Journal of speech, language, and hearing research : JSLHR最新文献

{"title":"Association Between Hearing Loss and Social Integration Among Middle-Aged and Older Adults: A Systematic Review and Meta-Analysis.","authors":"Zhenjing Fu, Xiaqing Jiang, Yuying Zhang, Xin Jin, Jiamin Gao","doi":"10.1044/2025_JSLHR-25-00022","DOIUrl":"10.1044/2025_JSLHR-25-00022","url":null,"abstract":"<p><strong>Purpose: </strong>This meta-analysis aimed to examine the association between hearing loss and social integration as well as the effectiveness of audiologic rehabilitation interventions.</p><p><strong>Method: </strong>Academic databases were comprehensively searched up to December 2023 to identify relevant cross-sectional cohort studies and randomized controlled trials (RCTs) with participants aged 45 years and older. Outcome effects were reported as odds ratios (<i>OR</i>s) for observational studies and standardized mean differences (SMDs) for intervention studies, and pooled analyses were conducted using the random-effects model.</p><p><strong>Results: </strong>A total of 36 articles published in either Chinese or English were included in this meta-analysis: 11 cohort studies involving 52,037 participants, 23 cross-sectional studies involving 142,067 participants, and two RCTs involving 141 participants. Overall, hearing loss was associated with significantly greater odds of social isolation (<i>OR</i> = 1.19, 95% confidence interval [CI] [1.09, 1.31]) and social inactivity (low level of social participation: <i>OR</i> = 1.32, 95% CI [1.13, 1.54]; high level of social participation: <i>OR</i> = 0.85, 95% CI [0.79, 0.91]) among middle-aged and older adults. No significant effects of audiologic rehabilitation interventions on social integration were found (SMD = 0.22, 95% CI [-0.46, 0.89]).</p><p><strong>Conclusions: </strong>This systematic review and meta-analysis provides evidence that hearing loss increases the risk of social isolation and reduces social participation among middle-aged and older adults. These findings highlight the importance of providing hearing-related services to enhance social integration in the aging population.</p><p><strong>Supplemental material: </strong>https://doi.org/10.23641/asha.29941460.</p>","PeriodicalId":520690,"journal":{"name":"Journal of speech, language, and hearing research : JSLHR","volume":" ","pages":"4550-4566"},"PeriodicalIF":2.2,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144986291","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pushing the Button: One Speech-Language Pathologist Researcher's Journey to Operating a Fluoroscope for Swallow Studies.","authors":"Corinne A Jones","doi":"10.1044/2025_JSLHR-25-00108","DOIUrl":"10.1044/2025_JSLHR-25-00108","url":null,"abstract":"<p><strong>Purpose: </strong>Videofluoroscopy is an invaluable tool in the study of swallowing physiology. It is not without risks, however, primarily from exposure to ionizing radiation. As such, regulation across states within the United States and institutional policies are in place to protect patients, research participants, and occupational users from the negative effects of radiation exposure. These regulations restrict those who can \"push the button\" to energize the x-ray machines during radiographic studies, typically to licensed physicians and radiologic technologists. While recognizing the importance of limiting risks associated with radiation exposure, these personnel requirements add logistical burden to speech-language pathologist researchers who perform videofluoroscopic swallow studies in their laboratories.</p><p><strong>Method/results: </strong>In this article, I discuss my process to obtaining authorization to operate my laboratory's C-arm fluoroscope for research swallow study procedures.</p><p><strong>Conclusion: </strong>While state and institutional regulations differ, I hope that the detailing of this process will aid other research groups to advocate for more independence in performing research videofluoroscopic procedures.</p>","PeriodicalId":520690,"journal":{"name":"Journal of speech, language, and hearing research : JSLHR","volume":" ","pages":"4297-4301"},"PeriodicalIF":2.2,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144877917","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Focus Comprehension in Mandarin-Speaking Children Aged 6-12 Years With Cochlear Implants Compared to Children With Typical Development.","authors":"Yuchen Pan, Yiqi Song, Ying Zhang, Dandan Liang","doi":"10.1044/2025_JSLHR-24-00619","DOIUrl":"10.1044/2025_JSLHR-24-00619","url":null,"abstract":"<p><strong>Purpose: </strong>This study explores the characteristics and development of unmarked and marked focus comprehension in school-age Mandarin-speaking children with cochlear implants (CIs).