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Speech audiometry, speech perception, and cognitive functions

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Sprachaudiometrie, Sprachwahrnehmung und kognitive Funktionen

Englische Version

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Abstract

Examination of cognitive functions in the framework of speech perception has recently gained increasing scientific and clinical interest. Especially against the background of age-related hearing impairment and cognitive decline, potential new perspectives in terms of a better individualization of auditory diagnosis and rehabilitation might arise. This review addresses the relationships between speech audiometry, speech perception, and cognitive functions. It presents models of speech perception, discusses associations of neuropsychological and audiometric outcomes, and shows examples of recent efforts undertaken in Germany to consider cognitive functions with speech audiometry.

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References

  1. Akeroyd MA (2008) Are individual differences in speech reception related to individual differences in cognitive ability? A survey of twenty experimental studies with normal and hearing-impaired adults. Int J Audiol 47(Suppl 2):53–71. doi:10.1080/14992020802301142

    Article  Google Scholar 

  2. Baddeley A (2010) Working memory. Curr Biol 20(4):R136–R140

    Article  CAS  PubMed  Google Scholar 

  3. Bell R, Buchner A, Mund I (2008) Age-related differences in irrelevant-speech effects. Psychol Aging 23(2):377–391

    Article  PubMed  Google Scholar 

  4. Best V, Keidser G, Buchholz JM, Freeston K (2016) Development and preliminary evaluation of a new test of ongoing speech comprehension. Int J Audiol 55(1):45–52. doi:10.3109/14992027.2015.1055835

    Article  PubMed  Google Scholar 

  5. Carroll R, Ruigendijk E (2013) The effect of syntactic complexity on processing sentences in noise. J Psycholinguist Res 42(2):139–159

    Article  PubMed  Google Scholar 

  6. de Fockert JW (2005) Keeping priorities: the role of working memory and selective attention in cognitive aging. Sci Aging Knowledge Environ 44:pe34

    Google Scholar 

  7. Diamond A (2013) Executive functions. Annu Rev Psychol 64:135–168

    Article  PubMed  Google Scholar 

  8. Heinrich A, Henshaw H, Ferguson MA (2015) The relationship of speech intelligibility with hearing sensitivity, cognition, and perceived hearing difficulties varies for different speech perception tests. Front Psychol 6:782. doi:10.3389/fpsyg.2015.00782. (eCollection 2015)

    Article  PubMed  PubMed Central  Google Scholar 

  9. Humes LE (2013) Understanding the speech-understanding problems of older adults. Am J Audiol 22(2):303–305. doi:10.1044/1059-0889(2013/12-0066)

    Article  PubMed  Google Scholar 

  10. Jerger J, Wilson R, Margolis R (2014) Suggestion for terminological reform in speech audiometry. J Am Acad Audiol 25(2):229–230. doi:10.3766/jaaa.25.2.11

    Article  PubMed  Google Scholar 

  11. Lin FR, Yaffe K, Xia J, Xue QL, Harris TB, Purchase-Helzner E, Satterfield S, Ayonayon HN, Ferrucci L, Simonsick EM (2013) Health ABC study group. Hearing loss and cognitive decline in older adults. JAMA 173(4):293–299. doi:10.1001/jamainternmed.2013.1868

    Google Scholar 

  12. Lunner T (2003) Cognitive function in relation to hearing aid use. Int J Audiol 42(Suppl 1):49–58

    Article  Google Scholar 

  13. McGarrigle R, Munro KJ, Dawes P, Stewart AJ, Moore DR, Barry JG, Amitay S (2014) Listening effort and fatigue: what exactly are we measuring? A British Society of Audiology Cognition in Hearing Special Interest Group “white paper”. Int J Audiol 53(7):433–440. doi:10.3109/14992027.2014.890296

    Article  PubMed  Google Scholar 

  14. Meister H, Schreitmüller S, Grugel L, Landwehr M, von Wedel H, Walger M, Meister I (2011) Untersuchungen zum Sprachverstehen und zu kognitiven Fähigkeiten im Alter. HNO 59(7):689–695. doi:10.1007/s00106-011-2262-7

    Article  CAS  PubMed  Google Scholar 

  15. Meister H, Schreitmüller S, Grugel L, Beutner D, Walger M, Meister I (2013a) Examining speech perception in noise and cognitive functions in the elderly. Am J Audiol 22(2):310–312. doi:10.1044/1059-0889(2012/12-0067)

    Article  PubMed  Google Scholar 

  16. Meister H, Schreitmüller S, Grugel L, Ortmann M, Beutner D, Walger M, Meister IG (2013b) Cognitive resources related to speech recognition with a competing talker in young and older listeners. Neuroscience 232:74–82. doi:10.1016/j.neuroscience.2012.12.006.

