Effects of Age and Hearing Loss on Gap Detection and the Precedence Effect

2004 ◽  
Vol 47 (5) ◽  
pp. 965-978 ◽  
Author(s):  
Richard A. Roberts ◽  
Jennifer J. Lister
Keyword(s):  
Older Adults ◽  
Hearing Loss ◽  
Temporal Resolution ◽  
Noise Burst ◽  
Normal Hearing ◽  
Precedence Effect ◽  
Gap Detection ◽  
Impaired Hearing ◽  
Hearing Sensitivity ◽  
Speech Understanding In Noise

Older listeners with normal-hearing sensitivity and impaired-hearing sensitivity often demonstrate poorer-than-normal performance on tasks of speech understanding in noise and reverberation. Deficits in temporal resolution and in the precedence effect may underlie this difficulty. Temporal resolution is often studied by means of a gap-detection paradigm. This task is similar to binaural fusion paradigms used to measure the precedence effect. The purpose of this investigation was to determine if within-channel (measured with monotic and diotic gap detection) or across-channel (measured with dichotic gap detection) temporal resolution is related to fusion (measured with lag-burst thresholds; LBTs) under dichotic, anechoic, and reverberant conditions. Gap-detection thresholds (GDTs) and LBTs were measured by means of noise-burst stimuli for 3 groups of listeners: young adults with normal-hearing sensitivity (YNH), older adults with normal-hearing sensitivity (ONH), and older adults with impaired-hearing sensitivity (OIH). The GDTs indicated that across-channel temporal resolution is poorer than within-channel temporal resolution and that the effects of age and hearing loss are dependent on condition. Results for the fusion task indicated higher LBTs in reverberation than for the dichotic and anechoic conditions, regardless of group, and no effect of age or hearing loss for the nonreverberant conditions. However, higher LBTs were observed in the reverberant condition for the ONH listeners. Further, there was a correlation between across-channel temporal resolution and fusion in reverberation. Gap detection and fusion may not necessarily reflect the same underlying processes; however, across-channel gap detection may influence fusion under certain conditions (i.e., in reverberation).

Effects of Age and Hearing Loss on Gap Detection and the Precedence Effect

2005 ◽  
Vol 48 (2) ◽  
pp. 482-493 ◽  
Author(s):  
Jennifer J. Lister ◽  
Richard A. Roberts
Keyword(s):  
Hearing Loss ◽  
Temporal Resolution ◽  
Normal Hearing ◽  
Precedence Effect ◽  
Gap Detection ◽  
Speech Understanding ◽  
Fixed Frequency ◽  
Hearing Sensitivity ◽  
Participant Group ◽  
Acoustic Environments

Deficits in temporal resolution and/or the precedence effect may underlie part of the speech understanding difficulties experienced by older listeners in degraded acoustic environments. In a previous investigation, R. Roberts and J. Lister (2004) identified a positive correlation between measures of temporal resolution and the precedence effect, specifically across-channel gap detection (as measured dichotically) and fusion. Across-channel gap detection may also be measured using frequency-disparate markers. Thus, the present investigation was designed to determine if the relation is specific to dichotic gap detection or may generalize to all types of across-channel gap detection. Gap-detection thresholds (GDTs) for fixed-frequency and frequency-disparate markers and lag-burst thresholds (LBTs) were measured for 3 groups of listeners: young with normal hearing sensitivity (YNH), older with normal hearing sensitivity (ONH), and older with sensorineural hearing loss (OIH). Also included were conditions of diotic and dichotic GDT. Largest GDTs were measured for the frequency-disparate markers, whereas largest LBTs were measured for the fixed-frequency markers. ONH and OIH listeners exhibited larger frequency-disparate and dichotic GDTs than YNH listeners. Listener age and hearing loss appeared to influence temporal resolution for frequency-disparate and dichotic stimuli, which is potentially important for the resolution of timing cues in speech. Age and hearing loss did not significantly influence fusion as measured by LBTs. Within each participant group, most GDTs and LBTs were positively, but not significantly, correlated. For all participants combined, across-channel GDTs and LBTs were positively and significantly correlated. This suggests that the 2 tasks may rely on a common across-channel temporal mechanism.

