{"title":"Hearing Recovery in Patients Treated for Idiopathic Sudden Sensorineural Hearing Loss.","authors":"Rose Thomas Kalathottukaren, Amy H C Ng","doi":"10.1044/2025_AJA-25-00152","DOIUrl":"10.1044/2025_AJA-25-00152","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study was to investigate factors related to hearing recovery in patients treated for idiopathic sudden sensorineural hearing loss (SSNHL).</p><p><strong>Method: </strong>This study included 36 participants (23 men, 13 women) diagnosed with unilateral SSNHL. The inclusion criteria required a confirmed diagnosis of unilateral SSNHL using standard pure-tone audiometry. Associated symptoms, such as new-onset dizziness and tinnitus in the affected ear, were recorded at the time of the initial audiometric evaluation. Information regarding treatment approaches and intensity was collected by chart review.</p><p><strong>Results: </strong>Participants were classified into two groups based on posttreatment pure-tone averages (PTAs) and word recognition scores: recovery (<i>n</i> = 15) and nonrecovery (<i>n</i> = 21) groups. A logistic regression analysis identified that dizziness and pretreatment PTAs were the statistically significant factors associated with hearing recovery in this cohort.</p><p><strong>Conclusions: </strong>It was found that the presence of dizziness and pretreatment PTAs were the significant factors associated with hearing recovery. The findings of this study indicate that patients presenting with vestibular symptoms and severe hearing loss should be considered at high risk for poor recovery.</p><p><strong>Supplemental material: </strong>https://doi.org/10.23641/asha.31395753.</p>","PeriodicalId":49241,"journal":{"name":"American Journal of Audiology","volume":" ","pages":"434-440"},"PeriodicalIF":1.8,"publicationDate":"2026-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147345545","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}
Karen Muñoz, Tess C Hurd, Danielle Glista, Adam Gavarkovs, John J Whicker, Kylie Hollingsworth, Alan Baker, Meg Singletary, Julia Wind, Sharad Jones, Michael P Twohig
{"title":"Parent Questions About Childhood Hearing Loss: An Evaluation of ChatGPT Response Accuracy, Completeness, and Repeatability.","authors":"Karen Muñoz, Tess C Hurd, Danielle Glista, Adam Gavarkovs, John J Whicker, Kylie Hollingsworth, Alan Baker, Meg Singletary, Julia Wind, Sharad Jones, Michael P Twohig","doi":"10.1044/2026_AJA-25-00081","DOIUrl":"10.1044/2026_AJA-25-00081","url":null,"abstract":"<p><strong>Purpose: </strong>We aimed to assess the responses to parent questions about childhood hearing loss that were generated by two generative artificial intelligence (AI) chatbots, ChatGPT-4o mini and ChatGPT Professional (Pro).</p><p><strong>Method: </strong>Sixty-four questions grouped into three categories (hearing loss, hearing aids, and family) were queried in both platforms and rated for accuracy, completeness, readability, and repeatability. Paired-samples <i>t</i> tests were calculated to determine differences in responses between platforms.</p><p><strong>Results: </strong>ChatGPT Pro was judged as more accurate for hearing aids and more complete for questions related to hearing loss and hearing aids compared to ChatGPT-4o mini, and ChatGPT-4o mini responses were judged as more complete compared to ChatGPT Pro for questions related to family (e.g., emotions, talking to others). Readability scores revealed that responses were generally written in a complex manner.</p><p><strong>Conclusions: </strong>Responses generated on both platforms were generally judged as accurate and complete, suggesting that AI could contribute to supporting parent education needs. Further research is needed to explore strategies for improving the accuracy and completeness of AI-generated responses, including the collection of supplemental information from parent users to guide and/or prompt responses.</p>","PeriodicalId":49241,"journal":{"name":"American Journal of Audiology","volume":" ","pages":"652-667"},"PeriodicalIF":1.8,"publicationDate":"2026-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147640432","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":"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":"565-580"},"PeriodicalIF":1.8,"publicationDate":"2026-06-02","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":"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":"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":"506-517"},"PeriodicalIF":1.8,"publicationDate":"2026-06-02","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":"Acoustics of Electronic Stethoscopes for Health Professionals.","authors":"Samuel R Atcherson, Nancy J Rennert, Sarah J Hein","doi":"10.1044/2026_AJA-25-00110","DOIUrl":"10.1044/2026_AJA-25-00110","url":null,"abstract":"<p><strong>Purpose: </strong>Commercially available electronic stethoscopes for auscultation often report amplification levels and may or may not publish amplitude-frequency (spectral) response curves. Additional data may be helpful to consumers who use stethoscopes in less-than-ideal listening environments or have hearing loss. The purpose of this research was to describe our method for evaluating electronic stethoscopes relative to a nonelectronic stethoscope.