The Role of Cognition in Age-Related Hearing Loss

2007 ◽  
Vol 18 (07) ◽  
pp. 539-547 ◽  
Author(s):  
Fergus I.M. Craik
Keyword(s):  
Speech Processing ◽  
Cognitive Factors ◽  
Levels Of Analysis ◽  
Analysis Model ◽  
Top Down ◽  
Age Related ◽  
Effects Of Aging ◽  
Age Related Hearing Loss ◽  
Processing Framework

The article presents a commentary on the accompanying six papers from the perspective of a cognitive psychologist. Treisman's (1964, 1969) levels of analysis model of selective attention is suggested as a framework within which the interactions between 'bottom-up' auditory factors and 'top-down' cognitive factors may be understood. The complementary roles of auditory and cognitive aspects of hearing are explored, and their mutually compensatory properties discussed. The findings and ideas reported in the six accompanying papers fit well into such a 'levels of processing' framework, which may therefore be proposed as a model for understanding the effects of aging on speech processing and comprehension. El artículo presenta un comentario sobre los seis trabajos acompañantes desde la perspectiva de un psicólogo de la cognición. Se sugiere el modelo de Treisman (1964, 1969) de niveles de análisis de la atención selectiva como el marco dentro del cuál las interacciones entre los factores de atención "de abajo hacia arriba" y los factores cognitivos de "de arriba hacia abajo" pueden ser comprendidos. Se exploran los papeles complementarios de los aspectos auditivos y cognitivos de la audición y se discuten sus mutuas propiedades compensatorias. Los hallazgos e ideas reportados en los seis trabajos acompañantes calzan bien en dicho marco de "niveles de procesamiento", los que puede, por tanto, ser propuestos como un modelo para comprender el efecto del envejecimiento para el procesamiento y la comprensión del lenguaje.

scholarly journals Association of Age-Related Hearing Loss with Cognitive Decline

2020 ◽  
Vol 63 (4) ◽  
pp. 145-153
Author(s):  
Juyong Chung
Keyword(s):  
Hearing Loss ◽  
Cognitive Decline ◽  
Cochlear Implants ◽  
Hearing Aids ◽  
Microvascular Disease ◽  
Single Mechanism ◽  
Hearing Aid Use ◽  
Age Related ◽  
Age Related Hearing Loss

A number of studies have demonstrated a significant association between age-related hearing loss (ARHL) and cognitive decline. However their relationship is not clear. In this review, we focused on the etiological mechanisms between ARHL and cognitive decline to explain the nature of this relationship: 1) causal mechanisms (e.g., cognitive load hypothesis, cascade hypothesis); 2) common cause mechanisms (e.g., microvascular disease); 3) overdiagnosis or harbinger hypothesis. We conclude that no single mechanism is sufficient and hearing and cognition related to each other in several different ways. In addition, we reviewed the effectiveness of hearing intervention (e.g., hearing aids and cochlear implants) on cognition function, and the role of hearing aid use and cochlear implant depends on the relevant mechanism.

scholarly journals Automatic Speech Recognition Predicts Speech Intelligibility and Comprehension for Listeners With Simulated Age-Related Hearing Loss

2017 ◽  
Vol 60 (9) ◽  
pp. 2394-2405 ◽  
Author(s):  
Lionel Fontan ◽  
Isabelle Ferrané ◽  
Jérôme Farinas ◽  
Julien Pinquier ◽  
Julien Tardieu ◽  
...  
Keyword(s):  
Hearing Loss ◽  
Speech Recognition ◽  
Automatic Speech Recognition ◽  
Hearing Aids ◽  
Speech Processing ◽  
Fine Tuning ◽  
Language Models ◽  
Age Related ◽  
Age Related Hearing Loss ◽  
Asr System

Purpose The purpose of this article is to assess speech processing for listeners with simulated age-related hearing loss (ARHL) and to investigate whether the observed performance can be replicated using an automatic speech recognition (ASR) system. The long-term goal of this research is to develop a system that will assist audiologists/hearing-aid dispensers in the fine-tuning of hearing aids. Method Sixty young participants with normal hearing listened to speech materials mimicking the perceptual consequences of ARHL at different levels of severity. Two intelligibility tests (repetition of words and sentences) and 1 comprehension test (responding to oral commands by moving virtual objects) were administered. Several language models were developed and used by the ASR system in order to fit human performances. Results Strong significant positive correlations were observed between human and ASR scores, with coefficients up to .99. However, the spectral smearing used to simulate losses in frequency selectivity caused larger declines in ASR performance than in human performance. Conclusion Both intelligibility and comprehension scores for listeners with simulated ARHL are highly correlated with the performances of an ASR-based system. In the future, it needs to be determined if the ASR system is similarly successful in predicting speech processing in noise and by older people with ARHL.