Temporal Processing in Low-Frequency Channels: Effects of Age and Hearing Loss in Middle-Aged Listeners

2011 ◽  
Vol 22 (07) ◽  
pp. 393-404 ◽  
Author(s):  
Elizabeth D. Leigh-Paffenroth ◽  
Saravanan Elangovan
Keyword(s):  
Hearing Loss ◽  
Word Recognition ◽  
Temporal Processing ◽  
Background Noise ◽  
Pure Tone ◽  
Low Frequency ◽  
Normal Hearing ◽  
Gap Detection ◽  
Middle Aged ◽  
Hearing Sensitivity

Background: Hearing loss and age interfere with the auditory system's ability to process temporal changes in the acoustic signal. A key unresolved question is whether high-frequency sensorineural hearing loss (HFSNHL) affects temporal processing in the low-frequency region where hearing loss is minimal or nonexistent. A second unresolved question is whether changes in hearing occur in middle-aged subjects in the absence of HFSNHL. Purpose: The purpose of this study was twofold: (1) to examine the influence of HFSNHL and aging on the auditory temporal processing abilities of low-frequency auditory channels with normal hearing sensitivity and (2) to examine the relations among gap detection measures, self-assessment reports of understanding speech, and functional measures of speech perception in middle-aged individuals with and without HFSNHL. Research Design: The subject groups were matched for either age (middle age) or pure-tone sensitivity (with or without hearing loss) to study the effects of age and HFSNHL on behavioral and functional measures of temporal processing and word recognition performance. These effects were analyzed by individual repeated-measures analyses of variance. Post hoc analyses were performed for each significant main effect and interaction. The relationships among the measures were analyzed with Pearson correlations. Study Sample: Eleven normal-hearing young adults (YNH), eight normal-hearing middle-aged adults (MANH), and nine middle-aged adults with HFSNHL were recruited for this study. Normal hearing sensitivity was defined as pure-tone thresholds ≤25 dB HL for octave frequencies from 250 to 8000 Hz. HFSNHL was defined as pure-tone thresholds ≤25 dB HL from 250 to 2000 Hz and ≥35 dB HL from 3000 to 8000 Hz. Data Collection and Analysis: Gap detection thresholds (GDTs) were measured under within-channel and between-channel conditions with the stimulus spectrum limited to regions of normal hearing sensitivity for the HFSNHL group (i.e., <2000 Hz). Self-perceived hearing problems were measured by a questionnaire (Abbreviated Profile of Hearing Aid Benefit), and word recognition performance was assessed under four conditions: quiet and babble, with and without low-pass filtering (cutoff frequency = 2000 Hz). Results: The effects of HFSNHL and age were found for gap detection, self-perceived hearing problems, and word recognition in noise. The presence of HFSNHL significantly increased GDTs for stimuli presented in regions of normal pure-tone sensitivity. In addition, middle-aged subjects with normal hearing sensitivity reported significantly more problems hearing in background noise than the young normal-hearing subjects. Significant relationships between self-report measures of hearing ability in background noise and word recognition in babble were found. Conclusions: The conclusions from the present study are twofold: (1) HFSNHL may have an off-channel impact on auditory temporal processing, and (2) presenescent changes in the auditory system of MANH subjects increased self-perceived problems hearing in background noise and decreased functional performance in background noise compared with YNH subjects.

Comparison of Performance of Older Adults on Two Tests of Temporal Resolution

2015 ◽  
Vol 24 (2) ◽  
pp. 216-225
Author(s):  
Ramya Vaidyanath ◽  
Asha Yathiraj
Keyword(s):  
Older Adults ◽  
Temporal Resolution ◽  
Noise Signal ◽  
Normal Hearing ◽  
Gap Detection ◽  
Older Individuals ◽  
Detection Thresholds ◽  
High Frequency Hearing Loss ◽  
Noise Test ◽  
The Difference

Purpose Gap-detection thresholds have been reported to vary depending on the type of stimuli used. The current study compared the performance of older adults on 2 tests of temporal resolution, one with random gaps and the other with gaps in the center of a noise signal. The study also determined which of the 2 tests was able to detect more temporal resolution deficits in older individuals. Method Two tests of temporal resolution, the Gap Detection Test (GDT; Shivaprakash, 2003) and the Gaps-In-Noise test (GIN; Musiek et al., 2005), were administered to 31 older adults with near normal hearing, aged 55 to 70 years. The order in which the tests were administered was randomized. Results The gap-detection thresholds obtained using GIN were significantly higher than those obtained using GDT. The difference in thresholds was ascribed to the randomness with which gaps were interspersed within noise segments in the 2 tests. More individuals failed on GIN than GDT. The older adults with high-frequency hearing loss obtained poorer gap thresholds than those with normal hearing. Conclusion The results indicated that older individuals failed GIN more often compared to GDT. This was attributed to the differences in stimuli and procedure used in the 2 tests.

