{"title":"Emotion-Specific Associations Between Perceived Sound Quality and Auditory Emotion Recognition in Children With Cochlear Implants.","authors":"Erva Degirmenci Uzun, Buket Utku, Gizem Özdemir, Berkant Santur, Tankut Uzun","doi":"10.1044/2026_AJA-26-00021","DOIUrl":null,"url":null,"abstract":"<p><strong>Objectives: </strong>The purpose of this study was to examine the relationship between perceived sound quality and auditory emotion recognition in children with cochlear implants (CIs) and to compare auditory emotion recognition and hearing-related quality of life (HRQoL) between pediatric CI users and age-matched normal-hearing peers.</p><p><strong>Method: </strong>Forty-two children aged 7-18 years participated (CI group: <i>n</i> = 21; control group: <i>n</i> = 21). Auditory emotion recognition was assessed using the Montreal Affective Voices (MAV) with 60 nonverbal affective vocalizations representing six emotions (anger, fear, happiness, pain, surprise, and neutral). Perceived sound quality was evaluated with Hearing Implant Sound Quality Index Questionnaire (HISQUI19) and HRQoL with age-appropriate Hearing Environments and Reflection on Quality of Life (HEAR-QL) versions.</p><p><strong>Results: </strong>The CI group demonstrated poorer auditory emotion-recognition performance and lower HRQoL than controls. Correlational analyses in the CI group indicated positive associations between perceived sound quality (HISQUI19) and happiness recognition and between HEAR-QL and both happiness and fear recognition; chronological age was positively associated with neutral emotion recognition, whereas age at implantation was negatively associated with pain recognition.</p><p><strong>Conclusions: </strong>Pediatric CI users showed poorer nonverbal auditory emotion recognition and lower HRQoL than age-matched normal-hearing peers. Exploratory findings further suggest that perceived sound quality may be selectively associated with happiness recognition in CI users.</p><p><strong>Supplemental material: </strong>https://doi.org/10.23641/asha.32691078.</p>","PeriodicalId":49241,"journal":{"name":"American Journal of Audiology","volume":" ","pages":"1013-1021"},"PeriodicalIF":1.7000,"publicationDate":"2026-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"American Journal of Audiology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1044/2026_AJA-26-00021","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2026/6/25 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Objectives: The purpose of this study was to examine the relationship between perceived sound quality and auditory emotion recognition in children with cochlear implants (CIs) and to compare auditory emotion recognition and hearing-related quality of life (HRQoL) between pediatric CI users and age-matched normal-hearing peers.
Method: Forty-two children aged 7-18 years participated (CI group: n = 21; control group: n = 21). Auditory emotion recognition was assessed using the Montreal Affective Voices (MAV) with 60 nonverbal affective vocalizations representing six emotions (anger, fear, happiness, pain, surprise, and neutral). Perceived sound quality was evaluated with Hearing Implant Sound Quality Index Questionnaire (HISQUI19) and HRQoL with age-appropriate Hearing Environments and Reflection on Quality of Life (HEAR-QL) versions.
Results: The CI group demonstrated poorer auditory emotion-recognition performance and lower HRQoL than controls. Correlational analyses in the CI group indicated positive associations between perceived sound quality (HISQUI19) and happiness recognition and between HEAR-QL and both happiness and fear recognition; chronological age was positively associated with neutral emotion recognition, whereas age at implantation was negatively associated with pain recognition.
Conclusions: Pediatric CI users showed poorer nonverbal auditory emotion recognition and lower HRQoL than age-matched normal-hearing peers. Exploratory findings further suggest that perceived sound quality may be selectively associated with happiness recognition in CI users.
期刊介绍：
Mission: AJA publishes peer-reviewed research and other scholarly articles pertaining to clinical audiology methods and issues, and serves as an outlet for discussion of related professional and educational issues and ideas. The journal is an international outlet for research on clinical research pertaining to screening, diagnosis, management and outcomes of hearing and balance disorders as well as the etiologies and characteristics of these disorders. The clinical orientation of the journal allows for the publication of reports on audiology as implemented nationally and internationally, including novel clinical procedures, approaches, and cases. AJA seeks to advance evidence-based practice by disseminating the results of new studies as well as providing a forum for critical reviews and meta-analyses of previously published work.
Scope: The broad field of clinical audiology, including audiologic/aural rehabilitation; balance and balance disorders; cultural and linguistic diversity; detection, diagnosis, prevention, habilitation, rehabilitation, and monitoring of hearing loss; hearing aids, cochlear implants, and hearing-assistive technology; hearing disorders; lifespan perspectives on auditory function; speech perception; and tinnitus.
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