds in bandlimited and broadband maskers may be an efficient psychophysical method for estimating suppression.