</p><p><strong>Method: </strong>One nonelectronic and eight electronic stethoscopes at maximum volume with their bell and diaphragm modes were acoustically evaluated using digitized heart and breath sounds, a stethoscope speaker pad, and an industry-standard manikin ear simulator. Some electronic stethoscopes had wireless connectivity to wearable Bluetooth earbuds, and these were evaluated also. For each stethoscope, output measurements of digitized heart and breath sounds were recorded in a quiet room. For direct comparisons, measurements were categorized by expected spectra into heart (bell) sounds (~20-500 Hz) and breath (diaphragm) sounds (~100-1000 Hz).</p><p><strong>Results: </strong>Relative to published human threshold tone and 1/3-octave band data, as well as nonelectronic stethoscope output, all electronic stethoscopes clearly demonstrated some measure of amplification across the amplitude-frequency (spectral) range for digitized normal heart and breath sounds. Differences observed may be specific to bell versus diaphragm modes, acoustical tubing (or lack thereof), wired versus wireless modes, models within the same make, and use of active noise cancellation, to name a few. Importantly, manufacturer-reported amplification values (e.g., \"×\" specifications) did not reliably reflect frequency-specific acoustic output within clinically relevant heart and breath sound regions.</p><p><strong>Conclusions: </strong>The methodology described to analyze stethoscope outputs appears to be an effective starting point for evaluating various characteristics of stethoscopes with a lens toward assisting health professionals and students working in less-than-ideal listening situations or for those with hearing loss. While all electronic stethoscopes evaluated offered amplification, there was great variability in amplitude-frequency responses, which may help inform stethoscope selection based on listening needs, various listening environments, and/or degree and configuration of hearing loss.</p>","PeriodicalId":49241,"journal":{"name":"American Journal of Audiology","volume":" ","pages":"760-770"},"PeriodicalIF":1.7,"publicationDate":"2026-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147634913","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}
Alida Naudé, Amisha Kanji, Keith N Darrow, James Jackson
{"title":"Psychology and Audiology: A Proposed Guide for Collaborative Care for Hearing Loss and Cognitive Decline.","authors":"Alida Naudé, Amisha Kanji, Keith N Darrow, James Jackson","doi":"10.1044/2025_AJA-25-00088","DOIUrl":"10.1044/2025_AJA-25-00088","url":null,"abstract":"<p><strong>Purpose: </strong>This clinical focus article explores the role of interdisciplinary collaboration between audiologists and psychologists in managing hearing loss and cognitive decline as interconnected conditions. By employing the International Classification of Functioning, Disability and Health (ICF) framework, the article systematically maps the roles and responsibilities of audiologists and psychologists to optimize patient outcomes.</p><p><strong>Method: </strong>A structured methodology was used to align the ICF core set for hearing loss with interdisciplinary interventions, highlighting areas of individual and shared responsibility.</p><p><strong>Results: </strong>Findings underscore the importance of an integrated care model, where audiologists focus on auditory rehabilitation and cognitive load reduction, while psychologists address the psychosocial and cognitive aspects of hearing loss.</p><p><strong>Conclusion: </strong>A multidisciplinary approach that extends beyond audiology and psychology to include neurologists, occupational therapists, and general practitioners ensures comprehensive patient-centered care.</p>","PeriodicalId":49241,"journal":{"name":"American Journal of Audiology","volume":" ","pages":"403-414"},"PeriodicalIF":1.8,"publicationDate":"2026-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147318722","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}
Mohamed Rahme, Grace Moir, Vahid Ashkanichenarlogh, Abigail Naus, Angela Sanchez, Paula Folkeard, Matthew Holden, Kristin Nugent, John Mianzhong Wang, Vijay Parsa, Susan Scollie