</p><p><strong>Method: </strong>The subjects included 17 children with CIs aged 6-8 years and 34 aged 9-12 years, age- and gender-matched children with typical development (TD), and 30 hearing adults. This study employed sentence-picture verification tasks. Participants listened to simple subject-verb-object sentences while viewing pictures, where the focus was indicated by one of four linguistic cues (word order, prosody, focal particle \"shì,\" and context). They were tasked with determining whether the sentences accurately described the pictures and correcting them if they did not match.</p><p><strong>Results: </strong>Word order and subject context emerged as dominant focal cues across groups, while prosodic cues, object context, and the focal particle played limited roles. TD children's comprehension improved with age, and their comprehension of the particle \"shì\"-marked focus could reach adult levels by 9-12 years. Children with CIs exhibited distinct developmental patterns, with a high object tendency at 6-8 years. By 9-12 years, this tendency decreased; children with CIs matched TD peers in comprehension of dominant cues but lagged in focal particle and subject context.</p><p><strong>Conclusions: </strong>Mandarin exhibits a language-specific cue hierarchy, prioritizing word order and context over prosody. Preschool children with CIs demonstrate difficulties and developmental delays in focus comprehension, particularly under complex marker cues.</p>","PeriodicalId":520690,"journal":{"name":"Journal of speech, language, and hearing research : JSLHR","volume":" ","pages":"4376-4390"},"PeriodicalIF":2.2,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144986299","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Erratum to \"Integrating Advances in Personality Science to Re-Examine the Trait Theory of Voice Disorders\".","authors":"","doi":"10.1044/2025_JSLHR-25-00396","DOIUrl":"10.1044/2025_JSLHR-25-00396","url":null,"abstract":"","PeriodicalId":520690,"journal":{"name":"Journal of speech, language, and hearing research : JSLHR","volume":" ","pages":"4303"},"PeriodicalIF":2.2,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12453018/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144824823","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Externalizing Behaviors in Preschool-Aged Children With Cochlear Implants.","authors":"William G Kronenberger, Irina Castellanos, Jessica Beer, David B Pisoni","doi":"10.1044/2025_JSLHR-25-00005","DOIUrl":"10.1044/2025_JSLHR-25-00005","url":null,"abstract":"<p><strong>Purpose: </strong>Deaf children with cochlear implants (CIs) experience challenges in early development of hearing and language skills that may place them at risk for externalizing behavior problems, such as aggression, hyperactivity-impulsivity, and oppositional behavior. This study is a longitudinal investigation of (a) between-groups differences in externalizing behavior problems between preschool-aged children with CIs and normal-hearing (NH) peers, and (b) within-group factors that may explain variability in externalizing problems within the sample of CI users.</p><p><strong>Method: </strong>Parents of 26 children with CIs and 30 NH peers completed externalizing behavior checklists at two visits separated by 1 year, starting at ages 3 or 4 years. Demographic/hearing history variables, language (vocabulary), nonverbal intelligence, and coping flexibility were assessed for concurrent and predictive associations with externalizing problems within the CI sample.</p><p><strong>Results: </strong>Results showed significantly greater externalizing behavior problems in CI users compared to NH peers at Time 1, although these differences were less pronounced 1 year later. Poorer residual hearing and better coping flexibility at Time 1 were associated with fewer externalizing behavior problems in CI users at Time 2. CI users who showed improvement in coping flexibility over the 1-year period also showed improvement in externalizing behaviors during that period. Nonverbal intelligence and language were not associated with externalizing behavior problems.</p><p><strong>Conclusions: </strong>Preschool-aged CI users may be at greater risk than NH peers for the early development of externalizing behavior problems. Improved coping flexibility may offer the potential for improvement in externalizing behavior problems for young CI users.</p>","PeriodicalId":520690,"journal":{"name":"Journal of speech, language, and hearing research : JSLHR","volume":" ","pages":"4490-4505"},"PeriodicalIF":2.2,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12453019/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144683961","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Capturing the Intraspeaker Heterogeneity of Vocal Hyperfunction Using Spatiotemporal Indices of Relative Fundamental Frequency.","authors":"Jenny Vojtech, Laura E Toles, Daniel P Buckley, Cara E Stepp","doi":"10.1044/2025_JSLHR-25-00138","DOIUrl":"10.1044/2025_JSLHR-25-00138","url":null,"abstract":"<p><strong>Purpose: </strong>Hyperfunctional voice disorders are highly prevalent yet difficult to characterize objectively. Relative fundamental frequency (RFF) has the potential to characterize these disorders but faces limited clinical use due to intersubject variability in mean RFF values. This study examined whether RFF variability offers insights beyond traditional mean measures.