    Article  CAS  PubMed  Google Scholar 

  17. Meister H, Rählmann S, Walger M, Margolf-Hackl S, Kießling J (2015) Hearing aid fitting in older persons with hearing impairment: the influence of cognitive function, age, and hearing loss on hearing aid benefit. Clin Interv Aging 10:435–443. doi:10.2147/CIA.S77096

    Article  PubMed  PubMed Central  Google Scholar 

  18. Meister H, Schreitmüller S, Ortmann M, Rählmann S, Walger M (2016) Effects of hearing loss and cognitive load on speech recognition with competing talkers. Front Psychol 7:301. doi:10.3389/fpsyg.2016.00301

    Article  PubMed  PubMed Central  Google Scholar 

  19. Nilsson M, Soli SD, Sullivan JA (1994) Development of the Hearing in Noise Test for the measurement of speech reception thresholds in quiet and in noise. J Acoust Soc Am 95:1085–1099. doi:10.1121/1.408469 (pmid:8132902)

    Article  CAS  PubMed  Google Scholar 

  20. Ptok M, Kiessling J (2004) Sprachperzeption – Basis sprachaudiometrischer Untersuchungen. HNO 52(9):824–830

    Article  CAS  PubMed  Google Scholar 

  21. Rönnberg J, Lunner T, Zekveld A, Sörqvist P, Danielsson H, Lyxell B, Dahlström O, Signoret C, Stenfelt S, Pichora-Fuller MK, Rudner M (2013) The Ease of Language Understanding (ELU) model: theoretical, empirical, and clinical advances. Front Syst Neurosci 7:31. doi:10.3389/fnsys.2013.00031

    Article  PubMed  PubMed Central  Google Scholar 

  22. Rudner M, Foo C, Rönnberg J, Lunner T (2009) Cognition and aided speech recognition in noise: specific role for cognitive factors following nine-week experience with adjusted compression settings in hearing aids. Scand J Psychol 50(5):405–418. doi:10.1111/j.1467-9450.2009.00745.x

    Article  PubMed  Google Scholar 

  23. Rudner M, Rönnberg J, Lunner T (2011) Working memory supports listening in noise for persons with hearing impairment. J Am Acad Audiol 22(3):156–167. doi:10.3766/jaaa.22.3.4

    Article  PubMed  Google Scholar 

  24. Shinn-Cunningham BG, Best V (2008) Selective attention in normal and impaired hearing. Trends Amplif 12(4):283–299

    Article  PubMed  PubMed Central  Google Scholar 

  25. Sommers MS, Hale S, Myerson J, Rose N, Tye-Murray N, Spehar B (2011) Listening comprehension across the adult lifespan. Ear Hear 32(6):775–781. doi:10.1097/AUD.0b013e3182234cf6

    Article  PubMed  PubMed Central  Google Scholar 

  26. Souza P, Arehart K, Neher T (2015) Working memory and hearing aid processing: literature findings, future directions, and clinical applications. Front Psychol 6:1894. doi:10.3389/fpsyg.2015.01894

    PubMed  PubMed Central  Google Scholar 

  27. Uslar V, Ruigendijk E, Hamann C, Brand T, Kollmeier B (2011) How does linguistic complexity influence intelligibility in a German audiometric sentence intelligibility test? Int J Audiol 50(9):621–631. doi:10.3109/14992027.2011.582166

    Article  PubMed  Google Scholar 

  28. Uslar VN, Carroll R, Hanke M, Hamann C, Ruigendijk E, Brand T, Kollmeier B (2013) Development and evaluation of a linguistically and audiologically controlled sentence intelligibility test. J Acoust Soc Am 134(4):3039–3056. doi:10.1121/1.4818760

    Article  PubMed  Google Scholar 

  29. Wagener KC, Kühnel V, Kollmeier B (1999) Entwicklung und Evaluation eines Satztests in deutscher Sprache I: Design des Oldenburger Satztests“. Z Audiol 38(1):4–15

    Google Scholar 

  30. Wendt D, Kollmeier B, Brand T (2015) How hearing impairment affects sentence comprehension: using eye fixations to investigate the duration of speech processing. Trends Hear 19:2331216515584149. doi:10.1177/2331216515584149

    PubMed  PubMed Central  Google Scholar 

  31. Wingfield A (1996) Cognitive factors in auditory performance: context, speed of processing, and constraints of memory. J Am Acad Audiol 7(3):175–182

    CAS  PubMed  Google Scholar 

  32. Wingfield A, Amichetti NM, Lash A (2015) Cognitive aging and hearing acuity: modeling spoken language comprehension. Front Psychol 6:684. doi:10.3389/fpsyg.2015.00684

    Article  PubMed  PubMed Central  Google Scholar 

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Correspondence to H. Meister.

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H. Meister states that he has no competing interest.

This article does not contain any studies with human participants or animals performed by any of the authors.

The supplement containing this article is not sponsored by industry.

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The German version of this article can be found under doi:10.1007/s00106-016-0229-4.

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Meister, H. Speech audiometry, speech perception, and cognitive functions. HNO 65 (Suppl 1), 1–4 (2017). https://doi.org/10.1007/s00106-016-0250-7

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