{"title":"Predicting Real-World Remote Microphone Speech Perception Performance Through Simulated Electroacoustic Verification.","authors":"Mohamed Rahme, Grace Moir, Vahid Ashkanichenarlogh, Abigail Naus, Angela Sanchez, Paula Folkeard, Matthew Holden, Kristin Nugent, John Mianzhong Wang, Vijay Parsa, Susan Scollie","doi":"10.1044/2026_AJA-25-00292","DOIUrl":"10.1044/2026_AJA-25-00292","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study was to evaluate remote microphone performance across three hearing aid brands using various simulated electroacoustic verification methods to optimize speech perception outcomes in a real-world environment.</p><p><strong>Method: </strong>This study was conducted using manikin recordings at varying azimuth angles between a simulated talker and listeners at a real-world gymnasium and employing a predictive speech perception metric (Hearing Aid Speech Perception Index). The listener manikins were programmed to simulate mild, sloping hearing loss and fitted with three brands of premium receiver-in-canal hearing aids, including their respective proprietary remote microphones (both low and high technology levels). Remote microphones were verified electroacoustically in a test box for transparency and maximum audible output frequency (MAOF), alongside signal-processing features.</p><p><strong>Results: </strong>Remote microphone verification using MAOF was a strong predictor of remote microphone performance in the real-world gymnasium. Furthermore, remote microphones consistently produced higher speech perception scores relative to hearing aids alone across all brands, regardless of the factor of azimuth.</p><p><strong>Conclusions: </strong>Remote microphone verification using MAOF, alongside the recommended transparency approach, can support optimal real-world performance. Future behavioral assessments of remote microphones in real-world environments with individuals with hearing loss are discussed.</p><p><strong>Supplemental material: </strong>https://doi.org/10.23641/asha.32065932.</p>","PeriodicalId":49241,"journal":{"name":"American Journal of Audiology","volume":" ","pages":"712-723"},"PeriodicalIF":1.8,"publicationDate":"2026-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147787219","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":"Effects of Independent Dynamic Range Compression of Speech and Music Signals on Sound Quality.","authors":"Varsha Rallapalli, Yu-Hsuan Huang, Ryan Corey","doi":"10.1044/2026_AJA-25-00171","DOIUrl":"10.1044/2026_AJA-25-00171","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to compare the effects of independent dynamic range compression (independent DRC) and conventional mixed-signal dynamic range compression (conventional DRC) on the sound quality of speech and music, in an ideal condition where the individual sound sources are available to the compressor. The hypothesis is that independent DRC optimized for individual signals yields higher sound quality ratings than conventional DRC optimized for a single signal.</p><p><strong>Method: </strong>Participants were 15 young adults with audiometrically normal hearing. Stimuli included a 10-s-long spontaneous speech sample spoken by a female talker mixed with a classical music excerpt. The speech level was fixed at 65 dBA, and the music level was varied to achieve three speech-to-background ratios (SBRs; -10, 0, and 10 dB). A hearing aid simulator applied frequency-specific gain for a standard mild-moderate hearing loss with three amplification strategies: (a) conventional DRC-speech and music were compressed with a 50-ms release time after the signals were mixed; (b) independent DRC-speech was compressed with a 50-ms release time, and music was independently compressed with a 4,000-ms release before the signals were mixed; and (c) linear amplification (control condition)-stimuli were processed with linear amplification, before or after mixing. The participants rated sound quality across four scales: overall sound quality, speech clarity, speech naturalness, and music naturalness.</p><p><strong>Results: </strong>Independent DRC yielded higher ratings than conventional DRC and linear amplification for overall sound quality and speech clarity at -10 dB SBR. Both DRC strategies resulted in poorer speech clarity ratings than linear amplification at 10 dB SBR. There were no significant differences between the amplification strategies for speech naturalness and music naturalness scales across SBRs.</p><p><strong>Conclusions: </strong>The results are a proof-of-concept that, under ideal circumstances, independent compression of sound sources can improve speech clarity and overall sound quality, particularly when the speech is softer than background music. Generally, DRC may result in poorer speech clarity compared to linear amplification when speech is more intense than background music. The results provide a baseline for future work involving independent compression of sound sources.</p><p><strong>Supplemental material: </strong>https://doi.org/10.23641/asha.31855201.</p>","PeriodicalId":49241,"journal":{"name":"American Journal of Audiology","volume":" ","pages":"745-759"},"PeriodicalIF":1.8,"publicationDate":"2026-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147634919","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}
Dongwoo Lee, Chanbeom Kwak, Junghee Sagong, Donghyeok Lee, Yuseon Byun, Young Joon Seo, In-Ki Jin
