The Effect of Citalopram Versus a Placebo on Central Auditory Processing in the Elderly

2017 ◽  
Vol 38 (9) ◽  
pp. 1233-1239 ◽  
Author(s):  
Jose Fernando Polanski ◽  
Alexandra Dezani Soares ◽  
Liliane Desgualdo Pereira ◽  
Oswaldo Laercio de Mendonça Cruz
2015 ◽  
Vol 21 (1) ◽  
pp. 1-11 ◽  
Author(s):  
Junming Chen ◽  
Suijun Chen ◽  
Yiqing Zheng ◽  
Yongkang Ou

Mismatch negativity (MMN) has been widely used to study the function of central auditory processing in the elderly. However, current research has not yet considered the effect of noise and high-frequency hearing threshold on MMN in the elderly. The aim of this study was to evaluate the effect of aging and high-frequency hearing loss on speech-related MMN in noisy backgrounds. Additionally, the possible mechanisms of central auditory processing dysfunction in the elderly were investigated. Fifty people aged 61-80 (70 ± 5.8) years were recruited for this study. They were divided into a 61- to 70-year-old group and a 71- to 80-year-old group. Fifty younger adults aged 21-40 (31 ± 5.3) years were recruited as healthy controls. Pure-tone hearing thresholds were recorded. A speech discrimination score (SDS) and a speech-evoked MMN under white noise with a bandwidth from 125 to 8,000 Hz background condition were recorded. The relationships between SDS and MMN latency and amplitude were analyzed. The effects of age and binaural 2,000-, 4,000- and 8,000-Hz pure-tone hearing thresholds on MMN latency and amplitude were analyzed. We found that the hearing thresholds of 2,000, 4,000 and 8,000 Hz in the 61- to 70-year-old and 71- to 80-year-old groups were higher than those in the control group. The SDS in a noisy background in the 61- to 70-year-old and 71- to 80-year-old groups were lower than those in the control group. Speech-evoked MMN latency was longer in the 61- to 70-year-old and in the 71- to 80-year-old groups than in the control group (215.8 ± 14.2 ms). SDS and speech-evoked MMN latency were negatively correlated. Age and speech-evoked MMN latency were positively correlated, as were the binaural 4,000- to 8,000-Hz pure-tone hearing thresholds and speech-evoked MMN. This study suggests that in elderly subjects, the function of preattentive central auditory processing changes. Additionally, increasing age and high-frequency hearing thresholds create a synergy in neurons that is weakened in the MMN time window, which may be a cause of central auditory processing disorders in elderly subjects in noisy background conditions.


Revista CEFAC ◽  
2019 ◽  
Vol 21 (6) ◽  
Author(s):  
Bruna Pias Peixe ◽  
Taissane Rodrigues Sanguebuche ◽  
Vitor Cantele Malavolta ◽  
Michele Vargas Garcia

ABSTRACT Objective: to generate reference values for different central auditory processing tests, investigating the influence of peripheral hearing and considering education and cognition, in the elderly. Methods: a prospective, quantitative and cross-sectional study. The casuistry consisted of 23 elderly, aged between 60 and 81 years old, being 8 men and 14 women. Regarding the audiological characteristics, the elderly were included with normal auditory thresholds or mild and moderate sensorineural hearing loss, classified by the quadritonal average, proposed by the World Health Organization. All elderly underwent Basic Audiological Evaluation, Edinburgh Handedness Inventory, Mini Mental State Examination, and seven central auditory behavioral tests. Statistical analysis was performed using the nonparametric Mann-Whitney U test. Results: the Adapted Time-Compressed Speech Test was influenced by the peripheral hearing loss, in both ears (p-value = 0,000), and no significant differences were found in the other data analyzed. Conclusion: reference values were generated for the different behavioral tests. Hearing loss influenced the results of the Adapted Time-Compressed Speech Test, suggesting that it should not be applied in the elderly with peripheral alteration. Regarding education and cognition, there was a similarity among the elderly with normal hearing thresholds and those presented with hearing loss.


