Manchester Centre for Audiology and Deafness, School of Health Sciences, University of Manchester, Manchester, UK.
Salford Royal NHS Foundation Trust, Salford, UK.
Ear Hear. 2018 May/Jun;39(3):470-474. doi: 10.1097/AUD.0000000000000515.
To investigate the correlations between hearing handicap, speech recognition, listening effort, and fatigue.
Eighty-four adults with hearing loss (65 to 85 years) completed three self-report questionnaires: the Fatigue Assessment Scale, the Effort Assessment Scale, and the Hearing Handicap Inventory for Elderly. Audiometric assessment included pure-tone audiometry and speech recognition in noise.
There was a significant positive correlation between handicap and fatigue (r = 0.39, p < 0.05) and handicap and effort (r = 0.73, p < 0.05). There were significant (but lower) correlations between speech recognition and fatigue (r = 0.22, p < 0.05) or effort (r = 0.32, p< 0.05). There was no significant correlation between hearing level and fatigue or effort.
Hearing handicap and speech recognition both correlate with self-reported listening effort and fatigue, which is consistent with a model of listening effort and fatigue where perceived difficulty is related to sustained effort and fatigue for unrewarding tasks over which the listener has low control. A clinical implication is that encouraging clients to recognize and focus on the pleasure and positive experiences of listening may result in greater satisfaction and benefit from hearing aid use.
探讨听力障碍、言语识别、聆听努力和疲劳之间的相关性。
84 名听力损失成年人（65 至 85 岁）完成了三个自我报告问卷：疲劳评估量表、努力评估量表和老年人听力障碍清单。听力学评估包括纯音听力和噪声下的言语识别。
障碍与疲劳（r = 0.39，p < 0.05）和障碍与努力（r = 0.73，p < 0.05）之间存在显著正相关。言语识别与疲劳（r = 0.22，p < 0.05）或努力（r = 0.32，p< 0.05）之间存在显著（但较低）相关性。听力水平与疲劳或努力之间无显著相关性。
听力障碍和言语识别均与自我报告的聆听努力和疲劳相关，这与聆听努力和疲劳的模型一致，即感知到的难度与为无回报的任务持续努力和疲劳有关，而听者对这些任务的控制较低。一个临床意义是，鼓励患者认识和关注聆听的乐趣和积极体验，可能会使他们从助听器使用中获得更大的满意度和受益。