scholarly journals Temporal resolution with click and pure tone stimuli in youngsters with normal hearing sensitivity

2012 ◽  
Vol 24 (2) ◽  
pp. 168-173 ◽  
Author(s):  
Luciana Leal de Sousa ◽  
Karin Ziliotto Dias ◽  
Liliane Desgualdo Pereira
Keyword(s):  
Temporal Resolution ◽  
Auditory Stimulus ◽  
Pure Tone ◽  
Normal Hearing ◽  
Gap Detection ◽  
Temporal Acuity ◽  
Hearing Sensitivity ◽  
Hearing Thresholds ◽  
The Mean ◽  
Pure Tones

PURPOSE: To assess the auditory ability of temporal resolution and to compare the random gap detection test (RGDT) versions with pure tone and clicks stimuli. METHODS: Participants were 40 young individuals of both genders with ages between 18 and 25 years, and normal hearing thresholds for the sound frequencies of 250 Hz to 8 kHz. Initially, participants were submitted to the basic audiological evaluation. Then they underwent the RGDT with pure tone and clicks stimuli. Finally, we obtained the temporal acuity threshold, which corresponds to the shorter silence interval in which the patient perceives two sounds, for each type of stimulus, called final temporal acuity threshold for pure tones (mean of the thresholds obtained for 500 Hz, 1k, 2k and 4 kHz), and temporal acuity threshold for clicks. RESULTS: The mean temporal acuity threshold for the sound frequency of 500 Hz was 7.25 ms; for the frequency of 1 kHz was 7.25 ms; for 2 kHz was 6.73 ms; for the frequency of 4 kHz was 6.03 ms. The final temporal acuity threshold was 6.72 ms. The mean temporal acuity threshold for clicks was 6.43 ms. No difference was found between the temporal acuity thresholds obtained with pure tone and clicks stimuli. CONCLUSION: There is no difference in the performance of individuals on the auditory ability of temporal resolution, regardless of the auditory stimulus used.

Gap Detection as a Function of Stimulus Loudness for Listeners With and Without Hearing Loss

1997 ◽  
Vol 40 (6) ◽  
pp. 1387-1394 ◽  
Author(s):  
Peggy B. Nelson ◽  
Susan Dwyer Thomas
Keyword(s):  
Hearing Loss ◽  
Temporal Resolution ◽  
High Frequency ◽  
Normal Hearing ◽  
Frequency Noise ◽  
Gap Detection ◽  
Detection Ability ◽  
High Frequency Noise ◽  
Wide Range ◽  
Comfortable Loudness

Temporal resolution, or the ability to process rapidly changing stimuli, has been purported to be reduced in some listeners with hearing loss while being described as normal in others. Ensuring stimulus audibility by increasing stimulus levels results in near-normal temporal resolution abilities for many listeners with hearing loss, but may also result in uncomfortably loud stimulus levels. The current study was conducted to describe temporal resolution abilities of listeners with and without hearing loss as a function of stimulus loudness. The gap detection abilities of 8 listeners with normal hearing were compared with those of 8 listeners with mild to moderate hearing losses over a wide range of intensities using a 650-Hz wide high-frequency noise marker. At low intensities, listeners with hearing loss show poor gap detection ability. As intensity increases, most listeners’ performance improves and stabilizes near normal at high loudness and sensation levels. At comfortable loudness, gap detection abilities of listeners with hearing loss are less than at loud levels and are considerably poorer than normal.

Effects of Noise and Reverberation on the Precedence Effect in Listeners With Normal Hearing and Impaired Hearing

2003 ◽  
Vol 12 (2) ◽  
pp. 96-105 ◽  
Author(s):  
Richard A. Roberts ◽  
Janet Koehnke ◽  
Joan Besing
Keyword(s):  
Hearing Loss ◽  
Normal Hearing ◽  
Precedence Effect ◽  
Impaired Hearing ◽  
Sensation Level ◽  
Reverberant Environment

