American Journal of Audiology最新文献

{"title":"Teleaudiology for Infant Diagnostic Assessments: Audiologists' Views on Challenges and Opportunities in a Well-Established Screening Program.","authors":"Jocelyn Phillips, Dani Tomlin, Kelley Graydon, Julia Sarant","doi":"10.1044/2026_AJA-25-00166","DOIUrl":"https://doi.org/10.1044/2026_AJA-25-00166","url":null,"abstract":"<p><strong>Purpose: </strong>Universal newborn hearing screening allows early identification of hearing loss; however, some families face difficulties accessing diagnostic audiology. This study aimed to investigate audiologists' opinions regarding implementing a teleaudiology infant diagnostic audiology service in Victoria, Australia, a region where traditional access barriers persist despite high follow-up rates.</p><p><strong>Method: </strong>Nine experienced infant diagnostic audiologists participated in three focus groups. Prompt questions, based on the Capability, Opportunity, Motivation-Behaviour model of behavior change, explored clinician-identified barriers and facilitators to teleaudiology implementation. Thematic analysis was used to analyze audiologists' opinions of the proposed model.</p><p><strong>Results: </strong>Audiologists identified that teleaudiology infant diagnostic services may introduce a barrier trade-off; while teleaudiology had the capacity to reduce barriers to service access for some families, it may introduce additional challenges compared to in-person testing. Three main barriers or areas of concern regarding a teleaudiology model of infant diagnostic services were identified: communication and support concerns, risk of error, and financial and motivational concerns. Participants proposed a training model, where experienced clinicians could support and upskill less experienced audiologists acting as in-person facilitators of the service, to address both service delivery and workforce development needs.</p><p><strong>Conclusions: </strong>A teleaudiology model of infant diagnostic assessments in Victoria has the potential to improve accessibility if facilitator training, effective family communication, and resource management are prioritized to ensure service quality is not impacted. A proposed training model offers a novel approach to use teleaudiology to maintain service access, as well as improve workforce experience in underserviced areas.</p>","PeriodicalId":49241,"journal":{"name":"American Journal of Audiology","volume":" ","pages":"1-9"},"PeriodicalIF":1.8,"publicationDate":"2026-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147624559","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparing the Effects of Frequency Maps on Sentence Perception Between Simulated Bimodal Hearing and Electric Acoustic Stimulation Hearing.","authors":"Yang-Soo Yoon, Raha Nekoutabar, Sydney Dukes, Trisha Karnik, Kelly N Jahn","doi":"10.1044/2026_AJA-25-00225","DOIUrl":"https://doi.org/10.1044/2026_AJA-25-00225","url":null,"abstract":"<p><strong>Purpose: </strong>Using acoustic simulations of bimodal (BM) and electric acoustic stimulation (EAS) hearing, we investigated if optimal frequency maps differ between these configurations, whether one provides greater benefit, and whether optimal maps vary with the degree of residual hearing.</p><p><strong>Method: </strong>Adults with normal hearing completed sentence perception tasks across frequency maps, simulated hearing configurations (BM vs. EAS), simulated residual hearing bandwidths, and signal-to-noise ratios (SNRs). Acoustic stimulation was simulated with three bandpass filters: 50-250 Hz (A250), 50-500 Hz (A500), and 50-750 Hz (A750). Electric stimulation was simulated with an eight-channel vocoder. The lower boundary of the electric input was shifted to create four maps relative to the acoustic bandwidth: full overlap, narrow overlap (NO), meet, and gap.</p><p><strong>Results: </strong>For BM hearing, the meet map was most effective. For EAS, gap and NO maps yielded the greatest benefits in noise, whereas the meet map performed best in quiet. Optimal maps varied with both residual hearing and SNR. EAS generally outperformed BM hearing at A500 across SNRs, whereas BM hearing performed better at A250 and A750 at -6 dB, and at A750 in quiet. Benefits correlated positively with residual hearing bandwidth.</p><p><strong>Conclusions: </strong>Optimal maps differed between EAS and BM hearing, reflecting distinct acoustic-electric interactions. EAS often provided an advantage, likely due to reduced neural delay mismatches and improved binaural integration. However, no single map was consistently optimal; outcomes depended on residual hearing and SNR, highlighting variability in spectral integration efficiency with available acoustic input.