Trends in Hearing最新文献

{"title":"Cognitive Shifting Ability Does Not Predict Self-Perceived Hearing Difficulties in Adult Hearing-Aid Users.","authors":"Francesca Molinari Luccini, Henrik Danielsson, Victoria Stenbäck, Elaine Hoi Ning Ng, Emil Holmer","doi":"10.1177/23312165261433705","DOIUrl":"10.1177/23312165261433705","url":null,"abstract":"<p><p>Age-related hearing loss (ARHL) often leads to hearing difficulties, impacting communication and daily functioning even among hearing-aid users. While hearing loss and cognitive functions, such as cognitive shifting ability, have been proposed as predictors of hearing difficulties, their specific contributions remain unclear. This study investigated whether hearing loss and cognitive shifting ability predict self-reported hearing difficulties across the Speech, Spatial, and Qualities of Hearing Scale questionnaire (SSQ) subscales in adults with ARHL who use hearing aids, and whether sex moderates these associations, while controlling for age and level of education. A total of 215 adults underwent audiometry, completed a cognitive flexibility task, and answered the SSQ questionnaire, of which 203 (89 females) were included in our analysis. Hierarchical multiple regression analyses revealed that less hearing loss predicted lower levels of hearing difficulties in the three subscales of the SSQ, and higher education level was a significant predictor of less reported difficulties in the Speech and Spatial subscales. Contrary to our expectations, cognitive shifting ability was not associated with hearing difficulties in any subscale, nor did sex moderate the associations between cognitive shifting ability, degree of hearing loss and hearing difficulties. The findings highlight the influence of hearing loss and education on self-reported hearing difficulties and suggest that cognitive shifting ability does not play a significant role. Future studies should explore other cognitive and demographic factors that might contribute to hearing difficulties in hearing-aid users.</p>","PeriodicalId":48678,"journal":{"name":"Trends in Hearing","volume":"30 ","pages":"23312165261433705"},"PeriodicalIF":3.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13009968/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147469852","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Benefits of Bilateral Bone Conduction Device Use Including Osia Devices in Children and Adolescents With Bilateral Atresia.","authors":"Robel Z Alemu, Alan Blakeman, Jaina Negandhi, Blake C Papsin, Sharon L Cushing, Karen A Gordon","doi":"10.1177/23312165261422955","DOIUrl":"10.1177/23312165261422955","url":null,"abstract":"<p><p>This study aimed to characterize effects of bilateral bone conduction devices (BCD) including the Cochlear™ Osia^® (Osia) and the Cochlear™ percutaneous Baha^® Connect System (Baha) on localization of stationary and moving sound in children and adolescents with bilateral atresia. Participants were 11 listeners with BCDs [<i>M</i>_Age(SD) = 14.7(3.5) years] and 11 age-matched controls [<i>M</i>_Age(SD) = 14.9(1.9) years]. Outcomes were word recognition in quiet and noise, spatial release from masking (SRM) [spondee-word recognition thresholds in noise at co-located/0° or separated (90° left/right) positions], self-reported hearing using the Speech, Spatial and Qualities of Hearing Scale (SSQ), and localization of stationary and moving sound with tracking of real-time unrestricted head movements. BCD users had reduced speech perception accuracy in noise during unilateral listening (<i>p</i> < .001) and higher speech recognition thresholds than controls (<i>p</i> = .001). BCD users had higher errors than controls during stationary (<i>p</i> < .001) and moving (<i>p</i> < .001) sound localization consistent with self-reported spatial hearing challenges. BCD users had significantly reduced errors during bilateral use compared to unilateral use for stationary (<i>p</i> < .01) but not always for moving (right unilateral: <i>p</i> < .01; left unilateral: <i>p</i> = .46) sound localization. BCD users spent less time moving their heads in the correct direction compared to controls for stationary and moving sound localization (<i>p</i> < .01). Results indicate that children and adolescents with BCDs demonstrate improved localization of stationary but not moving sound-sources, with bilateral device use compared to unilateral use. This finding provides evidence for some access to binaural cues and mitigation of head shadow despite transcranial attenuation, but ineffective use of head movements.</p>","PeriodicalId":48678,"journal":{"name":"Trends in Hearing","volume":"30 ","pages":"23312165261422955"},"PeriodicalIF":3.