The purpose of this study was to determine the effects of reverberation and noise on the precedence effect in listeners with hearing loss. Lag burst thresholds (LBTs) for 4-ms noise bursts were obtained for 2 groups of participants: impaired hearing and normal hearing. Data were collected in reverberant and anechoic environments in quiet and noise, at sensation levels of 10, 20, 30, 40, and 50 dB. Results indicated a significant effect of reverberation on LBTs for both participant groups. LBTs increased with sensation level in the reverberant environment and decreased with increasing sensation level in the anechoic environment. There was no effect of hearing loss on LBTs. When the change in LBT due to noise was compared, the effect of noise depended on group and environment, with a greater effect of noise on the performance of listeners with impaired hearing. It is likely that the ability to fuse direct sounds and early reflections is degraded in listeners with impaired hearing and that this contributes to the difficulties experienced by these listeners in reverberation and noise.

scholarly journals Comparing Speech Recognition for Listeners With Normal and Impaired Hearing: Simulations for Controlling Differences in Speech Levels and Spectral Shape

2020 ◽  
Vol 63 (12) ◽  
pp. 4289-4299
Author(s):  
Daniel Fogerty ◽  
Rachel Madorskiy ◽  
Jayne B. Ahlstrom ◽  
Judy R. Dubno
Keyword(s):  
Older Adults ◽  
Hearing Loss ◽  
Speech Recognition ◽  
Outcome Measures ◽  
Normal Hearing ◽  
Speech Quality ◽  
Spectral Shape ◽  
Impaired Hearing ◽  
Listening Effort ◽  
Younger Adults

Purpose This study investigated methods used to simulate factors associated with reduced audibility, increased speech levels, and spectral shaping for aided older adults with hearing loss. Simulations provided to younger normal-hearing adults were used to investigate the effect of sensation level, speech presentation level, and spectral shape in comparison to older adults with hearing loss. Method Measures were assessed in quiet, steady-state noise, and speech-modulated noise. Older adults with hearing loss listened to speech that was spectrally shaped according to their hearing thresholds. Younger adults with normal hearing listened to speech that simulated the hearing-impaired group's (a) reduced audibility, (b) increased speech levels, and (c) spectral shaping. Group comparisons were made based on speech recognition performance and masking release. Additionally, younger adults completed measures of listening effort and perceived speech quality to assess if differences across simulations in these outcome measures were similar to those for speech recognition. Results Across the various simulations employed, testing in the presence of a threshold matching noise best matched differences in speech recognition and masking release between younger and older adults. This result remained consistent across the other two outcome measures. Conclusions A combination of audibility, speech level, and spectral shape factors is required to simulate differences between listeners with normal and impaired hearing in recognition, listening effort, and perceived speech quality. The use of spectrally shaped and amplified speech in the presence of threshold matching noise best provided this simulated control. Supplemental Material https://doi.org/10.23641/asha.13224632

35 Social Contact Mode and 15-Year Episodic Memory Trajectories in Older Adults with and Without Hearing Loss: the Elsa Study

2021 ◽  
Vol 50 (Supplement_1) ◽  
pp. i7-i11
Author(s):  
S Rafnsson ◽  
A Maharani ◽  
G Tampubolon
Keyword(s):  
Older Adults ◽  
Hearing Loss ◽  
Social Network ◽  
Episodic Memory ◽  
Social Interactions ◽  
Social Contact ◽  
Sensitivity Analyses ◽  
Impaired Hearing ◽  
Contact Mode

Abstract Introduction Frequent social contact benefits cognition in later life although evidence is lacking on the potential importance of the modes chosen by older adults for interacting with others in their social network. Method 11,513 participants in the English Longitudinal Study of Ageing (ELSA) provided baseline information on hearing status and social contact mode and frequency of use. Multilevel growth curve models compared episodic memory (immediate and delayed recall) at baseline and long-term in participants who interacted frequently (offline only or offline and online combined), compared to infrequently, with others in their social network. Results Frequent offline (β = 0.29; p &lt; 0.05) and combined offline and online (β = 0.76; p &lt; 0.001) social interactions predicted better episodic memory after adjustment for multiple confounding factors. We observed positive long-term influences of combined offline and online interactions on memory in participants without hearing loss (β = 0.48, p = 0.001) but not of strictly offline interactions (β = 0.00, p = 0.970). In those with impaired hearing, long-term memory was positively influenced by both modes of engagement (offline only: β = 0.93, p &lt; 0.001; combined online and offline: β = 1.47, p &lt; 0.001). Sensitivity analyses confirmed the robustness of these findings. Conclusion Supplementing conventional social interactions with online communication modes may help older adults, especially those living with hearing loss, sustain, and benefit cognitively from, personal relationships.

