Journal of the American Academy of Audiology最新文献

{"title":"Bilingualism and Aging: Their Impact on Speech Perception in Noise Using the AzBio Sentence Test.","authors":"Miwako Hisagi, Beatriz Barragan, Karina Romero, Margaret Winter","doi":"10.3766/jaaa.250065","DOIUrl":"10.3766/jaaa.250065","url":null,"abstract":"<p><strong>Background: </strong>With age-related hearing loss on the rise and a large bilingual (BI) population in the United States, there is an increasing need for effective assessment tools for Spanish-speaking and BI older adults. Research in this area is limited. The AzBio Sentence Test (AzBio) is used to assess speech perception in challenging listening environments. A Spanish version was recently developed to address the needs of Spanish-speaking patients, and opens new opportunities for research with BI individuals to better understand speech perception processes in both the native and the second language.</p><p><strong>Purpose: </strong>This preliminary study aims to explore the characteristics of speech recognition among older BI adults by examining the performance of younger and older proficient Spanish-English BIs on the AzBio in quiet and noisy conditions.</p><p><strong>Research design: </strong>Preliminary quasi-experimental group design.</p><p><strong>Study sample: </strong>Twenty-one participants were divided into three groups: eight young American English monolinguals (M = 28.12 years, range: 24-32), eight young Spanish-English BIs (M = 28.38 years, range: 23-33), and five older Spanish-English BIs (M = 58 years, range: 55-62).</p><p><strong>Data collection and analysis: </strong>The AzBio was used to assess speech perception in quiet and noisy conditions in both English and Spanish, with two signal-to-noise ratios: 0 and -3 dB. Independent and paired sample statistical tests were conducted.</p><p><strong>Results: </strong>In quiet conditions, older BIs outperformed younger ones on the Spanish version, whereas younger BIs performed better in English. However, for the older group, the linguistic advantage observed in quiet conditions disappeared in noisy environments, because performance differences with the younger group diminished when background noise was introduced. Young monolinguals and BIs showed no difference in performance on the English version.</p><p><strong>Conclusions: </strong>Aging poses challenges for speech recognition in noisy environments. For BIs, these difficulties extend to both languages, including the dominant one. The combined effects of bilingualism and aging negatively impact speech recognition in both languages.</p><p><strong>Clinical relevance statement: </strong>Understanding how individuals perform on the AzBio and other BI sentence recognition tools is essential for improving clinical assessment and intervention for those impacted by language background and age-related hearing changes.</p>","PeriodicalId":50021,"journal":{"name":"Journal of the American Academy of Audiology","volume":"37 3","pages":"255-264"},"PeriodicalIF":1.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13327959/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148392244","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}

{"title":"Multidimensional Effects of Hyperacusis: A Study on Tinnitus, Anxiety, Cognitive Function, Sleep, and Quality of Life.","authors":"Emre Soylemez, Omer Tanrikulu","doi":"10.3766/jaaa.240109","DOIUrl":"10.3766/jaaa.240109","url":null,"abstract":"<p><strong>Background: </strong>Tinnitus and hyperacusis are often cooccurring and quite prevalent symptoms. The effects of tinnitus on sleep quality, anxiety, cognitive abilities, and quality of life are well documented. However, studies investigating the effects of hyperacusis are limited.</p><p><strong>Purpose: </strong>The aim of this study is to investigate the relationship between hyperacusis and tinnitus, anxiety, cognitive functions, sleep, and quality of life.</p><p><strong>Research design: </strong>Prospective cross-sectional study.</p><p><strong>Study sample: </strong>Forty people reporting hyperacusis were included in the study. These individuals were categorized into two groups: those with hyperacusis only and those with both hyperacusis and tinnitus. In addition, 30 healthy participants were included as a control group.</p><p><strong>Data collection and analysis: </strong>The Khalfa Hyperacusis Questionnaire, Tinnitus Handicap Inventory, Beck Anxiety Inventory, Digit Span and Stroop test TBAG form, Pittsburgh Sleep Quality Index, and Short Form-36 (SF-36) were administered to these individuals.</p><p><strong>Results: </strong>The total sleep quality of the hyperacusis and tinnitus group was poorer compared with the control group, whereas only the subjective sleep quality of the hyperacusis group was poorer than that of the control group (p < 0.05). Both patient groups had higher BAI scores compared with the control group (p < 0.05). No significant differences were observed between the groups in terms of the Digit Span and Stroop tests (p > 0.05). Both patient groups had lower quality-of-life scores compared with the control group (p < 0.05). However, individuals in the hyperacusis and tinnitus group had lower scores in the physical functioning subscale of the SF-36 compared with those in the hyperacusis group (p < 0.05).