Davide Brotto, Ezio Caserta, Flavia Sorrentino, N. Favaretto, G. Marioni, A. Martini, R. Bovo, F. Gheller, P. Trevisi
{"title":"Long-Term Impedance Trend in Cochlear Implant Users with Genetically Determined Congenital Profound Hearing Loss.","authors":"Davide Brotto, Ezio Caserta, Flavia Sorrentino, N. Favaretto, G. Marioni, A. Martini, R. Bovo, F. Gheller, P. Trevisi","doi":"10.1055/s-0041-1739290","DOIUrl":"https://doi.org/10.1055/s-0041-1739290","url":null,"abstract":"BACKGROUND\u0000 Impedance is a basic parameter registered at any cochlear implant (CI) fitting section. It is useful in monitoring electrode functioning and the status of the surrounding anatomical structures.\u0000\u0000\u0000PURPOSE\u0000 The main aim of this study is to evaluate the 5-year impedance-value trend in patients affected by congenital genetically determined profound hearing loss implanted with Cochlear Nucleus devices.\u0000\u0000\u0000RESEARCH DESIGN\u0000 Observational, retrospective, monocentric study.\u0000\u0000\u0000STUDY SAMPLE\u0000 Twenty-seven consecutive patients (9 females: 12.0 ± 7.6 years old; range: 4.2-40.4) with genetic diagnosis of GJB2 mutation causing congenital profound hearing loss who underwent cochlear implantation from 2010 to 2020 with good auditory benefit.\u0000\u0000\u0000INTERVENTION\u0000 Impedance values of the CIs were obtained from the CIs' programming software that registers those parameters for each follow-up section of each patient.\u0000\u0000\u0000DATA COLLECTION AND ANALYSIS\u0000 Impedance values were measured over time (activation, 6, 12, 24, and 60 months after cochlear implantation), for each of the 22 electrodes, in common ground, monopolar 1, monopolar 2, and monopolar 1 + 2 stimulation modes.\u0000\u0000\u0000RESULTS\u0000 A significant variation was found between CI activation and 6-month follow-up. This difference was found for each of the 22 electrodes. Electrodes 1 to 4 showed higher impedance values compared with all other electrodes in each time interval. Repeated-measures analysis of variance ruled out significant variations in impedance values from 6-month to 5-year follow-up.\u0000\u0000\u0000CONCLUSIONS\u0000 Impedance values were extremely stable after activation, at least for the first 5 years. In these cases, even minimal impedance variations should be carefully evaluated for their possible implications on hearing performance.","PeriodicalId":50021,"journal":{"name":"Journal of the American Academy of Audiology","volume":"111 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2022-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86241593","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 Impact of Transducer Selection on the Acceptable Noise Level.","authors":"Susan Gordon-Hickey, M. Bryan, Shelby Davis","doi":"10.1055/s-0041-1735254","DOIUrl":"https://doi.org/10.1055/s-0041-1735254","url":null,"abstract":"PURPOSE\u0000 The aim of this study was to assess the impact of transducer (loudspeaker, supra-aural headphones, and insert earphones) selection on the acceptable noise level (ANL).\u0000\u0000\u0000STUDY SAMPLE\u0000 Thirty young adults with normal hearing who reported difficulty with background noise served as participants.\u0000\u0000\u0000RESEARCH DESIGN\u0000 A repeated-measures experimental design was employed.\u0000\u0000\u0000DATA COLLECTION AND ANALYSIS\u0000 Most comfortable listening level (MCL) and background noise level (BNL) were measured for all participants using three transducers (loudspeaker, supra-aural headphones, and insert earphones). ANL was computed as the difference between the mean MCL and the mean BNL.\u0000\u0000\u0000RESULTS\u0000 Analytical statistics revealed that ANL did not differ due to the transducer used. However, there were statistically significant differences found for MCL and BNL across transducers.\u0000\u0000\u0000CONCLUSIONS\u0000 Results of this study indicate that ANL is not vulnerable to the selection of transducer and that ANLs can be compared across transducer types. Researchers should cautiously interpret findings across studies when discussing the base measures of MCL and BNL as these may be influenced slightly by transducer selection.","PeriodicalId":50021,"journal":{"name":"Journal of the American Academy of Audiology","volume":"1 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2022-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90396841","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":"Burnout in U.S. Audiologists.","authors":"Madison Zimmer, Diana C. Emanuel, N. Reed","doi":"10.1055/s-0041-1735253","DOIUrl":"https://doi.org/10.1055/s-0041-1735253","url":null,"abstract":"BACKGROUND\u0000 Research on burnout in audiologists is limited, especially in the United States. Recent changes to the profession may have increased burnout.