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人工耳蜗双耳分听表现和努力程度会因功能性耳不对称而受到干扰。

Cochlear-implant dichotic listening performance and effort are disrupted with functional ear asymmetry.

作者信息

DeRoy Milvae Kristina, Kuchinsky Stefanie E, Nguyen Nicole, Goupell Matthew J

机构信息

Department of Communicative Disorders and Sciences, University at Buffalo, Buffalo, New York 14214, USA.

National Military Audiology and Speech Pathology Center, Walter Reed National Military Medical Center, Bethesda, Maryland 20889, USA.

出版信息

J Acoust Soc Am. 2025 Apr 1;157(4):2905-2920. doi: 10.1121/10.0036440.

DOI:10.1121/10.0036440
PMID:40243393
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12007939/
Abstract

When speech understanding abilities differ across the ears, auditory attention and listening effort could be impacted. Twenty listeners with bilateral cochlear implants (CIs) completed this experiment. Fourteen listeners had symmetric and six listeners had asymmetric functional hearing. Listeners completed monotic and dichotic digit recall with digit string lengths of four and six digits and attention directed to each ear. Pupil size was monitored as an index of listening effort. Individual differences in working memory and inhibition abilities were measured. It was hypothesized that ear asymmetry would lead to poorer listening performance and higher listening effort, and that cognitive abilities would predict both performance and listening effort. Greater differences in performance across ears were observed with asymmetry. Lower listening effort was observed with asymmetry, regardless of which ear was attended. Poorer working memory abilities predicted higher listening effort. These results suggest that asymmetric listeners may experience reduced perception of a poorer ear, and that individuals with poorer working memory abilities are at risk to experience higher listening effort in complex listening environments with CIs. More broadly, these results suggest that the salience of sensory inputs contributes to auditory attention ability and use of cognitive resources.

摘要

当双耳的言语理解能力存在差异时,听觉注意力和听能会受到影响。20名佩戴双侧人工耳蜗(CI)的受试者完成了本实验。其中14名受试者的听力功能对称,6名受试者的听力功能不对称。受试者完成了数字串长度为4位和6位的单耳和双耳数字回忆任务,且注意力指向每只耳朵。监测瞳孔大小作为听能的指标。测量了工作记忆和抑制能力的个体差异。研究假设为,耳不对称会导致听能表现较差和听能较高,且认知能力可预测表现和听能。观察到不对称时,双耳的表现差异更大。无论关注哪只耳朵,不对称时的听能均较低。较差的工作记忆能力预示着较高的听能。这些结果表明,听力不对称的受试者可能对较差耳朵的感知能力下降,且工作记忆能力较差的个体在佩戴人工耳蜗的复杂聆听环境中,有听能较高的风险。更广泛地说,这些结果表明,感觉输入的显著性有助于听觉注意力和认知资源的利用。

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本文引用的文献

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Headphones over the cochlear-implant sound processor to replace direct audio input.使用耳机替代直接音频输入到植入式耳蜗声音处理器。
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Attention Mobilization as a Modulator of Listening Effort: Evidence From Pupillometry.注意动员作为倾听努力的调节剂:瞳孔测量的证据。
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Impact of SNR, peripheral auditory sensitivity, and central cognitive profile on the psychometric relation between pupillary response and speech performance in CI users.信噪比、外周听觉敏感性和中枢认知概况对人工耳蜗使用者瞳孔反应与言语表现之间心理测量关系的影响。
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Effect of experimentally introduced interaural frequency mismatch on sentence recognition in bilateral cochlear-implant listeners.实验性引入的两耳频率失配对双侧人工耳蜗植入者句子识别的影响。
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Effortful Listening Despite Correct Responses: The Cost of Mental Repair in Sentence Recognition by Listeners With Cochlear Implants.努力倾听,即使回答正确:人工耳蜗使用者在句子识别中的心理修复成本。
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Computed-Tomography Estimates of Interaural Mismatch in Insertion Depth and Scalar Location in Bilateral Cochlear-Implant Users.双侧人工耳蜗植入者插入深度和标量位置的计算机断层扫描估计的两耳间不匹配。
Otol Neurotol. 2022 Jul 1;43(6):666-675. doi: 10.1097/MAO.0000000000003538.
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Dichotic listening performance and effort as a function of spectral resolution and interaural symmetry.分听任务表现和努力程度与频谱分辨率和两耳对称性的关系。
J Acoust Soc Am. 2021 Aug;150(2):920. doi: 10.1121/10.0005653.
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Listening Effort Is Not the Same as Speech Intelligibility Score.听力努力程度与言语可懂度评分不同。
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