Hearing Loss, Control, and Demographic Factors Influencing Hearing Aid Use Among Older Adults

1998 ◽  
Vol 41 (3) ◽  
pp. 527-537 ◽  
Author(s):  
Dean C. Garstecki ◽  
Susan F. Erler
Keyword(s):  
Older Adults ◽  
Hearing Loss ◽  
Hearing Aids ◽  
Psychological Control ◽  
Hearing Aid ◽  
Demographic Factors ◽  
Ego Strength ◽  
Hearing Sensitivity ◽  
Hearing Aid Use ◽  
Hearing Handicap

Preference for non-use of hearing aids among older adults who are candidates for amplification remains to be explained. Clinical studies have examined the contribution of consumer attitudes, behaviors, and life circumstances to this phenomenon. The present study extends the interests of earlier investigators in that it examines psychological control tendencies in combination with hearing loss and demographic variables among older adults who elected to accept (adherents) or ignore (nonadherents) advice from hearing professionals to acquire and use hearing aids. One hundred thirty-one individuals participated by completing measures of hearing, hearing handicap, psychological control, depression, and ego strength. Participants were asked to provide demographic information and personal opinions regarding hearing aid use. Adherence group and gender differences were noted on measures of hearing sensitivity, psychological control, and demographic factors. Female adherents demonstrated greater hearing loss and poorer word recognition ability but less hearing handicap, higher internal locus of control, higher ego strength, and fewer depressive tendencies than female nonadherents. They reported demographic advantages. Female adherents assumed responsibility for effective communication. Although male adherents and nonadherents did not differ significantly demographically, male adherents were more accepting of their hearing loss, took responsibility for communication problems, and found hearing aids less stigmatizing. Implications for clinical practice and future clinical investigations are identified and discussed. Results are expected to be of interest to clinicians, clinical investigators, and health care policymakers.

N1-P2 Recordings to Gaps in Broadband Noise

2013 ◽  
Vol 24 (01) ◽  
pp. 037-045 ◽  
Author(s):  
Shannon B. Palmer ◽  
Frank E. Musiek
Keyword(s):  
Temporal Resolution ◽  
Repeated Measures ◽  
Evoked Potential ◽  
Detection Threshold ◽  
Normal Hearing ◽  
Broadband Noise ◽  
Gap Detection ◽  
Electrophysiological Response ◽  
Repeated Measures Design ◽  
Waveform Amplitude

Background: Normal temporal processing is important for the perception of speech in quiet and in difficult listening situations. Temporal resolution is commonly measured using a behavioral gap detection task, where the patient or subject must participate in the evaluation process. This is difficult to achieve with subjects who cannot reliably complete a behavioral test. However, recent research has investigated the use of evoked potential measures to evaluate gap detection. Purpose: The purpose of the current study was to record N1-P2 responses to gaps in broadband noise in normal hearing young adults. Comparisons were made of the N1 and P2 latencies, amplitudes, and morphology to different length gaps in noise in an effort to quantify the changing responses of the brain to these stimuli. It was the goal of this study to show that electrophysiological recordings can be used to evaluate temporal resolution and measure the influence of short and long gaps on the N1-P2 waveform. Research Design: This study used a repeated-measures design. All subjects completed a behavioral gap detection procedure to establish their behavioral gap detection threshold (BGDT). N1-P2 waveforms were recorded to the gap in a broadband noise. Gap durations were 20 msec, 2 msec above their BGDT, and 2 msec. These durations were chosen to represent a suprathreshold gap, a near-threshold gap, and a subthreshold gap. Study Sample: Fifteen normal-hearing young adult females were evaluated. Subjects were recruited from the local university community. Data Collection and Analysis: Latencies and amplitudes for N1 and P2 were compared across gap durations for all subjects using a repeated-measures analysis of variance. A qualitative description of responses was also included. Results: Most subjects did not display an N1-P2 response to a 2 msec gap, but all subjects had present clear evoked potential responses to 20 msec and 2+ msec gaps. Decreasing gap duration toward threshold resulted in decreasing waveform amplitude. However, N1 and P2 latencies remained stable as gap duration changed. Conclusions: N1-P2 waveforms can be elicited by gaps in noise in young normal-hearing adults. The responses are present as low as 2 msec above behavioral gap detection thresholds (BGDT). Gaps that are below BGDT do not generally evoke an electrophysiological response. These findings indicate that when a waveform is present, the gap duration is likely above their BGDT. Waveform amplitude is also a good index of gap detection, since amplitude decreases with decreasing gap duration. Future studies in this area will focus on various age groups and individuals with auditory disorders.

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