Leek Marjorie R, Molis Michelle R, Kubli Lina R, Tufts Jennifer B
Army Audiology and Speech Center, Walter Reed Army Medical Center, Washington, DC, USA.
J Am Acad Audiol. 2008 Jun;19(6):519-26. doi: 10.3766/jaaa.19.6.7.
Anecdotal evidence suggests that hearing loss interferes with the enjoyment of music, although it is not known how widespread this problem currently is.
To estimate the prevalence of music-listening difficulties among a group of elderly hearing aid wearers.
Interview. Telephone interviews were conducted with patients who wore hearing aids. Questions regarding several aspects of music listening were included.
Sixty-eight hearing-impaired people served as subjects. They had all been seen in the audiology clinic for hearing aid evaluation during the previous year.
Subjects were asked questions concerning their use of hearing aids, the importance of listening to music in their lives, their habits and practices concerning music, and difficulties they experienced in listening to music.
Almost 30% of the respondents reported that their hearing losses affected their enjoyment of music. About half of the respondents indicated that music was either too loud or too soft, although only about one-third reported difficulties with level contrasts within musical pieces. In contrast to a similar survey carried out 20 years ago, there were many fewer complaints about listening to music. This result may be due in large part to improvements in hearing aids, especially with regard to nonlinear compression.
Although new hearing aid technologies have somewhat reduced problems of music enjoyment experienced by hearing-impaired people, audiologists should be aware that some 25-30% of patients may have difficulties with listening to music and may require extra attention to minimize those problems.
轶事证据表明听力损失会影响对音乐的欣赏,尽管目前尚不清楚这个问题有多普遍。
估计一组老年助听器佩戴者中存在音乐聆听困难的患病率。
访谈。对佩戴助听器的患者进行电话访谈。问题包括音乐聆听的几个方面。
68名听力受损者作为研究对象。他们在前一年都曾在听力诊所接受助听器评估。
询问研究对象关于他们使用助听器的情况、聆听音乐在他们生活中的重要性、他们有关音乐的习惯和做法,以及他们在聆听音乐时遇到的困难。
近30%的受访者表示他们的听力损失影响了他们对音乐的欣赏。约一半的受访者表示音乐要么太响要么太轻,尽管只有约三分之一的人报告在音乐作品中存在音量对比方面的困难。与20年前进行的类似调查相比,关于聆听音乐的抱怨要少得多。这一结果可能在很大程度上归因于助听器的改进,尤其是在非线性压缩方面。
尽管新的助听器技术在一定程度上减少了听力受损者在欣赏音乐方面遇到的问题,但听力学家应该意识到约25%-30%的患者在聆听音乐方面可能存在困难,可能需要格外关注以尽量减少这些问题。