</p>","PeriodicalId":49241,"journal":{"name":"American Journal of Audiology","volume":" ","pages":"1-15"},"PeriodicalIF":1.8,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147655187","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Short Forms and Computerized Adaptive Tests With Monosyllabic Words Can Efficiently Measure Speech Recognition.","authors":"Bryant A Seamon, Craig Salvador, Lois J Mathews, Craig A Velozo, Judy R Dubno, Theodore R McRackan","doi":"10.1044/2025_AJA-24-00240","DOIUrl":"https://doi.org/10.1044/2025_AJA-24-00240","url":null,"abstract":"<p><strong>Purpose: </strong>Construct validity of the Northwestern University Auditory Test No. 6 (NU-6) monosyllabic word lists or shortened versions have not been examined using the Rasch measurement theory. The study purposes were to test the fit of the Rasch measurement model to monosyllabic word lists and whether short forms and computerized adaptive testing can measure speech recognition.</p><p><strong>Method: </strong>A cross-sectional study design with 50 persons (average age = 71 years; 35 female, 15 male) with mild-to-moderate hearing loss was used to test the fit of NU-6 Word Lists 1 and 2 to the Rasch measurement model. Pearson's correlations quantified the accuracy of person measures from short forms or computer-adaptive testing simulations with measures from the full lists. Average standard error of person measures quantified measurement precision.</p><p><strong>Results: </strong>Word lists were unidimensional, had negligible misfit, and had high person reliability. Nineteen- and 11-word short forms were made per list. Person measures from 19-word short forms had a high linear association with person measures from the full word lists (List 1: <i>r</i> = .92, <i>p</i> < .0001, <i>SE</i> = 0.76; List 2: <i>r</i> = .91, <i>p</i> < .0001, <i>SE</i> = 0.74) compared to moderate association for the 11-word short form (List 1: <i>r</i> = .84, <i>p</i> < .0001, <i>SE</i> = 0.99; List 2: <i>r</i> = .81, <i>p</i> < .0001, <i>SE</i> = 0.97). Person measures from computerized adaptive testing simulation reached a correlation threshold, <i>r</i> > .90, after 15-20 words were administered for both lists. A precision-based stopping rule used an average of 18 (List 1) or 20 (List 2) words.</p><p><strong>Conclusion: </strong>Short forms with 19 words and computerized adaptive testing may accurately and precisely measure speech recognition.</p>","PeriodicalId":49241,"journal":{"name":"American Journal of Audiology","volume":" ","pages":"1-13"},"PeriodicalIF":1.8,"publicationDate":"2026-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147534031","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cross-Sectional Associations Between Hyperglycemia and Hearing Loss at the Year 35 Coronary Artery Risk Development in Young Adults Observational Cohort Study.","authors":"Pamela J Schreiner, Meredith E Adams, Lisa S Chow, Donald M Lloyd-Jones","doi":"10.1044/2026_AJA-25-00138","DOIUrl":"https://doi.org/10.1044/2026_AJA-25-00138","url":null,"abstract":"<p><strong>Purpose: </strong>Sustained hyperglycemia is associated with pathogenic effects on microvasculature and sensory neurons, and diabetes may also affect the vasculature and neural systems of the inner ear. We examined the association of hyperglycemia with sensorineural hearing loss (HL) at three frequency ranges in a biracial, population-based cohort.</p><p><strong>Method: </strong>Among 1,930 Black and White men and women aged 53-65 years who were attending the Year 35 examination of the Coronary Artery Risk Development in Young Adults study, we assessed hearing using an automated method for testing auditory sensitivity to obtain pure-tone air-conduction thresholds. Normal hearing (≤ 25 dB) and HL (> 25 dB) were examined across three frequency ranges: 250-2000 Hz (low/middle), 500-4000 Hz (speech), and 4000-8000 Hz (high). Hyperglycemia was categorized as normal fasting glucose (≤ 5.5 mmol/L), prediabetes (5.6-6.9 mmol/L), and Type 2 diabetes (T2D; ≥ 7 mmol/L or taking medication for diabetes). Cross-sectional associations of prediabetes and T2D with any HL were assessed using crude and multivariable-adjusted logistic regression.</p><p><strong>Results: </strong>Black participants had a higher prevalence of T2D (26.3%) than White participants (13.0%), and men had a higher prevalence of both prediabetes (38.0% vs. 26.0%) and T2D (20.4% vs. 17.8%) than women. HL was rare in the low/middle and speech frequencies, but 38.7% had some HL in the high-frequency range, with 21.6% of the sample considered mild (sound detection thresholds at 26-40 dB) and 10.9% considered moderate (sound detection thresholds at 41-55 dB). Prediabetes was not associated with high-frequency HL, but those with T2D had 50% higher odds (odds ratio [<i>OR</i>] = 1.498, 95% CI [1.173, 1.913]) of HL compared to those without diabetes; this <i>OR</i> increased to 1.657 (95% CI [1.266, 2.170]) after controlling for demographic factors.