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12921180/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146221675","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Visual Gestures of the Head and Eyebrows Support Prosody Perception for Individuals with Cochlear Implants.","authors":"Justin T Fleming, Harley J Wheeler, Matthew B Winn","doi":"10.1177/23312165261437901","DOIUrl":"10.1177/23312165261437901","url":null,"abstract":"<p><p>Visual gestures, especially head movements and eyebrow raises, are time-locked to acoustic cues during the expression of spoken prosody. The present study examined the role these visual cues play in prosody perception, particularly for individuals with cochlear implants (CIs), who often experience challenges understanding prosody due to reduced access to pitch cues. A vocal mimicry paradigm was used to obtain granular, objective measures of prosody perception through acoustic analysis of mimicked sentences. Stimuli consisted of audio-visual recordings from one talker that captured naturally occurring variability in the expression of auditory and visual cues to word focus. Participants mimicked these natural recordings, as well as prosody-transplanted stimuli that allowed us to isolate the influence of auditory or visual prosody cues while holding the other modality at a neutral level (broad focus). Participants converted visual prosody cues into acoustic correlates of prosody in their mimicry, repeating acoustically unfocused words with higher F0 and intensity when those words were paired with video containing head and eyebrow gestures. This visual influence was stronger for participants with CIs than an age-matched group of typical-hearing listeners. CI participants who were less successful at acoustic mimicry tended to be more influenced by visual cues. These results indicate that CI listeners compensate for degraded auditory cues by integrating visual gestures into their perception of spoken prosody, potentially highlighting new targets for multisensory counseling or training.</p>","PeriodicalId":48678,"journal":{"name":"Trends in Hearing","volume":"30 ","pages":"23312165261437901"},"PeriodicalIF":3.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13039648/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147581924","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Interaural Time and Level Differences Contribute Differently to Source Segregation and Spatial Selection.","authors":"Benjamin N Richardson, Sahil Luthra, Jana M Kainerstorfer, Barbara G Shinn-Cunningham, Christopher A Brown","doi":"10.1177/23312165261464723","DOIUrl":"10.1177/23312165261464723","url":null,"abstract":"<p><p>Interaural time and level differences are crucial in sound localization, yet their contributions to sound source segregation and spatial selection remain underspecified. Here, participants completed a spatial auditory selective attention task while we measured hemodynamic activity in the prefrontal cortex and superior temporal gyrus using functional near-infrared spectroscopy. Participants listened to a target sound stream and a simultaneous spatially separated speech stream or white noise masker. Sound streams were spatialized with either 50 μs interaural time differences (ITDs), 500 μs ITDs, naturally occurring interaural level differences (ILDs) from a non-individualized head-related transfer function (HRTF), or broadband 10 dB ILDs. Behavioral results revealed a stronger effect of spatial cues when the masker was speech. Error patterns differed in the two difficult conditions, small ITDs and natural ILDs: Small ITDs produced lower hit rates, while naturally occurring ILDs produced higher false alarm rates. Small ITDs led to greater activity in prefrontal cortex and activity in superior temporal gyrus that was lateralized, greater in the hemisphere contralateral to attentional focus, consistent with previous reports. These results suggest that natural ILDs alone support source segregation even if they are insufficient to cause large shifts in perceived lateralization, explaining high false alarm rates (confusions between target and distractor words). In contrast, small ITDs alone may be insufficient to segregate competing sources, leading to low hit and false alarm rates. Together, these results reveal differences in how ITDs and ILDs contribute to auditory scene analysis and spatial attention.</p>","PeriodicalId":48678,"journal":{"name":"Trends in Hearing","volume":"30 ","pages":"23312165261464723"},"PeriodicalIF":3.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13365698/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148431290","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hearing Loss Is Reflected in Conversational Pupil Responses.","authors":"Benjamin Masters, Martha Shiell, Dorothea Wendt, Ewen N MacDonald","doi":"10.1177/23312165261485567","DOIUrl":"10.1177/23312165261485567","url":null,"abstract":"<p><p>Pupillometry has been shown to be a correlate for expected mental workload in a variety of cognitively demanding tasks, including those related to listening. Recent work has extended the application of pupillometry to interactive conversation by measuring how the pupil responds around turn-taking. This study furthers the application of pupillometry to conversation by evaluating differences in pupil responses during conversations taking place between individuals with and without hearing loss. Pairs of older Danish talkers (in which one had hearing loss, and one did not) held conversations in a variety of acoustic conditions, and their pupil responses were recorded throughout. Our findings show that both background noise and hearing loss modulate pupil responses during conversation, and further show correspondence between pupil dilation responses and measures of turn-taking behavior which have been suggested to be indicative of increased difficulty.</p>","PeriodicalId":48678,"journal":{"name":"Trends in Hearing","volume":"30 ","pages":"23312165261485567"},"PeriodicalIF":3.