Department of Communication Sciences and Disorders, Syracuse University, Syracuse, New York 13244, USA.
Ear Hear. 2013 May-Jun;34(3):261-72. doi: 10.1097/AUD.0b013e31826d0ba4.
The purpose of the present study was to evaluate the relationship between cognitive function, listening effort, and speech recognition for a group of younger and older adults with normal hearing and a group of older adults with hearing impairment in various types of background maskers. The authors hypothesize that, as the masker condition becomes more difficult listening effort will increase, but the increase will be greater for older participants than for younger participants.
A dual-task paradigm was used to objectively evaluate listening effort. The primary task required participants to repeat sentences presented in three different background-masker conditions: (1) two-talker (TT), (2) six-talker, and (3) speech-shaped noise (SSN). The secondary task was a Digital Visual Pursuit Rotor Tracking test, for which participants were instructed to use a computer mouse to track a moving target around an ellipse that was displayed on a computer screen. Each of the two tasks was separately and concurrently presented at a fixed overall speech-recognition performance level of 76% correct. In addition, participants subjectively rated how easy it was to listen to the sentences in each masker condition on a scale from 0 (i.e., very difficult) to 100 (i.e., very easy). Last, participants completed a battery of cognitive tests that measured working memory (Reading Span Test), processing speed (Digit Symbol Substitution Test), and selective attention (Stroop Test) ability.
Results revealed that participants' working memory and processing speed abilities were significantly related to their speech-recognition performance in noise in all three background-masker conditions. Participants rated the TT condition to be the most difficult listening condition and the SSN condition to be the easiest listening condition. Both groups of older participants expended significantly more listening effort than younger participants did in the SSN and TT masker conditions. For each group of participants, there were no significant differences in listening effort measured across the masker conditions, with the exception of the younger participants, who expended more effort listening in the six-talker masker condition compared with the SSN condition. Participants' listening effort expended on the TT and SSN masker conditions was significantly correlated with their working memory and processing speed performance.
Findings from the present study indicate that older adults require more cognitive resources than younger adults to understand speech in background noise.
本研究旨在评估认知功能、听力努力程度和言语识别之间的关系,研究对象为一组具有正常听力的年轻和年长成年人以及一组具有不同类型背景掩蔽的听力受损的年长成年人。作者假设,随着掩蔽条件变得更加困难,听力努力程度会增加,但对于年长参与者而言,增加幅度会大于年轻参与者。
使用双任务范式客观地评估听力努力程度。主要任务要求参与者重复在三种不同背景掩蔽条件下呈现的句子:(1)双说话人(TT),(2)六说话人,和(3)语音噪声(SSN)。次要任务是数字视觉追踪转子跟踪测试,参与者被指示使用计算机鼠标在计算机屏幕上显示的椭圆上跟踪移动目标。每个任务分别并同时以 76%正确的固定整体言语识别性能水平呈现。此外,参与者在 0(即非常困难)到 100(即非常容易)的量表上主观地对每个掩蔽条件下听句子的难易程度进行评分。最后,参与者完成了一系列认知测试,这些测试测量了工作记忆(阅读跨度测试)、处理速度(数字符号替代测试)和选择性注意力(斯特鲁普测试)能力。
结果表明,参与者的工作记忆和处理速度能力与他们在所有三种背景掩蔽条件下的噪声言语识别性能显著相关。参与者将 TT 条件评为最困难的听力条件,将 SSN 条件评为最容易的听力条件。两组年长参与者在 SSN 和 TT 掩蔽条件下都比年轻参与者付出了更多的听力努力。对于每组参与者,除了年轻参与者之外,在 SSN 条件和六说话人掩蔽条件下,他们的听力努力程度没有显著差异,在六说话人掩蔽条件下,他们的听力努力程度更高。参与者在 TT 和 SSN 掩蔽条件下付出的听力努力程度与他们的工作记忆和处理速度表现显著相关。
本研究的结果表明,年长成年人比年轻成年人需要更多的认知资源来理解背景噪声中的言语。