McGarrigle Ronan, Munro Kevin J, Dawes Piers, Stewart Andrew J, Moore David R, Barry Johanna G, Amitay Sygal
* School of Psychological Sciences, the University of Manchester , UK.
Int J Audiol. 2014 Jul;53(7):433-40. doi: 10.3109/14992027.2014.890296. Epub 2014 Mar 27.
There is growing interest in the concepts of listening effort and fatigue associated with hearing loss. However, the theoretical underpinnings and clinical meaning of these concepts are unclear. This lack of clarity reflects both the relative immaturity of the field and the fact that research studies investigating listening effort and fatigue have used a variety of methodologies including self-report, behavioural, and physiological measures.
This discussion paper provides working definitions for listening effort and listening-related fatigue. Using these definitions as a framework, methodologies to assess these constructs are reviewed.
Although each technique attempts to characterize the same construct (i.e. the clinical presentation of listening effort and fatigue), different assumptions are often made about the nature of these phenomena and their behavioural and physiological manifestations.
We suggest that researchers consider these assumptions when interpreting their data and, where possible, make predictions based on current theoretical knowledge to add to our understanding of the underlying mechanisms of listening effort and listening-related fatigue.
Following recent interest in the cognitive involvement in hearing, the British Society of Audiology (BSA) established a Special Interest Group on Cognition in Hearing in May 2013. In an exploratory group meeting, the ambiguity surrounding listening effort and fatigue was discussed. To address this problem, the group decided to develop a 'white paper' on listening effort and fatigue. This is a discussion document followed by an international set of commentaries from leading researchers in the field. An approach was made to the editor of the International Journal of Audiology who agreed to this suggestion. This paper, and the associated commentaries that follow, are the result.
人们对与听力损失相关的聆听努力和疲劳概念的兴趣与日俱增。然而，这些概念的理论基础和临床意义尚不清楚。这种不清晰既反映了该领域相对不成熟，也反映出研究聆听努力和疲劳的研究采用了多种方法，包括自我报告、行为和生理测量。
本讨论文件为聆听努力和与聆听相关的疲劳提供了工作定义。以这些定义为框架，对评估这些构念的方法进行了综述。
尽管每种技术都试图描述相同的构念（即聆听努力和疲劳的临床表现），但对于这些现象的本质及其行为和生理表现，往往存在不同的假设。
我们建议研究人员在解释数据时考虑这些假设，并在可能的情况下，根据当前的理论知识进行预测，以增进我们对聆听努力和与聆听相关的疲劳潜在机制的理解。
继近期对听力认知参与的关注之后，英国听力学学会（BSA）于2013年5月成立了听力认知特别兴趣小组。在一次探索性小组会议上，讨论了围绕聆听努力和疲劳的模糊性。为解决这一问题，该小组决定编写一份关于聆听努力和疲劳的“白皮书”。这是一份讨论文件，随后是该领域主要研究人员的一组国际评论。已与《国际听力学杂志》的编辑联系，他同意了这一建议。本文以及随后的相关评论即为此成果。
