Characterizing Auditory Deficits in Veterans With Traumatic Brain Injury: A Principal Component Analysis Approach.

Purpose: There is currently no consensus regarding an evidence-based assessment protocol for normal-hearing patients with a history of brain injury who report auditory difficulties. This work used a large test battery to identify measures that explained the most variability across participants with...

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Publicado en:American Journal of Audiology Vol. 35; no. 2; pp. 680 - 691
Autores principales: Koerner, Tess K., Papesh, Melissa A., Gallun, Frederick J.
Formato: research tables/charts Journal Article
Publicado: American Speech-Language-Hearing Association Jun2026
Acceso en línea:Ver este registro en EBSCOhost
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      jtl: American Journal of Audiology
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      dt: Jun2026
      vid: 35
      iid: 2
      pid: 42
      pub: American Speech-Language-Hearing Association
      place: Rockville, Maryland
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        194359740
        194359740
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        10.1044/2026_AJA-25-00253
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        atl: Characterizing Auditory Deficits in Veterans With Traumatic Brain Injury: A Principal Component Analysis Approach.
      aug:
        au:
          Koerner, Tess K.
          Papesh, Melissa A.
          Gallun, Frederick J.
        affil: VA RR&D National Center for Rehabilitative Auditory Research, Portland VA Medical Center, OR
      sug:
        subj:
          Speech Intelligibility Evaluation
          Cognition Evaluation
          Auditory Perceptual Disorders Diagnosis
          Tinnitus Diagnosis
          Depression Diagnosis
          Stress Disorders, Post-Traumatic Diagnosis
          Self Report
          Veterans Psychosocial Factors
          Brain Injuries Physiopathology
          Funding Source
          Oregon
          Human
          Retrospective Design
          Factor Analysis
          Severity of Illness
          Male
          Female
          Adult
          Middle Age
          Aged
          Audiometry
          Cognition
          Data Analysis Software
          Descriptive Statistics
          Cluster Analysis
          Unpaired T-Tests
          Coefficient alpha
          Questionnaires
          Scales
          Language Tests
          Checklists
          Reading
          Exploratory Research
          Brain Injuries Symptoms
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
          Female
      ab: Purpose: There is currently no consensus regarding an evidence-based assessment protocol for normal-hearing patients with a history of brain injury who report auditory difficulties. This work used a large test battery to identify measures that explained the most variability across participants with and without a history of head injury, to determine relationships between measures, and to explore patterns of performance across participants, with the aim of identifying measures that should be considered in future research on developing clinical assessment protocols for this unique patient population. Method: A principal component analysis was conducted on data from 22 self-report, central auditory processing, and cognitive processing measures completed by a sample of 95 participants. Participants included Veterans with a history of blast exposure, Veterans with a history of nonblast mild traumatic brain injury (mTBI), and a sample of control participants with no history of head injury. Results: Several central auditory processing and self-report measures explained variance in the data set. However, analyses revealed that performance on the behavioral auditory processing tests was not predictive of self-reported auditory and non-auditory symptom severity. A cluster analysis further revealed spread in performance across participants with a history of blast exposure or nonblast mTBI. Conclusions: Results from the current study underscore the need for a comprehensive, individualized approach to patient care for those with a history of head injury. The measures identified in the current analysis should be investigated in future studies that aim to develop an auditory assessment protocol for this patient population.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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