</p><p><strong>Conclusions: </strong>In this population-based sample of middle-aged participants, HL was most pronounced in the high-frequency range but was mostly mild. T2D was associated with prevalent HL in both crude and adjusted models. However, prediabetes was not associated with HL, suggesting that interventions to both improve glycemic control and detect HL may provide a window of opportunity for both prevention of progression to T2D and prevention or slower progression of HL.</p>","PeriodicalId":49241,"journal":{"name":"American Journal of Audiology","volume":" ","pages":"1-10"},"PeriodicalIF":1.8,"publicationDate":"2026-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147515911","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Audiology Students' Experiences of a Near-Peer Simulated Patient Program.","authors":"Patrick Bowers, Kelley Graydon, Zoe McNeice","doi":"10.1044/2026_AJA-25-00278","DOIUrl":"https://doi.org/10.1044/2026_AJA-25-00278","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study was to understand the experiences of audiology students participating in an online near-peer-led simulated patient program, examining both learner and teacher perspectives.</p><p><strong>Method: </strong>An explanatory sequential mixed methods design was used, combining quantitative data from surveys with qualitative data from semistructured interviews. A total of 51 participants (35 learners and 16 teachers) completed the survey and 14 (nine learners and five teachers) were interviewed.</p><p><strong>Results: </strong>Of the learners, 72%-100% showed agreement with positive statements about what peer learning can offer over traditional teacher led learning. Among teachers, 88% agreed or strongly agreed to statements about benefits of teaching their peers. Four themes were identified from interview data: improving knowledge and confidence, providing help and guidance, social proximity, and external factors.</p><p><strong>Conclusions: </strong>The program was valued by both groups of students and its inclusion in the curriculum appeared to provide an opportunity for students to learn while developing more social connections. Teachers can build confidence in their knowledge through having to advise others on key content, while learners can practice communication skills in a safe environment. Near-peer online simulations offer a flexible learning opportunity and show promise in enhancing students' experience in audiology training programs.</p>","PeriodicalId":49241,"journal":{"name":"American Journal of Audiology","volume":" ","pages":"1-16"},"PeriodicalIF":1.8,"publicationDate":"2026-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147515892","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effect of Transducer High-Frequency Output on Clinically Used Speech Recognition in Noise Tests.","authors":"Sangamanatha Ankmnal Veeranna, Jennifer Chapman","doi":"10.1044/2025_AJA-25-00248","DOIUrl":"https://doi.org/10.1044/2025_AJA-25-00248","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of the present study was to determine whether standard and high-frequency transducers influence test scores on clinically used speech-in-noise (SIN) assessments, such as the Word-In-Noise (WIN) and QuickSIN tests.</p><p><strong>Method: </strong>Sixteen individuals whose hearing thresholds were within normal limits (≤ 25 dB HL at 0.5, 1, 2, and 4 kHz), and nine individuals with sensorineural hearing loss participated in this research. Hearing thresholds were obtained at extended high frequencies in adults with normal hearing. The WIN and QuickSIN tests were administered to only one ear. These tests were conducted using the RadioEar IP30 and RadioEar DD450 transducers.</p><p><strong>Results: </strong>There were no significant differences in the WIN and QuickSIN test scores between the IP30 and DD450 transducers in both groups. Analysis of WIN and QuickSIN test scores of individuals whose thresholds were within normal limits while controlling for age and extended high-frequency hearing thresholds showed no significant effect of the transducer, suggesting that these factors did not influence the test scores.</p><p><strong>Conclusion: </strong>The findings of this study suggest that both IP30 inserts and DD450 headphones are suitable for use in WIN and QuickSIN testing.</p>","PeriodicalId":49241,"journal":{"name":"American Journal of Audiology","volume":" ","pages":"1-8"},"PeriodicalIF":1.8,"publicationDate":"2026-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147515946","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Echoes of Silence: Hearing Loss and Depression Risk in China's Older Adult Cohort.","authors":"Zhi Wang, Tao Yang, Wei Li","doi":"10.1044/2025_AJA-25-00183","DOIUrl":"https://doi.org/10.1044/2025_AJA-25-00183","url":null,"abstract":"<p><strong>Background: </strong>Hearing loss is a highly prevalent sensory disability in older adults and has been increasingly linked to adverse mental health outcomes. However, longitudinal evidence on its association with depression, particularly in low- and middle-income countries, remains limited.