</p><p><strong>Conclusions: </strong>The performance of individuals with hyperacusis on the Stroop and Digit Span tests was similar to that of healthy individuals. However, individuals with hyperacusis had higher levels of anxiety and lower sleep quality and quality of life compared with healthy individuals. In cases where tinnitus accompanied hyperacusis, a more pronounced decline in quality of life was observed.</p>","PeriodicalId":50021,"journal":{"name":"Journal of the American Academy of Audiology","volume":"37 3","pages":"166-175"},"PeriodicalIF":1.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13327957/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148392222","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}

{"title":"Normative Values for Prosaccade and Antisaccade Eye Movements in Adolescents Using a New Saccadometry Test.","authors":"Jorge Baquerizo-Burgos, Emilio Baquerizo-Burgos, Miguel Puga-Tejada, Jorge Baquerizo Y Flores","doi":"10.3766/jaaa.250046","DOIUrl":"10.3766/jaaa.250046","url":null,"abstract":"<p><strong>Background: </strong>Saccadic eye movements (SEMs) are rapid, precise movements that reorient the visual fovea toward an object of interest. In clinical practice, assessing SEMs can help in differentiating and monitoring various neurologic, otoneurologic, and psychiatric conditions. Deviations from adequate saccadic patterns offer critical diagnostic information, enabling clinicians to more accurately identify related conditions such as schizophrenia, attention deficit hyperactivity disorder, Alzheimer's disease, and cognitive impairment in vestibular migraine, among others.</p><p><strong>Purpose: </strong>Establish normative data for prosaccades (PSs) and antisaccades (ASs) in healthy adolescents aged 12-17 years.</p><p><strong>Research design: </strong>A cross-sectional, single-center study conducted between June and December 2023.</p><p><strong>Study sample: </strong>Data were reported on 138 healthy participants aged 12 to 17 years with no history of head trauma, neurologic, vestibular, behavioral, or psychiatric disorders, and use of medications affecting SEMs.</p><p><strong>Results: </strong>This study included 138 participants (mean age, 14.5 years; 44.2 percent female). A mean accuracy, latency, velocity, and directional error (DE) of 91.5 percent, 211 milliseconds (ms), 249.5 degrees per second (°/s), and 0.8 percent in PSs and 117.0 percent, 304.7 ms, 249.8°/s, and 11.8 percent for ASs were obtained, respectively. Significant reductions were found in horizontal random saccade velocity (p = 0.027), PS velocity (p = 0.001), AS latency (p < 0.001), and DE (p < 0.001) from younger to older adolescents. With age maturation, ASs' latency and DE showed a significant reduction. Compared with females, male participants have lower AS latencies (p < 0.041). Younger males (<15 years) have higher PS velocities (p = 0.02). Young females and males have higher latencies (p = 0.031 and p < 0.01, respectively) and DE (p < 0.01 and p < 0.01, respectively) than the older participants (≥15 years) in ASs.</p><p><strong>Conclusions: </strong>This study established normative data for PSs and ASs for individuals aged 12-17 years using commercially available equipment. The findings indicate age-related variations, particularly in AS latency and DE.</p><p><strong>Clinical relevance statement: </strong>The normative values obtained in this study could assist clinicians in the detection of cognitive control impairment or oculomotor dysfunction, and support complementary diagnostic tools in differentiating neurologic, vestibular, behavioral, or psychiatric disorders affecting adolescents.</p>","PeriodicalId":50021,"journal":{"name":"Journal of the American Academy of Audiology","volume":"37 3","pages":"197-208"},"PeriodicalIF":1.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13327968/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148392310","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}