Aging, Attention, and Bimanual Coordination

2002 ◽  
Vol 21 (4) ◽  
pp. 549-557 ◽  
Author(s):  
Timothy D. Lee ◽  
Laurie R. Wishart ◽  
Jason E. Murdoch
Keyword(s):  
Older Adults ◽  
Bimanual Coordination ◽  
Alternative Explanation ◽  
Digit Number ◽  
Younger Adults ◽  
Age Related ◽  
Movement Frequency ◽  
Effects Of Aging ◽  
Coordination Patterns

ABSTRACTAlthough aging is normally associated with declines in motor performance, recent evidence suggests that older adults suffer no loss in some measures of bimanual coordination relative to younger adults. Two hypotheses for this finding were compared in the present research. One hypothesis was based on the assumption that these coordination patterns are automatic and relatively impervious to the effects of aging. An alternative explanation is that older adults maintain this level of bimanual coordination at a cost of increased attention demand. These hypotheses were tested in an experiment in which bimanual coordination patterns (in-phase and anti-phase) were paced at two metronome frequencies (1 and 2 Hz), either alone or together, with serial performance of an attention-demanding task (adding 3s to a two-digit number at a 1 Hz pace). The results of the study provided some support for both hypotheses. The automaticity view was supported only for the coordination patterns at the 1 Hz metronome frequency. Support for an attention allocation hypothesis was shown in the observed-movement frequency data, as older adults tended to sacrifice movement frequency at the 2 Hz metronome pace in order to maintain performance in the movement and counting tasks. These findings are discussed relative to recent accounts of the role of automaticity in the absence of age-related differences in the performance of cognitive tasks.

Role of general practitioners in managing age‐related hearing loss

2010 ◽  
Vol 192 (1) ◽  
pp. 20-23 ◽  
Author(s):  
Julie M Schneider ◽  
Bamini Gopinath ◽  
Catherine M McMahon ◽  
Helena C Britt ◽  
Christopher M Harrison ◽  
...  
Keyword(s):  
Hearing Loss ◽  
General Practitioners ◽  
Age Related ◽  
Age Related Hearing Loss

scholarly journals The role of the General Practitioner in managing age-related hearing loss: Perspectives of General Practitioners, patients and practice staff

2020 ◽  
Author(s):  
Rebecca Jane Bennett ◽  
Susan Fletcher ◽  
Nicole Conway ◽  
Caitlin Barr
Keyword(s):  
Hearing Loss ◽  
General Practitioner ◽  
Concept Mapping ◽  
Practice Nurses ◽  
Online Portal ◽  
Age Related ◽  
Mapping Techniques ◽  
Age Related Hearing Loss ◽  
Instrumental Role

Abstract Background For people with hearing loss, the General Practitioner (GP) can play an instrumental role in early detection of hearing loss as well as guiding appropriate and timely choices for addressing hearing concerns. The aim of this study was to generate a conceptual framework for understanding the role of the GP in managing age-related hearing loss. Methods Concept mapping techniques were used to gather the perspectives of GPs (n = 8), adults with hearing loss (n = 22), and professionals working with GPs (n = 5), in Australia. Participants generated statements describing the role of the GP in managing age-related hearing loss, and then grouped the statements to identify key themes, via an online portal. Results Ninety-eight items describing the role of the GP in managing age-related hearing loss were identified across six concepts: 1) Determine - Diagnose - Discuss, 2) Ask - Assess - Act, 3) Know - Refer - Coordinate, 4) Inform - Advise - Partner, 5) Educate - Strategise - Encourage, 6) Reassure - Support - Empower. Conclusions The role of the GP in managing age-related hearing loss is multifaceted and requires partnership that motivates and empowers patients’ to overcome their hearing concerns. Enlisting the help of Practice Nurses, Practice Managers and local audiologists could help GPs improve their hearing loss detection and intervention rates.

Auditory Processing in the Aging Brain

2017 ◽  
Author(s):  
Gregg Recanzone
Keyword(s):  
Speech Processing ◽  
Auditory Processing ◽  
Natural Aging ◽  
The Elderly ◽  
Aging Brain ◽  
Age Related ◽  
Difficult Time ◽  
Cortical Responses ◽  
Normal Sensitivity ◽  
Age Related Hearing Loss

Age-related hearing loss affects over half of the elderly population, yet it remains poorly understood. Natural aging can cause the input to the brain from the cochlea to be progressively compromised in most individuals, but in many cases the cochlea has relatively normal sensitivity and yet people have an increasingly difficult time processing complex auditory stimuli. The two main deficits are in sound localization and temporal processing, which lead to poor speech perception. Animal models have shown that there are multiple changes in the brainstem, midbrain, and thalamic auditory areas as a function of age, giving rise to an alteration in the excitatory/inhibitory balance of these neurons. This alteration is manifest in the cerebral cortex as higher spontaneous and driven firing rates, as well as broader spatial and temporal tuning. These alterations in cortical responses could underlie the hearing and speech processing deficits that are common in the aged population.

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