</p><p><strong>Objective: </strong>The objective of this study was to examine the prospective association between baseline self-perceived hearing loss and the onset of depression in older Chinese adults and to explore whether this association varies across demographic and clinical subgroups.</p><p><strong>Method: </strong>In this prospective cohort study, we analyzed data from 2,324 community-dwelling adults aged ≥ 65 years who participated in the Chinese Longitudinal Healthy Longevity Survey. Self-perceived hearing status and depressive symptoms were assessed at baseline and during follow-up. The primary outcome was time to depression onset. Kaplan-Meier survival analysis and Cox proportional hazards models were used to estimate hazard ratios (HRs) for incident depression. Models were progressively adjusted for sociodemographic, lifestyle, and health-related covariates. Stratified and interaction analyses were performed to examine potential effect modifiers.</p><p><strong>Results: </strong>Baseline self-perceived hearing loss was significantly associated with an increased risk of incident depression (adjusted HR > 1.00, <i>p</i> < .001). This association remained statistically significant after adjusting for measured sociodemographic, lifestyle, and health-related covariates, although residual confounding from unmeasured factors cannot be excluded. Stratified Cox models showed consistent effects across subgroups defined by age, sex, and other clinical characteristics. No statistically significant interactions were detected. Participants with hearing loss had shorter depression-free survival than those with normal hearing.</p><p><strong>Conclusions: </strong>This study demonstrates that self-perceived hearing loss is independently associated with an increased risk of depression after adjusting for measured covariates. These findings highlight the importance of considering hearing health in care for older adults, though interpretations should account for the subjective nature of the hearing measure used.</p><p><strong>Supplemental material: </strong>https://doi.org/10.23641/asha.31580260.</p>","PeriodicalId":49241,"journal":{"name":"American Journal of Audiology","volume":" ","pages":"1-12"},"PeriodicalIF":1.8,"publicationDate":"2026-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147487502","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Idiopathic Musical Ear Syndrome in a Young Adult: A Case Report and Therapeutic Response.","authors":"Selva Samaei, Ashika Govindaraju, Aswinlal Kuzhikkatt, Aysha Afra, Asna Perincheeri, Prashanth Prabhu","doi":"10.1044/2026_AJA-25-00214","DOIUrl":"https://doi.org/10.1044/2026_AJA-25-00214","url":null,"abstract":"<p><strong>Purpose: </strong>Musical ear syndrome (MES), or musical hallucinations, is a rare auditory phenomenon involving the perception of music in the absence of external stimuli. This case report presents an idiopathic occurrence of MES in a young female with normal hearing, highlighting the potential efficacy of structured auditory therapy in reducing symptom distress.</p><p><strong>Method: </strong>A 19-year-old female reported vivid, complex musical hallucinations persisting for 2 years, without any psychiatric, neurological, or audiological abnormalities. Comprehensive audiological and neuropsychological assessments were conducted, including pure-tone audiometry, tympanometry, otoacoustic emissions, imaging, and standardized questionnaires (Tinnitus Handicap Inventory [THI]). A 12-session intervention involving psychoeducation, sound enrichment, and auditory retraining using patient-selected stimuli was implemented.</p><p><strong>Results: </strong>Audiological and neurological evaluations were normal. The patient demonstrated progressive improvement with intervention: Her THI score reduced from 54 (moderate handicap) to 12 (slight handicap) over 3 months. Qualitative reports also indicated reduced intensity of hallucinations, improved emotional coping, and enhanced social engagement.</p><p><strong>Conclusions: </strong>This case underscores the potential for nonpharmacological auditory interventions to alleviate MES-related distress, even in idiopathic cases with normal hearing. The findings challenge traditional assumptions linking MES strictly to hearing loss and support expanding diagnostic and therapeutic frameworks for younger populations.