{"title":"The Degree of Audiovestibular Loss Is Not Related to Current Vertigo Attacks in Refractory Unilateral Ménière's Disease.","authors":"Mitesh Patel","doi":"10.3766/jaaa.250018","DOIUrl":"10.3766/jaaa.250018","url":null,"abstract":"<p><strong>Background: </strong>Unilateral Ménière's disease (MD) is characterized by severe episodic attacks of rotational vertigo and audiovestibular signs that include fluctuating sensorineural hearing loss, aural fullness, tinnitus, and vestibular loss.</p><p><strong>Purpose: </strong>To investigate the relationship between the degree of audiovestibular loss, symptoms, and the number of vertigo attacks during the previous 6 months and 1 month of patients with MD.</p><p><strong>Study sample: </strong>Sixty patients with active MD refractory to oral treatment.</p><p><strong>Data collection and analysis: </strong>Hearing (pure-tone audiometry and speech discrimination) and vestibular (caloric test, vestibular evoked myogenic potential [VEMP]) tests were performed. Symptoms were scored using the following validated questionnaires: Vertigo Symptom Scale-short form, Dizziness Handicap Inventory, Tinnitus Handicap Inventory, Aural Fullness Scale, and Functional Level Scale. Linear regression, a factor analysis, and a correlation analysis were conducted.</p><p><strong>Results: </strong>Patients experienced a mean number of 16 attacks (range, 2-65) during the previous 6 months and five attacks (range, 0-30) during the previous 1 month. Hearing and vestibular functions were reduced in the affected ear. Linear regression, the factor analysis, and the correlation analysis showed no association between the degree of audiovestibular loss and the number of vertigo attacks during the previous 6 months or 1 month or symptoms of disease activity. An exploratory analysis showed evidence of some associations between the degree of hearing loss, caloric paresis, and VEMP asymmetry, indicating a consistent pattern of loss across the cochlear semi-circular canals and saccules.</p><p><strong>Conclusion: </strong>Although audiovestibular tests help establish diagnoses, they cannot determine current disease activity of unilateral refractory MD.</p><p><strong>Clinical relevance statement: </strong>It may be prudent to assume that patients with MD and high remaining vestibular function in the affected ear would experience more frequent episodes of vertigo and intense dizziness and experience more troublesome symptoms. Conversely, it may be prudent to assume that patients with MD with low remaining vestibular function in the affected ear would experience fewer episodes of vertigo; however, as shown by these results, this does not seem to be the case. No obvious audiovestibular markers suggest that intratympanic therapy for vertigo treatment should be delayed.</p>","PeriodicalId":50021,"journal":{"name":"Journal of the American Academy of Audiology","volume":"37 3","pages":"265-271"},"PeriodicalIF":1.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13327962/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148392263","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}

{"title":"Perceptions of Over-the-Counter Hearing Aids: A Qualitative Study Informed by the Technology Acceptance Model.","authors":"Laura Coco, Tiana Weeks, Chris Rodriguez, Eliana Marvizon, Noelle Villegas, Ariana M Stickel, Annie L Nguyen","doi":"10.3766/jaaa.250056","DOIUrl":"10.3766/jaaa.250056","url":null,"abstract":"<p><strong>Background: </strong>Hearing loss is prevalent among older adults, yet hearing aid uptake remains low. The recent introduction of over-the-counter (OTC) hearing aids by the U.S. Food and Drug Administration aims to improve accessibility by removing the requirement for professional involvement. However, the usability and perceived value of these devices by consumers remain insufficiently understood.</p><p><strong>Purpose: </strong>This study aimed to explore adults' perceptions of OTC hearing aids following direct and structured use and identify factors that influence perceived ease of use, usefulness, and usability-related barriers as framed by the technology acceptance model.</p><p><strong>Research design: </strong>A qualitative descriptive design that incorporated semi-structured interviews conducted immediately after a hands-on device use task was completed.</p><p><strong>Study sample: </strong>Seventy-eight adults 55 years of age and older with self-identified mild to moderate hearing loss were recruited through community outreach. Eligibility was based on age and self-reported hearing status.</p><p><strong>Intervention: </strong>Participants used commercially available OTC hearing aids to complete a standardized 10-step device management task prior to being interviewed.</p><p><strong>Data collection and analysis: </strong>Data were collected through audio-recorded, semi-structured interviews conducted immediately after the device use task. Transcripts were analyzed thematically using a hybrid inductive-deductive approach informed by the technology acceptance model.</p><p><strong>Results: </strong>The following six major themes emerged: setup and operational barriers; support preferences; usability expectations and confidence; perceived device performance; shifts in knowledge and understanding; and user-centered design suggestions. Participants frequently reported difficulties with device setup and handling, uncertainty about performance, and a desire for support. User expectations, confidence, and information gaps significantly influenced their intention to use OTC devices.