Tinnemore Anna R, Montero Lauren, Gordon-Salant Sandra, Goupell Matthew J
Neuroscience and Cognitive Science Program, University of Maryland, College Park, College Park, MD, United States.
Department of Hearing and Speech Sciences, University of Maryland, College Park, College Park, MD, United States.
Front Aging Neurosci. 2022 Sep 29;14:887581. doi: 10.3389/fnagi.2022.887581. eCollection 2022.
Speech recognition is diminished when a listener has an auditory temporal processing deficit. Such deficits occur in listeners over 65 years old with normal hearing (NH) and with age-related hearing loss, but their source is still unclear. These deficits may be especially apparent when speech occurs at a rapid rate and when a listener is mostly reliant on temporal information to recognize speech, such as when listening with a cochlear implant (CI) or to vocoded speech (a CI simulation). Assessment of the auditory temporal processing abilities of adults with CIs across a wide range of ages should better reveal central or cognitive sources of age-related deficits with rapid speech because CI stimulation bypasses much of the cochlear encoding that is affected by age-related peripheral hearing loss. This study used time-compressed speech at four different degrees of time compression (0, 20, 40, and 60%) to challenge the auditory temporal processing abilities of younger, middle-aged, and older listeners with CIs or with NH. Listeners with NH were presented vocoded speech at four degrees of spectral resolution (unprocessed, 16, 8, and 4 channels). Results showed an interaction between age and degree of time compression. The reduction in speech recognition associated with faster rates of speech was greater for older adults than younger adults. The performance of the middle-aged listeners was more similar to that of the older listeners than to that of the younger listeners, especially at higher degrees of time compression. A measure of cognitive processing speed did not predict the effects of time compression. These results suggest that central auditory changes related to the aging process are at least partially responsible for the auditory temporal processing deficits seen in older listeners, rather than solely peripheral age-related changes.
当听众存在听觉时间处理缺陷时,语音识别能力会下降。这种缺陷在听力正常(NH)的65岁以上听众以及患有年龄相关性听力损失的听众中都会出现,但其根源仍不明确。当语音语速较快且听众主要依靠时间信息来识别语音时,这些缺陷可能会尤为明显,例如使用人工耳蜗(CI)聆听或聆听声码语音(人工耳蜗模拟)时。评估不同年龄段使用人工耳蜗的成年人的听觉时间处理能力,应能更好地揭示与快速语音相关的年龄相关性缺陷的中枢或认知根源,因为人工耳蜗刺激绕过了许多受年龄相关性外周听力损失影响的耳蜗编码。本研究使用了四种不同时间压缩程度(0%、20%、40%和60%)的时间压缩语音,来挑战使用人工耳蜗或听力正常的年轻、中年和老年听众的听觉时间处理能力。听力正常的听众聆听了四种频谱分辨率程度(未处理、16通道、8通道和4通道)的声码语音。结果显示年龄与时间压缩程度之间存在交互作用。与较快语速相关的语音识别下降在老年人中比在年轻人中更大。中年听众的表现与老年听众的表现更为相似,而与年轻听众的表现差异较大,尤其是在较高时间压缩程度时。认知处理速度的一项指标并不能预测时间压缩的影响。这些结果表明,与衰老过程相关的中枢听觉变化至少部分导致了老年听众出现的听觉时间处理缺陷,而不仅仅是与年龄相关的外周变化。