</p>","PeriodicalId":49241,"journal":{"name":"American Journal of Audiology","volume":" ","pages":"1-8"},"PeriodicalIF":1.8,"publicationDate":"2026-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147475756","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perspectives on Aural Rehabilitation From Adult Cochlear Implant Recipients.","authors":"Blair C Richlin, Janel L Cosby, Aaron C Moberly, Meaghan Foody, Stephanie McCabe, Michelle Havlik, Molly Schoenfeld, James R Dornhoffer, Donna L Sorkin, Kate Sinks","doi":"10.1044/2025_AJA-25-00205","DOIUrl":"https://doi.org/10.1044/2025_AJA-25-00205","url":null,"abstract":"<p><strong>Purpose: </strong>An Adult Cochlear Implant Aural Rehabilitation Special Interest Group was formed in 2023. Members represent interdisciplinary collaborators, including audiologists, speech-language pathologists, surgeons, nonclinical administrators, manufacturer/industry representatives, and researchers. Current perspectives of adult cochlear implant (CI) recipients regarding aural rehabilitation (AR) remain unknown and understudied. The aim of this study is to survey adult CI recipients to determine their perspectives on the AR process.</p><p><strong>Method: </strong>A web-based national survey was sent to adult CI recipients through multiple channels. The survey asked recipients about their demographics, state of residence, hearing loss history, and device configuration. Questions probed recipients' experiences of learning about AR options, services used, definitions of AR, and perceived value of services received. Questions were also asked about barriers to AR services, preoperative counseling, and satisfaction with their decision to pursue a CI.</p><p><strong>Results: </strong>A total of 115 CI recipients responded to the survey. Results revealed a relative lack of information provided to many CI recipients regarding AR services. Many CI recipients reported wishing they had received additional resources in the areas of music training and equipment troubleshooting. Most participants reported that both one-on-one clinician-guided AR and independent listening practice were effective methods of AR.</p><p><strong>Conclusions: </strong>Findings shed light on current gaps in providing the most effective AR services, which will need to be addressed to optimize hearing health care and outcomes for adult CI recipients. Future work should include outreach to a broader representation of CI users to expand our understanding of AR resources, education, and limitations.</p>","PeriodicalId":49241,"journal":{"name":"American Journal of Audiology","volume":" ","pages":"1-16"},"PeriodicalIF":1.8,"publicationDate":"2026-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147444185","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Does Misophonia Affect Spatial Hearing? A Study Using Closed-Field Assessment Tools.","authors":"Urmi Roy, Prashanth Prabhu, Kavassery Venkateswaran Nisha","doi":"10.1044/2025_AJA-25-00058","DOIUrl":"https://doi.org/10.1044/2025_AJA-25-00058","url":null,"abstract":"<p><strong>Purpose: </strong>The study compared spatial hearing in individuals with misophonia, by examining interaural time difference (ITD) and interaural level difference (ILD) thresholds, Virtual Acoustic Spatial Identification (VASI) scores, and potential correlations between these thresholds and the Amsterdam Misophonia Questionnaire (A-MISO-S).</p><p><strong>Method: </strong>Standard group comparison consisting of 40 individuals with normal hearing was conducted. Participants were divided into two groups: 20 individuals with misophonia and 20 without misophonia (controls). Misophonia was diagnosed based on A-MISO-S scores. Behavioral assessments included ITD and ILD, and VASI tests (identification of eight virtual locations), which were carried out in a closed field environment (under headphones).</p><p><strong>Results: </strong>Multivariate analysis of variance results showed that the misophonic group demonstrated significantly higher ITD thresholds and significantly lower overall VASI accuracy scores. This effect was also reflected in location-specific performance on VASI test, with markedly poorer scores at the R45 and L45 positions, compared to the nonmisophonic group. Correlational analysis showed significant negative correlation between A-MISO-S scores and VASI accuracy scores, in a misophonic group. Furthermore, Fisher discriminant analysis revealed that ITD and VASI are effective predictors of group segregation based on spatial hearing performance, with an overall classification accuracy of 95%.</p><p><strong>Conclusions: </strong>The findings suggest that misophonia may be associated with reduced performance on binaural hearing tasks involving temporal cues (ITD) and spatial identification tasks (VASI). This may be secondary to limited cognitive resources in complex spatial tasks and altered binaural temporal processing in misophonics.</p>","PeriodicalId":49241,"journal":{"name":"American Journal of Audiology","volume":" ","pages":"1-14"},"PeriodicalIF":1.8,"publicationDate":"2026-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147436937","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}