</p><p><strong>Conclusions: </strong>Although OTC hearing aids offer greater accessibility, successful adoption requires more than cost reduction. Users' perceived support needs, self-efficacy, and alignment between expectations and device performance play a critical role. Facilitating confident use through improved instructions and accessible support may enhance uptake. These findings emphasize the role of expectation-outcome alignment (i.e., disconfirmation) in shaping satisfaction.</p><p><strong>Clinical relevance: </strong>Clinicians should anticipate increased patient interest in OTC hearing aids, and they should be prepared to address usability concerns. Supporting patient education and expectation management may improve satisfaction and long-term outcomes outside traditional service delivery models.</p>","PeriodicalId":50021,"journal":{"name":"Journal of the American Academy of Audiology","volume":"37 3","pages":"222-234"},"PeriodicalIF":1.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13327963/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148392282","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}

{"title":"Bimodal Stimulation of the Auditory-Somatosensory System Improves Auditory Sensory Gating Function in Patients with Tinnitus.","authors":"Masoud Bolandi, Moslem Shaabani, Enayatollah Bakhshi, Athareh Farahani, Mohanna Javanbakht","doi":"10.3766/jaaa.250081","DOIUrl":"10.3766/jaaa.250081","url":null,"abstract":"<p><strong>Background: </strong>Tinnitus perception may be associated with impairments in the mechanisms of sensory gating (SG), which is a preattentive process that filters redundant auditory stimuli to prevent sensory overload. Acoustic stimulation of the auditory system alone (unimodal intervention), electrical stimulation of the vagus nerve alone, or a combination of both (bimodal intervention) can effectively treat tinnitus by influencing SG.</p><p><strong>Purpose: </strong>This study aimed to examine the impact of unimodal and bimodal interventions on auditory SG (ASG).</p><p><strong>Research design: </strong>Participants were assigned to unimodal or bimodal intervention groups using block randomization after obtaining consent.</p><p><strong>Study sample: </strong>Thirty-four participants with tonal tinnitus were divided equally into unimodal (<i>n</i> = 17) and bimodal (<i>n</i> = 17) groups.</p><p><strong>Intervention: </strong>Participants in the bimodal group received customized acoustic stimulation combined with transcutaneous auricular vagus nerve stimulation (tAVNS). Participants in the unimodal group received the same acoustic stimulation paired with sham tAVNS. Each group underwent six 20-minute treatment sessions.</p><p><strong>Data collection and analysis: </strong>Participants were assessed using the ASG (dividing the P1-N1 amplitude of the second cortical auditory evoked potential [CAEP] by the P1-N1 amplitude of the first CAEP) and an 11-point Visual Analog Scale (VAS) for loudness, awareness, and annoyance before and after the intervention sessions. Patients rated these items from 0 to 10, with 0 representing no tinnitus and 10 representing intense loudness, awareness, and annoyance. Postintervention group comparisons were performed using a covariance analysis. Within-group changes were assessed with paired <i>t</i> tests. Correlations were evaluated with Pearson's test.</p><p><strong>Results: </strong>After the intervention, the results showed that the bimodal group experienced a significant decrease in ASG and loudness and awareness VAS scores relative to those of the unimodal group (p < 0.05). No significant change in the annoyance VAS score was found between groups. A correlation was observed between ASG and the awareness and annoyance VAS scores, but no correlation was found between ASG and the loudness VAS score.</p><p><strong>Conclusion: </strong>As a treatment option for tinnitus, bimodal stimulation appears to be more effective than unimodal stimulation. This method may be particularly beneficial for tonal tinnitus with hearing loss; however, it may not be effective for all patients. Therefore, a clinical protocol is required.</p><p><strong>Clinical relevance statement: </strong>Bimodal stimulation may offer a clinically meaningful intervention for patients with tinnitus, particularly those with hearing loss who experience tonal tinnitus.</p>","PeriodicalId":50021,"journal":{"name":"Journal of the American Academy of Audiology","volume":"37 3","pages":"243-254"},"PeriodicalIF":1.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13327965/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148392262","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}

