Executive Function Associations With Audibility-Adjusted Speech Perception in Noise.
Purpose: Speech recognition in noise is challenging for listeners and appears to require support from executive functions to focus attention on rapidly unfolding target speech, track misunderstanding, and sustain attention. The current study was designed to test the hypothesis that lower executive f...
| Publicado en: | Journal of Speech, Language & Hearing Research Vol. 67; no. 12; pp. 4811 - 4829 |
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| Autores principales: | , , , |
| Formato: | Artículo |
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American Speech-Language-Hearing Association
Dec2024
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=181519715&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 181519715 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 10924388 1SM jtl: Journal of Speech, Language & Hearing Research issn: 10924388 maglogo: N pubinfo: dt: Dec2024 vid: 67 iid: 12 pid: 42 pub: American Speech-Language-Hearing Association artinfo: ui: 181519715 10.1044/2024_JSLHR-24-00333 ppf: 4811 ppct: 18 formats: fmt: @attributes: type: P size: 1.2MB tig: atl: Executive Function Associations With Audibility-Adjusted Speech Perception in Noise. aug: au: Eckert, Mark A. Matthews, Lois J. Vaden Jr., Kenneth I. Dubno, Judy R. affil: Hearing Research Program, Department of Otolaryngology--Head and Neck Surgery, Medical University of South Carolina, Charleston Department of Otolaryngology--Head and Neck Surgery, Columbia University, New York, NY su: Cross-sectional method Executive function Attention Sociodemographic factors Auditory perception testing Effect sizes (Statistics) Statistical correlation Noise Cognitive testing Dichotic listening tests Data analysis Statistical significance Research funding Cognitive processing speed Audiometric equipment Hearing aids Audiometry Listening Multivariate analysis Descriptive statistics Presbycusis Statistics Speech perception Hearing disorders Hearing levels Short-term memory Data analysis software Sensitivity & specificity (Statistics) Regression analysis sug: subj: Cross-sectional method Executive function Attention Sociodemographic factors Electromedical and Electrotherapeutic Apparatus Manufacturing Professional machinery, equipment and supplies merchant wholesalers Medical, Dental, and Hospital Equipment and Supplies Merchant Wholesalers All Other Health and Personal Care Stores Auditory perception testing Effect sizes (Statistics) Statistical correlation Noise Cognitive testing Dichotic listening tests Data analysis Statistical significance Research funding Cognitive processing speed Audiometric equipment Hearing aids Audiometry Listening Multivariate analysis Descriptive statistics Presbycusis Statistics Speech perception Hearing disorders Hearing levels Short-term memory Data analysis software Sensitivity & specificity (Statistics) Regression analysis ab: Purpose: Speech recognition in noise is challenging for listeners and appears to require support from executive functions to focus attention on rapidly unfolding target speech, track misunderstanding, and sustain attention. The current study was designed to test the hypothesis that lower executive function abilities explain poorer speech recognition in noise, including among older participants with hearing loss who often exhibit diminished speech recognition in noise and cognitive abilities. Method: A cross-sectional sample of 400 younger-to-older adult participants (19 to < 90 years of age) from the community-based Medical University of South CarolinaLongitudinal Cohort Study of Age-related Hearing Loss were administered tasks with executive control demands to assess individual variability in a card-sorting measure of set-shifting/performance monitoring, a dichotic listening measure of selective attention/working memory, sustained attention, and processing speed. Key word recognition in the high- and low-context speech perception-in-noise (SPIN) tests provided measures of speech recognition in noise. The SPIN scores were adjusted for audibility using the Articulation Index to characterize the impact of varied hearing sensitivity unrelated to reduced audibility on cognitive and speech recognition associations. Results: Set-shifting, dichotic listening, and processing speed each explained unique and significant variance in audibility-adjusted, low-context SPIN scores (ps < .001), including after controlling for age, pure-tone threshold average (PTA), sex, and education level. The dichotic listening and processing speed effect sizes were significantly diminished when controlling for PTA, indicating that participants with poorer hearing sensitivity were also likely to have lower executive function and lower audibility-adjusted speech recognition. Conclusions: Poor set-shifting/performance monitoring, slow processing speed, and poor selective attention/working memory appeared to partially explain difficulties with speech recognition in noise after accounting for audibility. These results are consistent with the premise that distinct executive functions support speech recognition in noise. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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