Monotic auditory processing disorder tests in the older adult population.

The purpose of this study was to determine if peripheral hearing loss of varying degrees in elderly subjects affected performance on monotic auditory processing disorder (APD) tests. A battery of monotic APD tests was administered to a group of well-educated and high-functioning older adults who wer...

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Bibliographic Details
Published in:Journal of the American Academy of Audiology Vol. 19; no. 4; pp. 293 - 309
Main Authors: Cox LC, McCoy SL, Tun PA, Wingfield A
Format: research tables/charts Journal Article
Published: Thieme Medical Publishing Inc. Apr2008
Online Access:View this record in EBSCOhost
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      dt: Apr2008
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      pub: Thieme Medical Publishing Inc.
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        atl: Monotic auditory processing disorder tests in the older adult population.
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          Cox LC
          McCoy SL
          Tun PA
          Wingfield A
        affil: Department of Otolaryngology, Boston University School of Medicine, 720 Harrison Avenue, Suite 601, Boston, MA 02118; clcox@bu.edu
      sug:
        subj:
          Auditory Perceptual Disorders Evaluation
          Presbycusis
          Acoustic Impedance Tests
          Aged
          Aged, 80 and Over
          Audiometry, Pure-Tone
          Clinical Assessment Tools
          Cognition Evaluation
          Descriptive Statistics
          Female
          Funding Source
          Hearing Loss, Sensorineural
          Male
          Multivariate Analysis of Variance
          Otoacoustic Emissions, Evoked
          Post Hoc Analysis
          Psychological Tests
          Speech Discrimination Tests
          Speech Perception
          Step-Wise Multiple Regression
          Human
          Aged: 65+ years
          Aged, 80 & over
          Female
          Male
      ab: The purpose of this study was to determine if peripheral hearing loss of varying degrees in elderly subjects affected performance on monotic auditory processing disorder (APD) tests. A battery of monotic APD tests was administered to a group of well-educated and high-functioning older adults who were divided into three subgroups based on hearing acuity but similar in age: (1) normal hearing out to 4000 Hz with a slight high-frequency slope above that point, (2) normal hearing in the speech range but greater high-frequency loss (sloping configuration), and (3) hearing loss in both the low and high frequencies (low/high). The findings documented that subjects with normal hearing in the speech range performed well on all the APD tests. The subjects in the two hearing loss groups, however, performed more poorly on certain tests. The low/high loss subjects did significantly poorer than did the sloping subjects. These data suggest that low/high-frequency peripheral hearing loss is a factor for poor performance on certain monotic APD tests. Results further showed that when cognitive ability and presentation level are held constant, chronological age does not appear to be a contributing factor to performance on the majority of these monotic APD tests. If APD tests are to be administered to elder subjects, peripheral hearing loss configuration needs to be documented. For subjects with low/high-frequency losses, the tester needs to be aware that serious contamination of the results may occur.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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