Correspondence to Adriana A. Zekveld:
J Speech Lang Hear Res. 2013 Oct;56(5):1364-72. doi: 10.1044/1092-4388(2013/12-0268). Epub 2013 Jul 9.
In this explorative study, the authors investigated the relationship between auditory and cognitive abilities and self-reported hearing disability.
Thirty-two adults with mild to moderate hearing loss completed the Amsterdam Inventory for Auditory Disability and Handicap (AIADH; Kramer, Kapteyn, Festen, & Tobi, 1996) and performed the Text Reception Threshold (TRT; Zekveld, George, Kramer, Goverts, & Houtgast, 2007) test as well as tests of spatial working memory (SWM) and visual sustained attention. Regression analyses examined the predictive value of age, hearing thresholds (pure-tone averages [PTAs]), speech perception in noise (speech reception thresholds in noise [SRTNs]), and the cognitive tests for the 5 AIADH factors.
Besides the variance explained by age, PTA, and SRTN, cognitive abilities were related to each hearing factor. The reported difficulties with sound detection and speech perception in quiet were less severe for participants with higher age, lower PTAs, and better TRTs. Fewer sound localization and speech perception in noise problems were reported by participants with better SRTNs and smaller SWM. Fewer sound discrimination difficulties were reported by subjects with better SRTNs and TRTs and smaller SWM.
The results suggest a general role of the ability to read partly masked text in subjective hearing. Large working memory was associated with more reported hearing difficulties. This study shows that besides auditory variables and age, cognitive abilities are related to self-reported hearing disability.
在这项探索性研究中，作者研究了听觉和认知能力与自我报告的听力障碍之间的关系。
32 名轻度至中度听力损失的成年人完成了阿姆斯特丹听力障碍和障碍问卷（AIADH；Kramer、Kapteyn、Festen 和 Tobi，1996 年），并进行了文本接收阈值（TRT；Zekveld、George、Kramer、Goverts 和 Houtgast，2007 年）测试以及空间工作记忆（SWM）和视觉持续注意力测试。回归分析检查了年龄、听力阈值（纯音平均值 [PTAs]）、噪声中的言语感知（噪声中的言语接收阈值 [SRTN]）和认知测试对 5 个 AIADH 因素的预测价值。
除了年龄、PTA 和 SRTN 解释的方差外，认知能力与每个听力因素都有关。对于年龄较大、PTA 较低和 TRT 较好的参与者，报告的声音检测和安静言语感知困难程度较轻。SRTN 更好、SWM 更小的参与者报告的声音定位和噪声中的言语感知问题较少。报告的声音辨别困难程度较小的受试者具有更好的 SRTN 和 TRT 以及更小的 SWM。
结果表明，能够阅读部分掩蔽文本的能力在主观听力中起着一般作用。较大的工作记忆与更多的报告听力困难有关。这项研究表明，除了听觉变量和年龄外，认知能力与自我报告的听力障碍有关。
