Department of Otolaryngology-Head & Neck Surgery, Medical University of South Carolina, 135 Rutledge Avenue, Charleston, SC 29425, USA.
Ear Hear. 2012 May-Jun;33(3):330-9. doi: 10.1097/AUD.0b013e31823fb585.
The goal of this study was to examine the degree to which age-related differences in early or automatic levels of auditory processing and attention-related processes explain age-related differences in auditory temporal processing. We hypothesized that age-related differences in attention and cognition compound age-related differences at automatic levels of processing, contributing to the robust age effects observed during challenging listening tasks.
We examined age-related and individual differences in cortical event-related potential (ERP) amplitudes and latencies, processing speed, and gap detection from 25 younger and 25 older adults with normal hearing. ERPs were elicited by brief silent periods (gaps) in an otherwise continuous broadband noise and were measured under two listening conditions, passive and active. During passive listening, participants ignored the stimulus and read quietly. During active listening, participants button pressed each time they detected a gap. Gap detection (percent detected) was calculated for each gap duration during active listening (3, 6, 9, 12, and 15 msec). Processing speed was assessed using the Purdue Pegboard Test and the Connections Test. Repeated measures analyses of variance assessed effects of age on gap detection, processing speed, and ERP amplitudes and latencies. An "attention modulation" construct was created using linear regression to examine the effects of attention while controlling for age-related differences in auditory processing. Pearson correlation analyses assessed the extent to which attention modulation, ERPs, and processing speed predicted behavioral gap detection.
Older adults had significantly poorer gap detection and slower processing speed than younger adults. Even after adjusting for poorer gap detection, the neurophysiological response to gap onset was atypical in older adults with reduced P2 amplitudes and virtually absent N2 responses. Moreover, individual differences in attention modulation of P2 response latencies and N2 amplitudes predicted gap detection and processing speed in older adults. That is, older adults with P2 latencies that decreased and N2 amplitudes that increased with active listening had faster processing speed and better gap detection than those older adults whose P2 latencies increased and N2 amplitudes decreased with attention.
The results from the present study are broadly consistent with previous findings that older adults exhibit significantly poorer gap detection than younger adults in challenging tasks. Even after adjusting for poorer gap detection, older and younger adults showed robust differences in their electrophysiological responses to sound offset. Furthermore, the degree to which attention modulated the ERP was associated with individual variation in measures of processing speed and gap detection. Taken together, these results suggest an age-related deficit in early or automatic levels of auditory temporal processing and that some older adults may be less able to compensate for declines in processing by attending to the stimulus. These results extend our previous findings and support the hypothesis that age-related differences in cognitive or attention-related processing, including processing speed, contribute to an age-related decrease in gap detection.
本研究旨在考察听觉处理的年龄相关差异以及与注意相关的过程在多大程度上解释了听觉时程处理的年龄相关差异。我们假设,注意和认知的年龄相关差异会加剧自动处理水平的年龄相关差异,导致在具有挑战性的听力任务中观察到明显的年龄效应。
我们检查了 25 名年轻和 25 名年龄较大的听力正常成年人的皮质事件相关电位 (ERP) 幅度和潜伏期、处理速度和缝隙检测的年龄相关和个体差异。通过在 otherwise continuous broadband noise 中短暂的 silent periods (gaps) 引出 ERP,并在被动和主动两种听力条件下进行测量。在被动听力中,参与者忽略刺激并安静阅读。在主动听力中,参与者每次检测到缝隙时都会按下按钮。在主动听力期间,根据每个缝隙持续时间计算缝隙检测 (percent detected) (3、6、9、12 和 15 msec)。使用 Purdue Pegboard Test 和 Connections Test 评估处理速度。重复测量方差分析评估年龄对缝隙检测、处理速度以及 ERP 幅度和潜伏期的影响。使用线性回归创建“注意力调节”构念,以在控制听觉处理的年龄相关差异的同时检查注意力的影响。Pearson 相关分析评估了注意力调节、ERP 和处理速度对行为缝隙检测的预测程度。
与年轻人相比,老年人的缝隙检测和处理速度明显较差。即使在调整了较差的缝隙检测后,老年人的神经生理反应也异常,P2 幅度降低,几乎没有 N2 反应。此外,注意力对 P2 潜伏期和 N2 幅度调制的个体差异预测了老年人的缝隙检测和处理速度。也就是说,与 P2 潜伏期增加和 N2 幅度降低的老年人相比,P2 潜伏期减小且 N2 幅度增大的老年人具有更快的处理速度和更好的缝隙检测。
本研究结果与先前发现一致,即老年人在具有挑战性的任务中表现出明显较差的缝隙检测能力。即使在调整了较差的缝隙检测后,老年人和年轻人对声音结束时的电生理反应也存在明显差异。此外,注意力对 ERP 的调节程度与处理速度和缝隙检测的个体差异相关。总之,这些结果表明听觉时间处理的早期或自动水平存在与年龄相关的缺陷,并且一些老年人可能无法通过关注刺激来补偿处理能力的下降。这些结果扩展了我们之前的发现,并支持了认知或与注意力相关的处理过程(包括处理速度)的年龄相关差异导致缝隙检测能力下降的假设。