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13535054/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148866159","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evidence for a Transient State of Auditory Hypersensitivity During Initial Onset of Tinnitus: IDAEP Changes Between Acute and Chronic Tinnitus.","authors":"Abishek Umashankar, Kai Alter, Phillip E Gander, William Sedley","doi":"10.1177/23312165261464722","DOIUrl":"10.1177/23312165261464722","url":null,"abstract":"<p><p>Once persistent for around a month, tinnitus typically persists permanently. This transition from acute to chronic tinnitus is thought to reflect dynamic neurophysiological changes and plasticity within central auditory and non-auditory networks, but empirical evidence has been lacking. We hypothesized that, bottom-up neural mechanisms linked to tinnitus initiation, such as central gain and neural synchrony, are maximal around the time of its initiation, but subsequently return towards baseline as central plastic changes develop. We evaluated part of this hypothesis by measuring central auditory reactivity through the Intensity Dependence of Auditory Evoked Potential (IDAEP), a non-invasive index of higher-order inhibitory processing within the auditory system. A steeper IDAEP slope is associated with heightened sensory reactivity (higher sensitivity to changes in auditory stimuli), indicative of reduced central inhibition, whereas a shallower slope reflects greater inhibitory control. Studying a group with acute tinnitus (onset within past six weeks), with a repeated assessment after six months from onset, we found a significant longitudinal reduction in the IDAEP slope following initial tinnitus onset, and non-significantly higher IDAEP slope in Acute and Chronic tinnitus groups compared to matched controls. These findings support our hypothesis, indicating that IDAEP may serve as an objective marker of auditory reactivity for characterising the time course of certain tinnitus mechanisms.</p>","PeriodicalId":48678,"journal":{"name":"Trends in Hearing","volume":"30 ","pages":"23312165261464722"},"PeriodicalIF":3.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13310338/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148340758","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Auditory Motion Perception by Bilateral Cochlear Implant Users With a Sound Coding Strategy that Synchronizes Peak-Picking Across the Ears.","authors":"Stephen R Dennison, Lingkai Harry Zhao, Alan Kan, Ruth Y Litovsky","doi":"10.1177/23312165261465510","DOIUrl":"10.1177/23312165261465510","url":null,"abstract":"<p><p>Bilateral cochlear implant (BiCI) users do not perform as well as typical hearing listeners when discriminating the direction of sound motion. This is likely due to the lack of synchronization between two independently operating sound processors. The use of bilaterally linked processors can improve the timing of electrical stimulation across the ears. However, these improvements are potentially counteracted by spectral peak-picking in sound coding strategies that may activate different electrodes across the ears, thereby reducing the fidelity of the binaural cues that BiCI users rely on for sound localization. To improve interaural synchrony, a bilateral peak-picking strategy that guarantees coordinated stimulation across the ears was developed and tested using the CCi-MOBILE, a bilaterally linked research processor. The auditory motion tracking abilities of nine BiCI users were measured using the bilateral peak-picking strategy and compared to performance with commercially available, unsynchronized processors. Results showed no effect of bilateral peak-picking. However, a small benefit was observed when tracking the range of motion of a sound when listening with bilateral synchronization which appears to be due to reduced interaural level difference changes with auditory motion. These findings suggest that dynamic auditory perception with BiCI may likely need bilaterally-synchronized hardware.</p>","PeriodicalId":48678,"journal":{"name":"Trends in Hearing","volume":"30 ","pages":"23312165261465510"},"PeriodicalIF":3.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13351239/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148413409","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Electrophysiological Assessment of Semantic Processing of Cochlear Implant Users Using an Audiobook.","authors":"Shimin Mo, Claude Alain, Kristen E Li, Andrew Dimitrijevic","doi":"10.1177/23312165261439202","DOIUrl":"10.1177/23312165261439202","url":null,"abstract":"<p><p>Cochlear implants (CI) afford listeners with limited spectral resolution, thereby constraining semantic processing. Prior research has predominantly used isolated words or sentences without context, a method that lacks ecological validity and may place greater demands on working memory (WM) due to the absence of contextual linguistic information. This study examined the semantic processing of experienced CI users (<i>N</i> = 21) and age-matched normal-hearing controls (NH, <i>N</i> = 21) using an audiobook. We measured neuroelectric brain activity while participants listened to a story in which we inserted an incongruent word every 45 s, herein, the E45 condition. WM and behavioral semantic judgment were quantified with a listening span test. Temporal response functions, linear models that characterize how continuous stimulus features are temporally mapped onto neural responses, were used to quantify speech neural tracking of audio features (envelope, word onset, word surprisal) during ongoing speech. Results showed reliable neural tracking of acoustic features and word surprisal. Compared to the Control condition, E45 elicited larger TRF-N400 responses in both groups. Although TRF-N400 amplitudes were comparable between CI and NH listeners, CI users exhibited delayed responses. In NH listeners, larger N400 effects were associated with greater semantic judgment accuracy, linking neural responses to behavioral performance. These results show the validity of an ecologically valid paradigm that does not require an explicit behavioral response to quantify semantic processing in CI users.