Extended High-Frequency Hearing Loss and Suprathreshold Auditory Processing: The Moderating Role of Auditory Working Memory.

IF 2.6 2区 医学 Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY
Srikanta K Mishra, Sajana Aryal, Chhayakanta Patro, Qian-Jie Fu
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Abstract

Objectives: Natural sounds, including speech, contain temporal fluctuations, and hearing loss influences the coding of these temporal features. However, how subclinical hearing loss may influence temporal variations remains unclear. In listeners with normal audiograms, hearing loss above 8 kHz is indicative of basal cochlear damage and may signal the onset of cochlear dysfunction. This study examined a conceptual framework to investigate the relationship between extended high-frequency hearing and suprathreshold auditory processing, particularly focusing on how cognitive factors, such as working memory, moderate these interactions.

Design: Frequency modulation difference limens to slow (2 Hz) and fast (20 Hz) modulations, backward masking thresholds, and digit span measures were obtained in 44 normal-hearing listeners with varying degrees of extended high-frequency hearing thresholds.

Results: Extended high-frequency hearing thresholds alone were not directly associated with frequency modulation difference limens or backward masking thresholds. However, working memory capacity-particularly as measured by the backward digit span-moderated the relationship between extended high-frequency thresholds and suprathreshold auditory performance. Among individuals with lower working memory capacity, elevated extended high-frequency thresholds were associated with reduced sensitivity to fast-rate frequency modulations and higher backward masking thresholds. It is important to note that this moderating effect was task-specific, as it was not observed for slow-rate modulations.

Conclusions: The impact of elevated extended high-frequency thresholds on suprathreshold auditory processing is influenced by working memory capacity. Individuals with reduced cognitive capacity are particularly vulnerable to the perceptual effects of subclinical cochlear damage. This suggests that cognitive resources act as a compensatory mechanism, helping to mitigate the effects of subclinical deficits, especially in tasks that are temporally challenging.

扩展高频听力损失与阈上听觉加工:听觉工作记忆的调节作用。
目的:自然声音,包括语音,包含时间波动,听力损失影响这些时间特征的编码。然而,亚临床听力损失如何影响时间变化仍不清楚。在听音图正常的听者中,听力损失高于8khz是基底耳蜗损伤的指示,可能是耳蜗功能障碍的信号。本研究考察了一个概念框架来研究扩展高频听力和超阈听觉处理之间的关系,特别关注认知因素,如工作记忆,如何调节这些相互作用。设计:对44名具有不同程度扩展高频听力阈值的正常听力听者进行了慢速(2hz)和快速(20hz)调制的频率调制差值、后向屏蔽阈值和数字跨度测量。结果:延长高频听力阈值单独与调频差阈值或后向掩蔽阈值没有直接关系。然而,工作记忆容量——尤其是通过后向数字跨度测量的——调节了扩展高频阈值和超阈值听觉表现之间的关系。在工作记忆容量较低的个体中,高扩展高频阈值与对快速频率调制的敏感性降低和高向后掩蔽阈值相关。值得注意的是,这种调节效应是特定于任务的,因为在慢速调制中没有观察到这种效应。结论:延长高频阈值的提高对阈上听觉加工的影响受工作记忆容量的影响。认知能力下降的个体特别容易受到亚临床耳蜗损伤的知觉影响。这表明认知资源作为一种补偿机制,有助于减轻亚临床缺陷的影响,特别是在具有暂时挑战性的任务中。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Ear and Hearing
Ear and Hearing 医学-耳鼻喉科学
CiteScore
5.90
自引率
10.80%
发文量
207
审稿时长
6-12 weeks
期刊介绍: From the basic science of hearing and balance disorders to auditory electrophysiology to amplification and the psychological factors of hearing loss, Ear and Hearing covers all aspects of auditory and vestibular disorders. This multidisciplinary journal consolidates the various factors that contribute to identification, remediation, and audiologic and vestibular rehabilitation. It is the one journal that serves the diverse interest of all members of this professional community -- otologists, audiologists, educators, and to those involved in the design, manufacture, and distribution of amplification systems. The original articles published in the journal focus on assessment, diagnosis, and management of auditory and vestibular disorders.
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