2021 ◽  
Vol 31 (Supplement_2) ◽  
Author(s):  
Cláudia Reis ◽  
Cláudia Gaspar ◽  
Cristina Nazaré

Abstract Background The aging process is characterized by a gradual impairment of several capacities, such as hearing, memory and communication, which implies changes at various levels and, consequently, changes in both hearing and auditory skills, of which the auditory temporal ordering is an example. Methods The sample consisted of 23 elderly individuals, aged between 70 and 96 years (average of 83.09 years) and with mild to severe type I sensorineural hearing loss. For the collection of information, the pure tone audiogram, the frequency and duration pattern tests, the verbal and non-verbal sequential memory tests were used. Results The results revealed that between age and the auditory temporal order tests there was a negative correlation (except in the duration pattern test in the left ear) and between the auditory threshold and the auditory temporal order tests there was negative correlation (except in the duration pattern test in the right ear). Conclusions It is concluded that in this sample the ability of auditory temporal ordering was influenced by aging and hearing loss, which shows that as the age of the elderly progresses and the degree of hearing loss increases the difficulties in temporal auditory processing become larger. This leads us to consider that these elderly have several difficulties in temporal auditory processing and that an intervention as auditory training may be advantageous for the elderly, as it could improve their central auditory processing and, consequently, their hearing, memory and quality of life.


2004 ◽  
Vol 15 (06) ◽  
pp. 401-413 ◽  
Author(s):  
Niels Christian Stenklev ◽  
Einar Laukli

The purpose of this study was to analyze the changes in the acoustically evoked cortical cognitive potentials N 200, P 300, and N 3 with age. There were 232 participants, who were 60 years or older, and each was examined using a battery of audiological tests including a questionnaire, otomicroscopy, pure-tone audiometry, and cortical cognitive potentials, measured at Fz using an auditory oddball paradigm. N 200 was elicited in 46.9%, P 300 in 45.1%, and N 3 in 52.2% of the elderly participants. The most significant predictors for presence of cortical responses were the participant's age and hearing level at target tone frequency. Monosyllabic speech recognition score was a less important predictor for presence of response. Response latency in the elderly sample increased steadily with age. Few changes in cortical response amplitude were found with age. We conclude that the speed of central auditory processing seems to be reduced with age.


2000 ◽  
Vol 43 (5) ◽  
pp. 1160-1167 ◽  
Author(s):  
M. Patrick Feeney ◽  
Brooke Hallowell

A high prevalence of central auditory processing disorders (CAPD) has been reported in the elderly based on scores for the Synthetic Sentence Identification Test (SSI). This study examined practice effects and list differences on the Auditec version of the SSI with an ipsilateral competing message in 30 young and 20 elderly participants. Results for the younger participants suggested that a minimum of one practice list should be used with the SSI, whereas results for the elderly participants suggested that a minimum of three practice lists should be used. The binomial model of A. R. Thornton and M. J. M. Raffin (1978) was suggested for use in determining the required number of lists needed to obtain reliable SSI performance. Significant list differences were found with the Auditec version of the SSI. It was recommended to use only Lists A, C, D, E, G, and I for consistent results across lists. Practice effects and list differences should be accounted for when using the SSI for the assessment of CAPD in elderly and young listeners.


2012 ◽  
Vol 2012 ◽  
pp. 1-7 ◽  
Author(s):  
Joseph P. Pillion

Deficits in central auditory processing may occur in a variety of clinical conditions including traumatic brain injury, neurodegenerative disease, auditory neuropathy/dyssynchrony syndrome, neurological disorders associated with aging, and aphasia. Deficits in central auditory processing of a more subtle nature have also been studied extensively in neurodevelopmental disorders in children with learning disabilities, ADD, and developmental language disorders. Illustrative cases are reviewed demonstrating the use of an audiological test battery in patients with auditory neuropathy/dyssynchrony syndrome, bilateral lesions to the inferior colliculi, and bilateral lesions to the temporal lobes. Electrophysiological tests of auditory function were utilized to define the locus of dysfunction at neural levels ranging from the auditory nerve, midbrain, and cortical levels.


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