</p>","PeriodicalId":48678,"journal":{"name":"Trends in Hearing","volume":"30 ","pages":"23312165261439202"},"PeriodicalIF":3.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13133447/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786378","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Developmental Trajectories and Influencing Factors of Aural/Oral Performance in Mandarin-Speaking Children with Cochlear Implants Using the PEACH Scale.","authors":"Jie Bai, Ying Li, Zhihan Lin, Xin Jin, Vicky W Zhang, Teresa Yc Ching, Haihong Liu","doi":"10.1177/23312165261434074","DOIUrl":"10.1177/23312165261434074","url":null,"abstract":"<p><p>The trend of cochlear implantation at a younger age has become increasingly prominent in recent years. However, early intervention also presents significant challenges to postoperative assessment. Parent-reported questionnaires have demonstrated notable advantages in outcome evaluation for infants and young children. In the present study, we investigate the auditory development of Mandarin-speaking children with cochlear implants (CIs) using the Chinese version of the Parents' Evaluation of Aural/Oral Performance of Children (PEACH). A total of 187 children with CIs participated. According to their age at implantation, the children were classified into five groups: <12 months, 13-18 months, 19-24 months, 25-42 months, and >42 months. Evaluations were administered at CIs switch-on (baseline), and at 1, 2, 3, 6, 12, 24, 36, 48, 60 months post switch-on, resulting in 933 records. We employed a linear mixed-effects model to identify key factors influencing PEACH performance. Results show that the PEACH scores enter a stable plateau phase after approximately 20 months of CI use. Notably, children who received CIs at a younger age exhibited faster improvements in auditory functional performances. This advantage is particularly prominent in children implanted before 18 months of age. Analysis indicated that significant influencing factors include age at implantation, duration of CI use, development quotient, and preoperative residual hearing level. This study explores the longitudinal trends of early aural/oral performance in children with CIs. The findings emphasize the critical importance of early cochlear implantation for improving outcomes while revealing the challenges associated with the late-implanted children.</p>","PeriodicalId":48678,"journal":{"name":"Trends in Hearing","volume":"30 ","pages":"23312165261434074"},"PeriodicalIF":3.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13121480/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786380","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing Visual Contributions to the Perception of Speech in Noise.","authors":"Lida C Alampounti, Hannah Cooper, Stuart Rosen, Jennifer K Bizley","doi":"10.1177/23312165261428755","DOIUrl":"10.1177/23312165261428755","url":null,"abstract":"<p><p>Investigations of the role of audiovisual integration in speech-in-noise perception have largely focused on the benefits provided by lipreading cues. Nonetheless, audiovisual temporal coherence can offer a complementary advantage in auditory selective attention tasks. We developed an audiovisual speech-in-noise test to assess the benefit of visually-conveyed phonetic information and visual contributions to auditory streaming. The test was a video version of the Children's Coordinate Response Measure with a noun as the second keyword (vCCRMn). The vCCRMn allowed us to measure speech reception thresholds in the presence of two competing talkers under three visual conditions: a full naturalistic video (AV), a video which was interrupted during the target word presentation (Inter), thus, providing no lipreading cues, and a static image of a talker with audio (A). In each case, the video/image could display either the target talker or one of the two competing maskers. We assessed speech reception thresholds in each visual condition in 37 young (≤35 years old) normal-hearing participants. Lipreading ability was independently assessed with the test of adult speechreading (TAS). Results showed that both target-coherent AV and Inter visual conditions offer participants a listening benefit over the static image with audio condition. Target coherent visual information provided the greatest listening advantage in the full audiovisual condition, but a robust advantage was also seen in the interrupted condition, where listeners were unable to lipread the target words. Together, our results are consistent with visual information providing multiple benefits to listening, through lipreading and enhanced auditory streaming.</p>","PeriodicalId":48678,"journal":{"name":"Trends in Hearing","volume":"30 ","pages":"23312165261428755"},"PeriodicalIF":3.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13009578/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147469836","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}