\u0000\u0000\u0000PURPOSE\u0000 The purpose was to investigate burnout in the U.S. audiologists in diverse work settings.\u0000\u0000\u0000RESEARCH DESIGN\u0000 This study used three surveys: demographics/workplace stressors, Maslach Burnout Inventory (MBI), and professional quality of life (ProQOL).\u0000\u0000\u0000STUDY SAMPLE\u0000 Participants were 149 U.S. audiologists. Participants were diverse regarding experience, work setting, and location.\u0000\u0000\u0000DATA COLLECTION AND ANALYSIS\u0000 The first survey provided demographics, perspectives on over-the-counter (OTC) hearing aids, stressors, and stress rating. The MBI assessed three dimensions of burnout: emotional exhaustion, depersonalization, and personal accomplishment. The ProQOL assessed burnout, compassion fatigue, and compassion satisfaction. Analyses included descriptive and inferential statistics of quantitative data and thematic analysis of qualitative data.\u0000\u0000\u0000RESULTS\u0000 Audiologists had low burnout, low compassion fatigue, and high compassion satisfaction. Experience was not related to stress rating; however, more experienced audiologists had greater compassion satisfaction and lower burnout, emotional exhaustion, and depersonalization compared with less experienced audiologists. Concern about OTC hearing aids was associated with stress rating. Thematic analysis identified 11 stressors, with 50% of stressors classified under work duties, time, and patients.\u0000\u0000\u0000CONCLUSION\u0000 The U.S. audiologists had low burnout rates. Burnout was greatest in less experienced audiologists. Stress was not related to experience. Stressors included insufficient time to see patients, heavy caseload, time-consuming administrative tasks, pressure to sell hearing aids, and stressful interpersonal communication.","PeriodicalId":50021,"journal":{"name":"Journal of the American Academy of Audiology","volume":"191 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2022-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77479117","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}
T. Nishimura, H. Hosoi, T. Sugiuchi, N. Matsumoto, Takanori Nishiyama, Takano Kenichi, Satofumi Sugimoto, Hiroaki Yazama, Takeshi Sato, M. Komori
{"title":"Factors Influencing the Purchase Rate of Cartilage Conduction Hearing Aids.","authors":"T. Nishimura, H. Hosoi, T. Sugiuchi, N. Matsumoto, Takanori Nishiyama, Takano Kenichi, Satofumi Sugimoto, Hiroaki Yazama, Takeshi Sato, M. Komori","doi":"10.1055/s-0041-1733965","DOIUrl":"https://doi.org/10.1055/s-0041-1733965","url":null,"abstract":"BACKGROUND Innovated hearing aids (HAs), termed cartilage conduction hearing aids (CC-HAs), show good performance in patients with closed ears and continuous otorrhea. However, factors other than the ear condition that influence the purchase rate of CC-HAs remain unclear. PURPOSE To identify the factors that influence the purchase rate of CC-HAs. RESEARCH DESIGN A correlational study. STUDY SAMPLE A total of 249 patients were enrolled. DATA COLLECTION AND ANALYSIS The patients' demographics, clinical characteristics, outcomes, and CC-HA transducer types were compared. The data were analyzed for six groups classified based on the ear condition. RESULTS In the unilateral closed-ear group, the purchase cases were significantly younger than the nonpurchase cases (p < 0.05). Regarding the outcomes in the bilateral closed-ear group, the purchase cases showed significantly better-aided thresholds at 0.25 and 0.5 kHz than the nonpurchase cases. No significant differences in the functional gains and speech recognition scores were found between purchase and nonpurchase cases in all six groups. Regarding the transducer type, the continued-use rate of the simple transducer type was significantly lower in the bilateral chronic continuous otorrhea, bilateral open, and unilateral open groups. CONCLUSION In the closed ears, no remarkable negative factors were found. Transducer type had a significant influence on the continued-use rate in the nonclosed ears including the ears with chronic continuous otorrhea, although the purchase rate of CC-HAs in the bilateral chronic continuous otorrhea group was comparable to the closed ears.","PeriodicalId":50021,"journal":{"name":"Journal of the American Academy of Audiology","volume":"1 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2022-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86707762","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}