{"title":"Reactions to Tinnitus Based on Color Code Personality Type.","authors":"Brittany Grayless, Patrick Plyler, Erin Plyler, Kailey Thompson, Teresa DeNiro","doi":"10.3766/jaaa.250014","DOIUrl":"10.3766/jaaa.250014","url":null,"abstract":"<p><strong>Background: </strong>Although studies of tinnitus and personality are prevalent in tinnitus research, studies of tinnitus-related distress across personality types using the Color Code Personality Assessment are lacking.</p><p><strong>Purpose: </strong>The purpose of this research was to evaluate the relationship between personality type and the reaction to tinnitus using the Color Code Personality Assessment and the Tinnitus Reaction Questionnaire (TRQ).</p><p><strong>Study sample: </strong>We conducted an online survey involving 178 participants. The survey included the TRQ to evaluate tinnitus-related distress and the Color Code Personality Assessment to determine personality type.</p><p><strong>Data collection and analysis: </strong>The Color Code Personality Assessment results in one of four personality colors, red, blue, white, or yellow, and focuses on how to interact and communicate with different personality subtypes. The survey was posted to 11 different social media groups on Facebook and was open for 3 months. A one-way analysis of variance (ANOVA) was conducted to evaluate the effect of personality type on the TRQ score. One-sample chi-square tests were conducted to determine if the number of respondents with tinnitus-related distress was greater than chance for each personality type.</p><p><strong>Results: </strong>The one-way ANOVA revealed a significant main effect for personality type. Follow-up tests comprising the Bonferroni test indicated that the TRQ scores for red personality types were significantly higher than those for white personality types. Analyses using one-sample chi-square tests for each personality type indicated significant results for respondents with blue or red personality types.</p><p><strong>Conclusions: </strong>Reactions to tinnitus differed across personality types. Respondents with the red personality type reported higher tinnitus-related distress than that of respondents with the white personality type. Respondents with blue and red personality types were more likely to report bothersome tinnitus.</p><p><strong>Clinical relevance statement: </strong>Although various tinnitus questionnaires that assess tinnitus distress and its effect on different areas of the patient's life are available, audiologists do not have a tool that allows insight regarding how to appropriately counsel and treat patients with tinnitus based on their reaction to it. Understanding the personality of patients and how personality will impact their reaction to tinnitus can guide the clinician's ability to provide effective counseling, thus adding to the clinician's skillset the ability to deliver customized treatment options to patients with tinnitus.</p>","PeriodicalId":50021,"journal":{"name":"Journal of the American Academy of Audiology","volume":"37 3","pages":"187-196"},"PeriodicalIF":1.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13327960/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148392295","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}

{"title":"Exploring Vestibulo-Masseteric Pathways: An Insight into Motion Sickness Susceptibility.","authors":"Siddhi Chauhan, Anuj Kumar Neupane","doi":"10.3766/jaaa.250013","DOIUrl":"10.3766/jaaa.250013","url":null,"abstract":"<p><strong>Background: </strong>Motion sickness is an autonomic reaction to sensory conflict among vestibular, somatosensory, and visual inputs, manifesting as drowsiness, dizziness, discomfort, nausea, pallor, sweating, headache, malaise, vomiting, and apathy. Although vestibular function in motion sickness has been probed using various vestibular tests, the utility of masseter vestibular evoked myogenic potential (mVEMP)-a novel assay of the vestibulo-masseteric reflex elicited via masseter muscle stimulation-remains largely unexplored.</p><p><strong>Purpose: </strong>This study sought to explore mVEMP responses among individuals with different degrees of motion sickness susceptibility (MSS) and to determine the relationship between individual susceptibility levels and their corresponding peak-to-peak mVEMP amplitudes.</p><p><strong>Research design: </strong>Cross-sectional study design.</p><p><strong>Study sample: </strong>A total of 45 young adults (18-35 years old) were enrolled and stratified into three susceptibility cohorts-nonsusceptible (n = 15), mild-to-moderate (n = 15), and severe (n = 15)-based on their Motion Sickness Susceptibility Questionnaire-Short scores.</p><p><strong>Data collection and analysis: </strong>Ipsilateral mVEMP responses were evoked using a 500-hertz narrow-band CE-chirp delivered through a zygomatic electrode montage, and the resulting waveforms were analyzed for P11 and N21 peak latencies, P11-N21 peak-to-peak amplitudes, and interaural amplitude asymmetry ratios.</p><p><strong>Results: </strong>Inferential analysis revealed no significant differences in P11 and N21 latencies across the nonsusceptible, mild-to-moderate, and severe MSS groups, as seen in both individual and group-level data. In contrast, P11-N21 peak-to-peak amplitudes showed group-wise variation in both analyses. A Kruskal-Wallis H test revealed significant amplitude differences bilaterally across the three cohorts. Subsequent post hoc comparisons demonstrated that participants with severe MSS exhibited significantly reduced mVEMP amplitudes compared with the nonsusceptible group.