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正常听力不足以保证对日常交流中重要的超阈特征进行稳健编码。

Normal hearing is not enough to guarantee robust encoding of suprathreshold features important in everyday communication.

机构信息

Department of Biomedical Engineering, Boston University Hearing Research Center, Boston, MA 02215, USA.

出版信息

Proc Natl Acad Sci U S A. 2011 Sep 13;108(37):15516-21. doi: 10.1073/pnas.1108912108. Epub 2011 Aug 15.

Abstract

"Normal hearing" is typically defined by threshold audibility, even though everyday communication relies on extracting key features of easily audible sound, not on sound detection. Anecdotally, many normal-hearing listeners report difficulty communicating in settings where there are competing sound sources, but the reasons for such difficulties are debated: Do these difficulties originate from deficits in cognitive processing, or differences in peripheral, sensory encoding? Here we show that listeners with clinically normal thresholds exhibit very large individual differences on a task requiring them to focus spatial selective auditory attention to understand one speech stream when there are similar, competing speech streams coming from other directions. These individual differences in selective auditory attention ability are unrelated to age, reading span (a measure of cognitive function), and minor differences in absolute hearing threshold; however, selective attention ability correlates with the ability to detect simple frequency modulation in a clearly audible tone. Importantly, we also find that selective attention performance correlates with physiological measures of how well the periodic, temporal structure of sounds above the threshold of audibility are encoded in early, subcortical portions of the auditory pathway. These results suggest that the fidelity of early sensory encoding of the temporal structure in suprathreshold sounds influences the ability to communicate in challenging settings. Tests like these may help tease apart how peripheral and central deficits contribute to communication impairments, ultimately leading to new approaches to combat the social isolation that often ensues.

摘要

“正常听力”通常通过听阈可听度来定义,尽管日常交流依赖于提取可听声音的关键特征,而不是声音检测。有传闻称,许多听力正常的听众在存在竞争声源的环境中报告难以进行交流,但这些困难的原因仍存在争议:这些困难是源于认知处理能力的缺陷,还是源于外围、感觉编码的差异?在这里,我们展示了在需要他们专注于空间选择性听觉注意力以理解来自其他方向的类似竞争语音流的任务中,具有临床正常阈值的听众表现出非常大的个体差异。这种选择性听觉注意力能力的个体差异与年龄、阅读广度(认知功能的一种衡量标准)以及绝对听力阈值的微小差异无关;但是,选择性注意力能力与检测简单频率调制的能力相关,而简单频率调制是在可听音调中产生的。重要的是,我们还发现选择性注意力表现与听觉通路中早期皮质下部分对可听阈以上声音的周期性、时间结构进行编码的能力相关。这些结果表明,高于可听阈的声音的时间结构的早期感觉编码的保真度会影响在具有挑战性的环境中进行交流的能力。像这样的测试可以帮助揭示外围和中枢缺陷如何导致交流障碍,最终为对抗通常随之而来的社交孤立提供新的方法。

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