Working Memory and Extended High-Frequency Hearing in Adults: Diagnostic Predictors of Speech-in-Noise Perception

Objective: The purpose of this study was to identify the main factors that differentiate listeners with clinically normal or “near-normal” hearing with regard to their speech-in-noise perception and to develop a regression model to predict speech-in-noise difficulties in this population. We also aimed to assess the potential effectiveness of the formula produced by the regression model as a “diagnostic criterion” for clinical use. Design: Data from a large-scale behavioral study investigating the relationship between noise exposure and auditory processing in 122 adults (30 to 57 years) was re-examined. For each participant, a composite speech-in-noise score (CSS) was calculated based on scores from three speech-in-noise measures, (a) the Speech, Spatial and Qualities of Hearing scale (average of speech items); (b) the Listening in Spatialized Noise Sentences test (high-cue condition); and (c) the National Acoustic Laboratories Dynamic Conversations Test. Two subgroups were created based on the CSS, each comprising 30 participants: those with the lowest scores and those with the highest scores. These two groups were compared for differences in hearing thresholds, temporal perception, noise exposure, attention, and working memory. They differed significantly on age, low-, high-, and extended high-frequency (EHF) hearing level, sensitivity to temporal fine structure and amplitude modulation, linguistic closure skills, attention, and working memory. A multiple linear...
Source: Ear and Hearing - Category: Audiology Tags: Research Article Source Type: research
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