{"title":"哪个因素对植入人工耳蜗的学龄儿童噪音中的言语感知影响更大：实足年龄还是植入年龄？","authors":"Ecem Kartal Ozcan, Selvet Akkaplan, Merve Ozbal Batuk, Gonca Sennaroglu","doi":"10.1044/2025_LSHSS-25-00028","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>The aims of this study were to (a) investigate speech-in-noise perception using an adaptive procedure in school-aged children with bilateral cochlear implants (CIs); (b) evaluate the impact of chronological age, age at the second implantation, and interimplant interval on auditory performance in children with bilateral CIs; and (c) determine the correlation between speech recognition performance and subjective parental questionnaire scores.</p><p><strong>Method: </strong>A total of 24 school-aged children with bilateral CIs participated in this study, divided into two groups: Group I (younger than 108 months of age, <i>n</i> = 12) and Group II (older than 108 months of age, <i>n</i> = 12). Speech recognition performance was assessed using sentences from the Turkish Hearing in Noise Test for Children under both quiet and noisy conditions at an adaptive signal-to-noise ratio. The auditory behavior of the children in daily life was evaluated by interviewing parents using the Parent's Evaluation of Aural/Oral Performance of Children (PEACH) scale.</p><p><strong>Results: </strong>The Quiet and Noise Composite Scores of Group II were significantly better than those of Group I (<i>p</i> = .033 and <i>p</i> = .041, respectively). However, no significant difference was observed between the PEACH scores of the groups (<i>p</i> = .378). A significant correlation was found between PEACH scores and speech recognition performance under both quiet (<i>p</i> = .009) and noisy conditions (<i>p</i> = .021).</p><p><strong>Conclusions: </strong>Chronological age had a greater impact on speech recognition performance than age at the second implantation and interimplant interval, emphasizing the role of age-related auditory development in speech perception. Additionally, parental perspective questionnaires may serve as a practical and efficient tool for assessing functional hearing abilities in children, particularly in educational settings where standard speech perception tests may not always be feasible.</p>","PeriodicalId":54326,"journal":{"name":"Language Speech and Hearing Services in Schools","volume":" ","pages":"912-921"},"PeriodicalIF":2.9000,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Which Factor Has a Greater Impact on Speech Perception in Noise in School-Aged Children With Cochlear Implants: Chronological Age or Age at Implantation?\",\"authors\":\"Ecem Kartal Ozcan, Selvet Akkaplan, Merve Ozbal Batuk, Gonca Sennaroglu\",\"doi\":\"10.1044/2025_LSHSS-25-00028\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>The aims of this study were to (a) investigate speech-in-noise perception using an adaptive procedure in school-aged children with bilateral cochlear implants (CIs); (b) evaluate the impact of chronological age, age at the second implantation, and interimplant interval on auditory performance in children with bilateral CIs; and (c) determine the correlation between speech recognition performance and subjective parental questionnaire scores.</p><p><strong>Method: </strong>A total of 24 school-aged children with bilateral CIs participated in this study, divided into two groups: Group I (younger than 108 months of age, <i>n</i> = 12) and Group II (older than 108 months of age, <i>n</i> = 12). Speech recognition performance was assessed using sentences from the Turkish Hearing in Noise Test for Children under both quiet and noisy conditions at an adaptive signal-to-noise ratio. The auditory behavior of the children in daily life was evaluated by interviewing parents using the Parent's Evaluation of Aural/Oral Performance of Children (PEACH) scale.</p><p><strong>Results: </strong>The Quiet and Noise Composite Scores of Group II were significantly better than those of Group I (<i>p</i> = .033 and <i>p</i> = .041, respectively). However, no significant difference was observed between the PEACH scores of the groups (<i>p</i> = .378). A significant correlation was found between PEACH scores and speech recognition performance under both quiet (<i>p</i> = .009) and noisy conditions (<i>p</i> = .021).</p><p><strong>Conclusions: </strong>Chronological age had a greater impact on speech recognition performance than age at the second implantation and interimplant interval, emphasizing the role of age-related auditory development in speech perception. Additionally, parental perspective questionnaires may serve as a practical and efficient tool for assessing functional hearing abilities in children, particularly in educational settings where standard speech perception tests may not always be feasible.</p>\",\"PeriodicalId\":54326,\"journal\":{\"name\":\"Language Speech and Hearing Services in Schools\",\"volume\":\" \",\"pages\":\"912-921\"},\"PeriodicalIF\":2.9000,\"publicationDate\":\"2025-10-08\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Language Speech and Hearing Services in Schools\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1044/2025_LSHSS-25-00028\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/8/13 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q1\",\"JCRName\":\"AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Language Speech and Hearing Services in Schools","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1044/2025_LSHSS-25-00028","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/8/13 0:00:00","PubModel":"Epub","JCR":"Q1","JCRName":"AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY","Score":null,"Total":0}
Which Factor Has a Greater Impact on Speech Perception in Noise in School-Aged Children With Cochlear Implants: Chronological Age or Age at Implantation?
Purpose: The aims of this study were to (a) investigate speech-in-noise perception using an adaptive procedure in school-aged children with bilateral cochlear implants (CIs); (b) evaluate the impact of chronological age, age at the second implantation, and interimplant interval on auditory performance in children with bilateral CIs; and (c) determine the correlation between speech recognition performance and subjective parental questionnaire scores.
Method: A total of 24 school-aged children with bilateral CIs participated in this study, divided into two groups: Group I (younger than 108 months of age, n = 12) and Group II (older than 108 months of age, n = 12). Speech recognition performance was assessed using sentences from the Turkish Hearing in Noise Test for Children under both quiet and noisy conditions at an adaptive signal-to-noise ratio. The auditory behavior of the children in daily life was evaluated by interviewing parents using the Parent's Evaluation of Aural/Oral Performance of Children (PEACH) scale.
Results: The Quiet and Noise Composite Scores of Group II were significantly better than those of Group I (p = .033 and p = .041, respectively). However, no significant difference was observed between the PEACH scores of the groups (p = .378). A significant correlation was found between PEACH scores and speech recognition performance under both quiet (p = .009) and noisy conditions (p = .021).
Conclusions: Chronological age had a greater impact on speech recognition performance than age at the second implantation and interimplant interval, emphasizing the role of age-related auditory development in speech perception. Additionally, parental perspective questionnaires may serve as a practical and efficient tool for assessing functional hearing abilities in children, particularly in educational settings where standard speech perception tests may not always be feasible.
期刊介绍：
Mission: LSHSS publishes peer-reviewed research and other scholarly articles pertaining to the practice of audiology and speech-language pathology in the schools, focusing on children and adolescents. The journal is an international outlet for clinical research and is designed to promote development and analysis of approaches concerning the delivery of services to the school-aged population. LSHSS seeks to advance evidence-based practice by disseminating the results of new studies as well as providing a forum for critical reviews and meta-analyses of previously published work.
Scope: The broad field of audiology and speech-language pathology as practiced in schools, including aural rehabilitation; augmentative and alternative communication; childhood apraxia of speech; classroom acoustics; cognitive impairment; craniofacial disorders; fluency disorders; hearing-assistive technology; language disorders; literacy disorders including reading, writing, and spelling; motor speech disorders; speech sound disorders; swallowing, dysphagia, and feeding disorders; voice disorders.
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