</p><p><strong>Method: </strong>Speech samples were collected from 132 adults: individuals with phonotraumatic vocal hyperfunction (PVH; <i>n</i> = 44), nonphonotraumatic vocal hyperfunction (NPVH; <i>n</i> = 44), and typical voices (controls; <i>n</i> = 44). Two measures of RFF variability-standard deviation and spatiotemporal index (STI)-were calculated along with mean RFF values. While standard deviation captures variability in magnitude, STI incorporates variability in time and magnitude. Permutational analyses of variance were conducted to assess relationships between group (PVH/NPVH/control) and the mean, standard deviation, and STI measures. Significant measures were entered along with demographic parameters into hierarchical multinomial logistic regression models using a training set (<i>n</i> = 102). Final model equations were then applied to an independent test set (<i>n</i> = 30) to predict group membership.</p><p><strong>Results: </strong>Mean and STI measures showed significant group differences, whereas standard deviation did not. Both mean and STI measures improved model performance after adjusting for demographics. Receiver operating characteristic analysis on the test set yielded acceptable classification (area under curve = 0.78) for group membership.</p><p><strong>Conclusions: </strong>Variability in RFF, especially when considering both time and magnitude, captures subtle features of vocal hyperfunction that may be overlooked by traditional mean measures. These findings underscore the clinical value of advanced RFF variability metrics in characterizing vocal hyperfunction.</p><p><strong>Supplemental material: </strong>https://doi.org/10.23641/asha.29903054.</p>","PeriodicalId":520690,"journal":{"name":"Journal of speech, language, and hearing research : JSLHR","volume":" ","pages":"4220-4235"},"PeriodicalIF":2.2,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12453020/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144884930","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"How Does the Hearing Handicap Inventory for the Elderly Score Predict the Intention of Hearing Aid Adoption in Older Adults?","authors":"Kwong Yin Seet, Pak Him Mo, Tsz Chung Siu, Iris H-Y Ng, Wai-Tsz Chang","doi":"10.1044/2025_JSLHR-24-00887","DOIUrl":"10.1044/2025_JSLHR-24-00887","url":null,"abstract":"<p><strong>Background: </strong>Age-related hearing loss has long been linked to various health problems, such as dementia. Although the use of hearing aids (HAs) is one of the most effective ways to manage hearing loss, there is a general reluctance to adopt HAs among older adults. Self-perception of one's hearing loss is one of the major factors influencing HA adoption. The Hearing Handicap Inventory for the Elderly (HHIE), a highly validated questionnaire, represents the perception of hearing loss in everyday life. The aim of this review is to investigate the possible relationship between prefitting HHIE scores and HA adoption.</p><p><strong>Method: </strong>A comprehensive literature search was conducted on Medline, EMBASE, CINAHL Ultimate, Web of Science, Cochrane Library (CENTRAL and CDSR), and APA PsycINFO. Inclusion and exclusion criteria were developed to select relevant studies. Nine studies were included in the review.</p><p><strong>Results: </strong>Eight of the nine studies reported a significant association between HA adoption and higher HHIE scores. Five studies found a significant difference in mean HHIE scores between the HA adoption group and the nonadoption group, while six studies found a positive odds ratio between higher HHIE scores and higher rates of HA adoption. Using the combined data reported in the studies, the statistical difference between the mean HHIE scores of the two groups was analyzed. The results showed a significant difference between the HHIE scores of the groups with and without HA adoption.</p><p><strong>Conclusions: </strong>In general, higher HHIE scores prior to fitting were predictive of a higher rate of subsequent HA adoption. It is possible to use HHIE questionnaires to screen individuals with audiometrically proven hearing loss, and more interventions should be targeted at those who report low HHIE scores, as they have a lower tendency to adopt HAs despite significant hearing problems.</p><p><strong>Supplemental material: </strong>https://doi.org/10.23641/asha.29936834.