M. Tofanelli, V. Capriotti, A. Gatto, P. Boscolo-Rizzo, S. Rizzo, G. Tirelli
{"title":"COVID-19 and Deafness: Impact of Face Masks on Speech Perception.","authors":"M. Tofanelli, V. Capriotti, A. Gatto, P. Boscolo-Rizzo, S. Rizzo, G. Tirelli","doi":"10.1055/s-0041-1736577","DOIUrl":"https://doi.org/10.1055/s-0041-1736577","url":null,"abstract":"BACKGROUND\u0000 The COVID-19 pandemic has made wearing face masks a common habit in public places. Several reports have underlined the increased difficulties encountered by deaf people in speech comprehension, resulting in a higher risk of social isolation and psychological distress.\u0000\u0000\u0000PURPOSE\u0000 To address the detrimental effect of different types of face masks on speech perception, according to the listener hearing level and background noise.\u0000\u0000\u0000RESEARCH DESIGN\u0000 Quasi-experimental cross-sectional study.\u0000\u0000\u0000STUDY SAMPLE\u0000 Thirty patients were assessed: 16 with normal hearing [NH], and 14 hearing-impaired [HI] with moderate hearing loss.\u0000\u0000\u0000DATA COLLECTION AND ANALYSIS\u0000 A speech perception test (TAUV) was administered by an operator trained to speak at 65 dB, without a face mask, with a surgical mask, and with a KN95/FFP2 face mask, in a quiet and in a noisy environment (cocktail party noise, 55 dB). The Hearing Handicap Index for Adults (HHI-A) was administered twice, asking subjects to complete it for the period before and after the pandemic outburst. A 2-way repeated-measure analysis of variance was performed.\u0000\u0000\u0000RESULTS\u0000 The NH group showed a significant difference between the no-mask and the KN95/FFP2-mask condition in noise (p = 0.01). The HI group showed significant differences for surgical or KN95/FFP2 mask compared with no-mask, and for KN95/FFP2 compared with surgical mask, in quiet and in noise (p < 0.001). An increase in HHI-A scores was recorded for the HI patients (p < 0.001).\u0000\u0000\u0000CONCLUSION\u0000 Face masks have a detrimental effect on speech perception especially for HI patients, potentially worsening their hearing-related quality of life.","PeriodicalId":50021,"journal":{"name":"Journal of the American Academy of Audiology","volume":"10 4 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2022-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79244977","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":"Standardization of the TEOAE Contralateral Suppression Test in Terms of Stimulus Intensity and Contralateral Noise Duration in Individuals with Normal Hearing.","authors":"Bahtiyar Celikgun, U. Derinsu","doi":"10.1055/s-0041-1735523","DOIUrl":"https://doi.org/10.1055/s-0041-1735523","url":null,"abstract":"BACKGROUND\u0000 A standard method and parameter study were performed for the contralateral suppression test.\u0000\u0000\u0000PURPOSE\u0000 Our study aimed to determine the contralateral transient-evoked otoacoustic emission (TEOAE) suppression test method and stimulus-noise parameters that have a standard procedure and will enable the efferent system to be easily evaluated in clinics.\u0000\u0000\u0000RESEARCH DESIGN\u0000 This study was conducted in two parts with two different groups of participants as a within-subjects design. In the first part, the signal-to-noise ratio at which maximum suppression obtained was investigated with 29 participants. In the second part, the optimal contralateral noise presentation method (in terms of noise-time or noise-sweep) was examined with 21 participants.\u0000\u0000\u0000STUDY SAMPLE\u0000 In the first part 29 young adults aged between 18 and 32 (23.03 ± 2.84), 20 females and 9 males, and in the second part 21 young adults aged between 19 and 34 years (mean age: 23.71 ± 3.48 years), 16 females and 5 males, participated in the second part. All participants had normal hearing.\u0000\u0000\u0000DATA COLLECTION AND ANALYSIS\u0000 To obtain maximum OAE suppression, different parameters were tested with the Otodynamics ILO292-II OAE device at both parts of the study in a double-walled audiometric test booths. Multirepeated analysis of variance, pairwise comparison, Friedman test, and Wilcoxon signed-rank tests were used for statistical analysis.