</p><p><strong>Conclusions: </strong>Severe motion sickness may reflect underlying vestibular alterations, possibly involving the vestibulo-masseteric pathway. Therefore, although mVEMP may hold potential clinical utility in diagnosis, this should be interpreted with caution.</p><p><strong>Clinical relevance statement: </strong>mVEMP may serve as a useful objective measure for assessing vestibular integrity in individuals susceptible to motion sickness, with reduced peak-to-peak amplitude potentially indicating subtle physiological changes in the vestibular system. However, these results should be interpreted with caution because of variability in individual responses, and they underscore the need for further studies to validate the findings.</p>","PeriodicalId":50021,"journal":{"name":"Journal of the American Academy of Audiology","volume":"37 3","pages":"176-186"},"PeriodicalIF":1.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13327961/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148392236","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}

{"title":"Early Signs of Aging in Auditory Function Reflected in the Event-Related Potentials.","authors":"Madison Knodell, Anne Dean, Liz Kroger, Taylor Mccreary, Eric Odoom, Brian Earl, Fawen Zhang","doi":"10.3766/jaaa.250015","DOIUrl":"10.3766/jaaa.250015","url":null,"abstract":"<p><strong>Background: </strong>Speech perception requires a balanced interplay between the bottom-up sensory and top-down cognitive processes. The differential impact of aging on the bottom-up and top-down processes in the auditory system has been debated.</p><p><strong>Purpose: </strong>The primary aim of this study was to use auditory event-related potentials (ERPs) including the cortical auditory evoked potential (CAEP), mismatch negativity (MMN), and the P300 in young and upper-middle-aged adults to determine early effects of aging on auditory processing at the preattentive and attentive levels. The secondary aim of this study was to determine the correlations between ERPs and subjective evaluation of hearing as well as cognitive function.</p><p><strong>Research design: </strong>ERPs were recorded in response to an oddball stimulus paradigm under passive and attentive listening conditions, respectively. The frequency discrimination (FD) test, the five-item Speech Spatial and Qualities of Hearing Scale (SSQ) questionnaire, and computerized cognitive tests were also administered.</p><p><strong>Study sample: </strong>A total of 20 young adults (Young group aged 20-30 years; mean = 23.01 ± 1.43 years) and 10 upper-middle-age adults (Upper-middle-age group aged 50-60 years; mean = 53.67 ± 2.83 years) without hearing impairment participated in the study. They were recruited in the Greater Cincinnati area through advertisements for this study.</p><p><strong>Data collection and analysis: </strong>The amplitude and latency of ERP peaks (N1 and P2 of the CAEP, MMN, and P300), the FD threshold, reaction time of cognitive tests, and SSQ scores were collected from each participant. Statistical analyses were performed to investigate the effects of aging on all these outcomes and the correlations between ERPs and other measures.</p><p><strong>Results: </strong>Compared to the Young group, the Upper-middle-aged group showed a larger amplitude and shorter latency in the CAEP peak components and a smaller amplitude and longer latency in the MMN and P300 peaks. Despite the fact that the Upper-middle-aged group had poorer averaged hearing thresholds, different ERP measures, and poorer cognitive performance, their FD threshold did not differ from that of the Young group.</p><p><strong>Conclusions: </strong>Early signs of aging in the auditory system can be shown in preattentive and attentive ERPs.</p><p><strong>Clinical relevance statement: </strong>ERPs provide objective measures of early signs of age-related changes in auditory function.</p>","PeriodicalId":50021,"journal":{"name":"Journal of the American Academy of Audiology","volume":"37 3","pages":"209-221"},"PeriodicalIF":1.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13327966/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148392238","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}

{"title":"A Simple Facial Scale for Hearing Loss.","authors":"Erin G Piker","doi":"10.3766/jaaa.37.3","DOIUrl":"10.3766/jaaa.37.3","url":null,"abstract":"","PeriodicalId":50021,"journal":{"name":"Journal of the American Academy of Audiology","volume":"37 3","pages":"165"},"PeriodicalIF":1.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13327956/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148392294","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}