</p>","PeriodicalId":520690,"journal":{"name":"Journal of speech, language, and hearing research : JSLHR","volume":" ","pages":"4529-4549"},"PeriodicalIF":2.2,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144986337","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Erratum to \"Characterizing Physiologic Swallowing Impairment Profiles: A Large-Scale Exploratory Study of Head and Neck Cancer, Stroke, Chronic Obstructive Pulmonary Disease, Dementia, and Parkinson's Disease\".","authors":"","doi":"10.1044/2025_JSLHR-25-00308","DOIUrl":"10.1044/2025_JSLHR-25-00308","url":null,"abstract":"","PeriodicalId":520690,"journal":{"name":"Journal of speech, language, and hearing research : JSLHR","volume":" ","pages":"4302"},"PeriodicalIF":2.2,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12453025/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144805580","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Is There a Bilingual Advantage in Implicit and Explicit Phonetic Imitation?","authors":"Melissa Paquette-Smith, Jessamyn Schertz","doi":"10.1044/2025_JSLHR-25-00035","DOIUrl":"10.1044/2025_JSLHR-25-00035","url":null,"abstract":"<p><strong>Purpose: </strong>There are a number of reasons to predict that early bilinguals might have better imitation abilities than monolinguals; however, evidence for a bilingual advantage in phonetic imitation is mixed. In the current study, we attempt to reconcile these disparate findings by testing Spanish-English bilinguals' and English monolinguals' imitation of word-initial voice onset time (VOT) across two types of imitation tasks (implicit: word repetition and explicit: word imitation).</p><p><strong>Method: </strong>In both tasks, participants heard English /p/-initial words manipulated to have canonical, shortened, or lengthened VOT. They were asked to repeat each word they heard, either with or without explicit instructions to imitate.</p><p><strong>Results: </strong>Overall, the explicit task elicited more imitation than the implicit task. In the explicit task, both groups converged to both lengthened and shortened VOTs, whereas in the implicit task, both groups converged to lengthened VOTs but not to shortened VOTs. Importantly, we did not observe differences in degree of imitation between monolinguals and bilinguals.</p><p><strong>Conclusions: </strong>This study found no evidence of a bilingual advantage in either implicit or explicit imitation. However, the two tasks elicited different patterns of results, with more imitation in the explicit task than in the implicit task, in terms of the degree of imitation (for lengthened VOT) and the presence/absence of imitation (for shortened VOT). In summary, the implicit versus explicit nature of the task cannot account for the mixed evidence for a bilingual advantage in imitation found in previous studies; more work is necessary to uncover which factors might underlie these discrepancies.</p>","PeriodicalId":520690,"journal":{"name":"Journal of speech, language, and hearing research : JSLHR","volume":" ","pages":"4263-4274"},"PeriodicalIF":2.2,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144802464","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Facilitatory Role of Rhyme During Word Learning: Behavioral and Event-Related Potential Evidence.","authors":"Tengwen Fan, Will Decker, Jacob P Momsen, Eileen Haebig, Julie M Schneider","doi":"10.1044/2025_JSLHR-24-00836","DOIUrl":"10.1044/2025_JSLHR-24-00836","url":null,"abstract":"<p><strong>Purpose: </strong>Rhyme increases the phonological similarity of phrases individuals hear and enhances recall from working memory. This study explores whether rhyme aids word learning and examines the underlying neural mechanisms through which rhyme facilitates word learning.</p><p><strong>Method: </strong>Fifty-seven adults completed a word learning task where they were exposed to 15 nonwords (NWs), four times each, in the sentence-final position as their electroencephalogram was recorded. Participants were randomly assigned to either a Rhyme or No-Rhyme group, where the NWs rhymed or did not rhyme with a prime real word in the sentence, respectively, during the exposure phase. Subjects were then tested on their recognition of the NWs.</p><p><strong>Results: </strong>Behavioral accuracy on the NW recognition task did not differ between the Rhyme and No-Rhyme groups; however, the Rhyme group showed an enhanced bilateral P2 in the early exposure phase, which has been linked to increased attention to the phonological and semantic features of speech. By contrast, the No-Rhyme group showed an attenuated N400 amplitude at left centroparietal sites in the later exposure phase, related to semantic retrieval of NWs.</p><p><strong>Conclusion: </strong>These findings indicate that rhyme may facilitate encoding of word meaning via attention to both phonology and semantic information; however, the absence of rhyme does not hinder adults' ability to map meaning to novel words.</p><p><strong>Supplemental material: </strong>https://doi.org/10.23641/asha.29737478.</p>","PeriodicalId":520690,"journal":{"name":"Journal of speech, language, and hearing research : JSLHR","volume":" ","pages":"4415-4428"},"PeriodicalIF":2.2,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144877919","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}