\u0000\u0000\u0000RESULTS\u0000 In the first part, maximum suppression was achieved at 65 dB peSPL (decibel peak-equivalent sound pressure level) TEOAE stimulus and 65 dB SPL broadband noise. In the second part, maximum suppression was obtained in noise-time method with 30 seconds \"duration.\"\u0000\u0000\u0000CONCLUSIONS\u0000 To provide standardization in clinics, it can be recommended that the contralateral suppression of OAEs was measured at 65 dB peSPL TEOAE stimulus and 65 dB SPL broadband noise in the linear stimulation mode with Otodynamics ILO 292-II double-probe OAE device. To obtain maximum suppression, the noise-time method with 30 seconds duration can be used.","PeriodicalId":50021,"journal":{"name":"Journal of the American Academy of Audiology","volume":"54 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2022-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78335709","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}
J. Wolfe, M. Duke, Sharon E. Miller, Erin C. Schafer, Christine Jones, Lori Rakita, Andrea Dunn, S. Browning, Sara Neumann
{"title":"Evaluation of Potential Benefits and Limitations of Noise Management Technologies for Children with Hearing Aids.","authors":"J. Wolfe, M. Duke, Sharon E. Miller, Erin C. Schafer, Christine Jones, Lori Rakita, Andrea Dunn, S. Browning, Sara Neumann","doi":"10.1055/s-0041-1735802","DOIUrl":"https://doi.org/10.1055/s-0041-1735802","url":null,"abstract":"BACKGROUND\u0000 Children with hearing loss frequently experience difficulty understanding speech in the presence of noise. Although remote microphone systems are likely to be the most effective solution to improve speech recognition in noise, the focus of this study centers on the evaluation of hearing aid noise management technologies including directional microphones, adaptive noise reduction (ANR), and frequency-gain shaping. These technologies can improve children's speech recognition, listening comfort, and/or sound quality in noise. However, individual contributions of these technologies as well as the effect of hearing aid microphone mode on localization abilities in children is unknown.\u0000\u0000\u0000PURPOSE\u0000 The objectives of this study were to (1) compare children's speech recognition and subjective perceptions across five hearing aid noise management technology conditions and (2) compare localization abilities across three hearing aid microphone modes.\u0000\u0000\u0000RESEARCH DESIGN\u0000 A single-group, repeated measures design was used to evaluate performance differences and subjective ratings.\u0000\u0000\u0000STUDY SAMPLE\u0000 Fourteen children with mild to moderately severe hearing loss.\u0000\u0000\u0000DATA COLLECTION AND ANALYSIS\u0000 Children's sentence recognition, listening comfort, sound quality, and localization were assessed in a room with an eight-loudspeaker array.\u0000\u0000\u0000RESULTS AND CONCLUSION\u0000 The use of adaptive directional microphone technology improves children's speech recognition in noise when the signal of interest arrives from the front and is spatially separated from the competing noise. In contrast, the use of adaptive directional microphone technology may result in a decrease in speech recognition in noise when the signal of interest arrives from behind. The use of a microphone mode that mimics the natural directivity of the unaided auricle provides a slight improvement in speech recognition in noise compared with omnidirectional use with limited decrement in speech recognition in noise when the signal of interest arrives from behind. The use of ANR and frequency-gain shaping provide no change in children's speech recognition in noise. The use of adaptive directional microphone technology, ANR, and frequency-gain shaping improve children's listening comfort, perceived ability to understand speech in noise, and overall listening experience. Children prefer to use each of these noise management technologies regardless of whether the signal of interest arrives from the front or from behind. The use of adaptive directional microphone technology does not result in a decrease in children's localization abilities when compared with the omnidirectional condition. The best localization performance occurred with use of the microphone mode that mimicked the directivity of the unaided auricle.","PeriodicalId":50021,"journal":{"name":"Journal of the American Academy of Audiology","volume":"32 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2022-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73059969","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}