{"title":"Normal Hearing Thresholds in Korean Adults Aged 20-79 Years: Establishing Reference Values and Comparison With International Organization for Standardization 7029:2017.","authors":"Dongwoo Lee, Chanbeom Kwak, Junghee Sagong, Donghyeok Lee, Yuseon Byun, Young Joon Seo, In-Ki Jin","doi":"10.1044/2026_AJA-25-00295","DOIUrl":"10.1044/2026_AJA-25-00295","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to establish age-specific and ear-specific normative hearing thresholds for Korean adults aged 20-79 years, examining interaural asymmetry, sex-related variations, internal consistency, and comparing findings with International Organization for Standardization (ISO) 7029:2017.</p><p><strong>Method: </strong>A total of 1,409 participants (382 men, 1,027 women) with otologically normal hearing were included in this multicenter cross-sectional study (2021-2024). Ear-specific audiometry was performed at standard frequencies (250-8000 Hz) with calibrated equipment across four hospitals in South Korea. Measurement equivalence across institutions was confirmed through equivalence testing.</p><p><strong>Results: </strong>Measurement equivalence was confirmed across institutions (± 4-dB equivalence bounds). Age-specific normative hearing thresholds were established for Korean adults. Significant interaural asymmetry was observed, with right ear thresholds higher than left ear thresholds by an average of 2.8 dB in women and 1.7 dB in men (<i>p</i> < .05), particularly in younger adults (20s-50s). Sex differences were significant at specific frequencies and age groups, with men demonstrating higher thresholds than women. Internal consistency varied significantly by sex and age group, with men showing lower consistency in middle-aged groups (40s-50s). Korean hearing thresholds diverged significantly from ISO 7029:2017 medians across most age groups and frequencies (elevations: 2.0-19.0 dB, <i>p</i> < .05). Minimum required sample sizes varied substantially across demographic subgroups.</p><p><strong>Conclusions: </strong>This study provides age-specific and ear-specific normative hearing thresholds for Korean adults. The findings revealed statistically significant interaural differences and deviations from ISO standards, underscoring the importance of population-specific reference data and updating international standards with contemporary cohort-specific information.</p>","PeriodicalId":49241,"journal":{"name":"American Journal of Audiology","volume":" ","pages":"691-711"},"PeriodicalIF":1.8,"publicationDate":"2026-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147949826","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}
Jessica S West, Hannah R Crowder, Rong Jiang, Matthew E Dupre
{"title":"Self-Reported Hearing Loss and Expressions of Anger in U.S. Older Adults.","authors":"Jessica S West, Hannah R Crowder, Rong Jiang, Matthew E Dupre","doi":"10.1044/2026_AJA-25-00263","DOIUrl":"10.1044/2026_AJA-25-00263","url":null,"abstract":"<p><strong>Purpose: </strong>Hearing loss is the most prevalent sensory disability in older adults and has been linked to various forms of psychological distress. However, the extent to which hearing loss contributes to anger remains unclear. This study investigated the association between self-reported hearing loss and expressions of anger in U.S. males and females.</p><p><strong>Method: </strong>We examined data from a nationally representative prospective cohort of older adults in the 2006-2012 Health and Retirement Study (<i>n</i> = 10,664). Hearing status was assessed at each wave by self-reported hearing loss (higher scores indicated greater hearing loss). Outcomes included internalized anger (anger-in) and externalized anger (anger-out) scales based on participants' reported frequency of anger (range: 1-4). Linear mixed models were used to estimate anger scores while adjusting for sociodemographic and health-related characteristics.</p><p><strong>Results: </strong>Among study participants (<i>M</i><sub>age</sub> = 66.77 years [±9.06]), males were more likely to report worse hearing compared to females (1.77 [1.08] vs. 1.40 [0.99]) and had greater levels of anger at baseline than females. Multivariable mixed models showed that worse hearing was associated with significantly greater levels of anger-in (β = 0.04, 95% confidence interval [CI] [0.03, 0.05], <i>p</i> < .001) and anger-out (β = 0.03, 95% CI [0.03, 0.04], <i>p</i> < .001). There was no significant sex difference in anger-in (interaction <i>p</i> = .362); however, males with worse hearing reported greater levels of anger-out than females (interaction <i>p</i> = .010). The associations remained largely unchanged after accounting for covariates.</p><p><strong>Conclusion: </strong>Results demonstrate the influence of hearing loss on anger and suggest that interventions for anger management may promote healthy aging in U.S. males and females with hearing loss.</p><p><strong>Supplemental material: </strong>https://doi.org/10.23641/asha.32292633.</p>","PeriodicalId":49241,"journal":{"name":"American Journal of Audiology","volume":" ","pages":"724-733"},"PeriodicalIF":1.7,"publicationDate":"2026-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13237582/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147976621","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}