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对于听力受损的听众,在听力阈值接近正常的频率区域中,竞争性言语和噪声环境下言语清晰度异常。

Abnormal intelligibility of speech in competing speech and in noise in a frequency region where audiometric thresholds are near-normal for hearing-impaired listeners.

作者信息

Léger Agnès C, Ives David T, Lorenzi Christian

机构信息

Research Laboratory of Electronics, Massachusetts Institute of Technology, Room 36-757, 77 Massachusetts Avenue, Cambridge, MA 02139-4307, USA.

Laboratoire des systèmes perceptifs, UMR CNRS 8248, Département d'Etudes Cognitives, Institut d'Etude de la Cognition, École normale supérieure, Paris Sciences et Lettres, 29 rue d'Ulm, 75005 Paris, France.

出版信息

Hear Res. 2014 Oct;316:102-9. doi: 10.1016/j.heares.2014.07.008. Epub 2014 Aug 11.

DOI:10.1016/j.heares.2014.07.008
PMID:25124152
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4194217/
Abstract

The ability to identify syllables in the presence of speech-shaped noise and a single-talker background was measured for 18 normal-hearing (NH) listeners, and for eight hearing-impaired (HI) listeners with near-normal audiometric thresholds for frequencies up to 1.5 kHz and a moderate to severe hearing loss above 2 kHz. The stimulus components were restricted to the low-frequency (≤1.5 kHz) region, where audiometric thresholds were classified clinically as normal or near normal for all listeners. Syllable identification in a speech background was measured as a function of the fundamental-frequency (F0) difference between competing voices (ranging from 1 semitone to ∼1 octave). HI listeners had poorer syllable intelligibility than NH listeners in all conditions. Intelligibility decreased by about the same amount for both groups when the F0 difference between competing voices was reduced. The results suggest that the ability to identify speech against noise or an interfering talker was disrupted in frequency regions of near-normal hearing for HI listeners, but that the ability to benefit from the tested F0 differences was not disrupted. This deficit was not predicted by the elevated absolute thresholds for speech in speech, but it was for speech in noise. It may result from supra-threshold auditory deficits associated with aging.

摘要

针对18名听力正常(NH)的听众以及8名听力受损(HI)的听众,测量了他们在语音形状噪声和单说话者背景下识别音节的能力。这8名听力受损的听众在1.5kHz以下频率的听力阈值接近正常,但在2kHz以上存在中度至重度听力损失。刺激成分被限制在低频(≤1.5kHz)区域,在该区域所有听众的听力阈值在临床上被分类为正常或接近正常。在语音背景下的音节识别作为竞争声音之间基频(F0)差异的函数进行测量(范围从1个半音到约1个八度)。在所有条件下,听力受损的听众的音节清晰度都比听力正常的听众差。当竞争声音之间的F0差异减小时,两组的清晰度下降量大致相同。结果表明,在听力接近正常的频率区域,听力受损的听众识别对抗噪声或干扰说话者的语音的能力受到了干扰,但从测试的F0差异中获益的能力没有受到干扰。这种缺陷不是由语音中语音的绝对阈值升高所预测的,但对于噪声中的语音是可以预测的。它可能是由与衰老相关的阈上听觉缺陷导致的。

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本文引用的文献

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Age-dependent changes in temporal-fine-structure processing in the absence of peripheral hearing loss.在无外周听力损失情况下,时间精细结构处理的年龄依赖性变化。
Am J Audiol. 2013 Dec;22(2):313-5. doi: 10.1044/1059-0889(2013/12-0070).
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Auditory models of suprathreshold distortion and speech intelligibility in persons with impaired hearing.听力受损者的超阈值失真与言语可懂度的听觉模型。
J Am Acad Audiol. 2013 Apr;24(4):307-28. doi: 10.3766/jaaa.24.4.6.
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Suprathreshold auditory processing and speech perception in noise: hearing-impaired and normal-hearing listeners.
Effects of Various Extents of High-Frequency Hearing Loss on Speech Recognition and Gap Detection at Low Frequencies in Patients with Sensorineural Hearing Loss.
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超阈值听觉处理与噪声环境下的言语感知:听力受损和听力正常的听众
J Am Acad Audiol. 2013 Apr;24(4):274-92. doi: 10.3766/jaaa.24.4.4.
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Phoneme recognition in modulated maskers by normal-hearing and aided hearing-impaired listeners.正常听力和助听听力受损者在调制掩蔽下的语音识别。
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