Susan Scollie, Paula Folkeard, John Pumford, Parvaneh Abbasalipour, Jonathan Pietrobon
{"title":"Venting Corrections Improve the Accuracy of Coupler-Based Simulated Real-Ear Verification for Use with Adult Hearing Aid Fittings.","authors":"Susan Scollie, Paula Folkeard, John Pumford, Parvaneh Abbasalipour, Jonathan Pietrobon","doi":"10.1055/a-1808-1275","DOIUrl":"https://doi.org/10.1055/a-1808-1275","url":null,"abstract":"<p><strong>Background: </strong>Hearing aid responses can be verified with the Real-Ear Aided Response (REAR). Procedures for predicting the REAR from coupler-based verification exist, but have not incorporated corrections for venting, limiting their use and validity for vented and open fittings. A commercially available system for including venting effects in simulated real-ear measurement (S-REM) has recently been developed.</p><p><strong>Purpose: </strong>To evaluate the accuracy of a vent-corrected S-REM for predicting the REAR across test levels, for fittings with a wide range of coupling styles including modular domes.</p><p><strong>Research design: </strong>This was a within-subject comparison study using technical measures. Retrospective file review was used to obtain previously measured REARs from 104 fittings in 52 adults and three hearing aid styles. Prospective data collection was used to re-measure each fitting at three test levels using S-REM with and without venting corrections. Comparison of differences by frequency band was performed to assess the impact of the venting correction.</p><p><strong>Results: </strong>The vent model reduced low-frequency error by up to 11 dB, and the effects were consistent with the expected effects of venting in hearing aid fitting: fittings with more open dome or tip styles had a larger improvement when the vent model was added. A larger sample of fittings was obtained for dome/sleeve couplings than for custom fittings.</p><p><strong>Conclusions: </strong>The vent-corrected S-REM system evaluated in this study provides improved fitting accuracy for dome or sleeve-fitted hearing aids for adults and supports the use of vented S-REM for open fittings. Further studies to examine a representative sample of custom tip or mold fittings, and fittings for children are future directions.</p>","PeriodicalId":50021,"journal":{"name":"Journal of the American Academy of Audiology","volume":"33 5","pages":"277-284"},"PeriodicalIF":1.2,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10472428","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 Effects of Age and the Middle Ear on the Frequency Tuning of the cVEMP and oVEMP.","authors":"Gary P Jacobson","doi":"10.1055/s-0042-1758750","DOIUrl":"https://doi.org/10.1055/s-0042-1758750","url":null,"abstract":"The featured article thismonth is a paper byour colleagues at James Madison University, Jha, Piker, and Romero. The title of the paper is “Effects of Age and Middle Ear on the Frequency Tuning of the cVEMP and oVEMP.” When a new method of assessment is developed, a flurry of activity normally occurs. This activity usually is focused on the determination of the optimal stimulating, subject, and recording variables. Also, we need to know what constitutes normal and abnormal performance on the new metric. The introduction to our profession of the cervical and ocular vestibular evoked myogenic potentials (cVEMP and oVEMP, respectively) was no exception. Clinical laboratories throughout the nation and the world contributed to this knowledge base. Among the many observations emanating from the international scientific community was that neither the cVEMP nor the oVEMP were present 100 percent of the time in “normal” subjects. In fact, Su and colleagues (2004)1 suggested that up to approximately 40 percent of “normal” individuals over the age of 60 years could be expected to fail to generate a cVEMP. Our group (Piker et al. 2013)2 and others have attempted to identify variables that are responsible for the absence of these evoked responses in “normal” subjects. Where the oVEMP is concerned, part of the explanation was attributable to the location of the inverting (i.e., reference) input (Piker et al. 2018).3 It was observed that, when the contralateral inverting electrodewasplaced immediately inferior to the non-inverting electrode input, there was a significant amount of reference contamination (i.e., cancellation of the evoked responsebecause the inverting electrode contained a significant amount of the non-inverting input). For the cVEMP, it was observed that the presence of the response often was absent when the stimulus was a 500Hz tone burst, but might be present when a higher frequency stimulus (e.g., a 750Hz or 1000Hz tone burst) was used as the evoking stimulus. When this observation was studied systematically, it was shown that subject age is a significant variable in the recording of VEMPs. In general, it was shown that older individuals (e.g.,>60 years) were more likely to generate VEMPs if the stimulus is>500Hz. It is significant that, for most clinical investigations, a 500Hz tone burst is the recommended stimulus frequency. This brings us to the current investigation. In this study, the investigators added to what we know by assessing the effect of tone burst frequency and middle ear status on the recording of cVEMP and oVEMP. They evaluated 107 subjects that were divided into three groups (young, middle-aged, and older adults). The researchers recorded VEMPs in response to 500Hz, 750Hz, and 1000Hz tone bursts. Further, theymeasured static admittance andmeasures ofmiddle ear resonant frequency. I am not going to give away the results of the study, but will say that they contribute significantly to our knowledge base on VEMP testing and ha","PeriodicalId":50021,"journal":{"name":"Journal of the American Academy of Audiology","volume":"33 5","pages":"247"},"PeriodicalIF":1.2,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10475725","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}
Małgorzata Fludra, Joanna Kobosko, Elżbieta Gos, Justyna Paluchowska, Henryk Skarżyński
{"title":"Ego-resiliency and Tinnitus Annoyance.","authors":"Małgorzata Fludra, Joanna Kobosko, Elżbieta Gos, Justyna Paluchowska, Henryk Skarżyński","doi":"10.1055/a-1804-6601","DOIUrl":"https://doi.org/10.1055/a-1804-6601","url":null,"abstract":"<p><strong>Background: </strong>Tinnitus is a common and, in many cases, chronic condition. Coping with a chronic ailment is a long-term process, which also depends on the personality of the individual. One important personality resource is ego-resiliency, that is, how flexible the person is in adapting to the impulse to control their environment.</p><p><strong>Purpose: </strong>The aim of the study was to determine whether ego-resiliency affects the perceived level of tinnitus annoyance.</p><p><strong>Research design: </strong>This was a questionnaire study combined with a retrospective analysis of medical data.</p><p><strong>Study sample: </strong>The study involved 176 people with diagnosed chronic tinnitus who volunteered to participate (53 men and 123 women aged 31-80 years).</p><p><strong>Data collection and analysis: </strong>The following tools were used: Ego-Resiliency Scale to measure ego-resiliency, Tinnitus Functional Index to assess the impact of tinnitus on daily life, and a survey of sociodemographics and tinnitus history.</p><p><strong>Results: </strong>The conducted research showed that men had higher ego-resiliency than women. Older subjects (older than 60 years) had higher ego-resiliency than younger ones. There was a negative correlation between ego-resiliency and the perceived annoyance of tinnitus. Regression analysis showed that a person's ability to cope and to tolerate negative emotions were the only factors of ego-resiliency that were a significant predictor of tinnitus annoyance.</p><p><strong>Conclusion: </strong>People with a high level of personal ability to cope and to tolerate negative emotions are likely to experience decreased tinnitus annoyance. Ego-resiliency levels should be considered when diagnosing and planning interventions for people with tinnitus. In psychological intervention programs for people with tinnitus, it is worthwhile developing ego-resiliency, paying particular attention to positive emotions which are crucial in building it. Research should be continued on other personal resources affecting perceived tinnitus annoyance.</p>","PeriodicalId":50021,"journal":{"name":"Journal of the American Academy of Audiology","volume":"33 5","pages":"270-276"},"PeriodicalIF":1.2,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10463238","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}