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觉醒状态波动是言语可懂度与年龄相关下降背后的内部噪声源。

Arousal state fluctuations are a source of internal noise underlying age-related declines in speech intelligibility.

作者信息

Smith Samuel S, Sugai Jenna A, Polley Daniel B

机构信息

Eaton-Peabody Laboratories, Massachusetts Eye and Ear; Boston MA, 02114 USA.

Department of Otolaryngology - Head and Neck Surgery, Harvard Medical School; Boston MA 02114 USA.

出版信息

bioRxiv. 2025 May 11:2025.05.09.653191. doi: 10.1101/2025.05.09.653191.


DOI:10.1101/2025.05.09.653191
PMID:40654722
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12247730/
Abstract

Understanding speech in noisy, multi-talker environments is crucial for social communication but becomes increasingly challenging and frustrating as we age. Here, we simulated the acoustic challenges of multi-talker listening and found that adults over 50 years old (N = 76) recognized speech more slowly, less accurately, and less consistently than younger adults (N = 107). While peripheral hearing status accounted for average differences in speech intelligibility by age, it did not account for moment-to-moment variability in speed and accuracy - fluctuations central to the frustration experienced by older listeners in challenging environments. We hypothesized that age-related changes in brain arousal systems might account for the fluctuant "noise" in speech processing observed in older listeners. To isolate the contribution of arousal state independent of hearing status and cognitive load, we measured the pre-stimulus pupil-indexed arousal state (PPAS) immediately prior to speech onset. Older - but not younger - adults exhibited a striking inverted-U relationship between PPAS and speech recognition accuracy. Notably, pupil-indexed listening effort measured seconds later during speech encoding was not associated with trial-to-trial performance. Moreover, older adults exhibited altered arousal regulation, occupying a lower PPAS extremum not observed in younger listeners that was specifically associated with performance deficits and subjective listening difficulties reported in hearing health questionnaires. These findings show that age-related changes in central arousal states interact with peripheral hearing status to offer a more complete explanation for why older adults find speech processing in social setting so challenging.

摘要

在嘈杂的多说话者环境中理解言语对于社交沟通至关重要,但随着年龄的增长,这一过程变得越来越具有挑战性且令人沮丧。在此,我们模拟了多说话者聆听的声学挑战,发现50岁以上的成年人(N = 76)比年轻成年人(N = 107)识别言语的速度更慢、准确性更低且一致性更差。虽然外周听力状况解释了不同年龄在言语可懂度上的平均差异,但它并未解释速度和准确性的瞬间变化——而这种波动是年长听众在具有挑战性的环境中感到沮丧的核心所在。我们推测,大脑唤醒系统中与年龄相关的变化可能是年长听众言语处理中观察到的波动“噪声”的原因。为了分离出独立于听力状况和认知负荷的唤醒状态的作用,我们在言语开始前立即测量了刺激前瞳孔指数化唤醒状态(PPAS)。年长成年人(而非年轻成年人)在PPAS与言语识别准确性之间呈现出显著的倒U型关系。值得注意的是,在言语编码过程中数秒后测量的瞳孔指数化聆听努力与逐次试验的表现并无关联。此外,年长成年人表现出唤醒调节的改变,处于一种年轻听众未观察到的较低PPAS极值状态,这与听力健康问卷中报告的表现缺陷和主观聆听困难具体相关。这些发现表明,中枢唤醒状态与年龄相关的变化与外周听力状况相互作用,从而为年长成年人在社交环境中言语处理为何如此具有挑战性提供了更完整的解释。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7576/12247730/582c60167cdd/nihpp-2025.05.09.653191v1-f0004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7576/12247730/de009b232bab/nihpp-2025.05.09.653191v1-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7576/12247730/b05e1c1d6f45/nihpp-2025.05.09.653191v1-f0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7576/12247730/c5b8a6cab83b/nihpp-2025.05.09.653191v1-f0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7576/12247730/582c60167cdd/nihpp-2025.05.09.653191v1-f0004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7576/12247730/de009b232bab/nihpp-2025.05.09.653191v1-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7576/12247730/b05e1c1d6f45/nihpp-2025.05.09.653191v1-f0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7576/12247730/c5b8a6cab83b/nihpp-2025.05.09.653191v1-f0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7576/12247730/582c60167cdd/nihpp-2025.05.09.653191v1-f0004.jpg

相似文献

[1]
Arousal state fluctuations are a source of internal noise underlying age-related declines in speech intelligibility.

bioRxiv. 2025-5-11

[2]
Seeing a Talker's Mouth Reduces the Effort of Perceiving Speech and Repairing Perceptual Mistakes for Listeners With Cochlear Implants.

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[3]
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[4]
The Roles of Selective Attention and Asymmetric Experience in Bilateral Speech Interference for Single-Sided Deafness Cochlear Implant and Vocoder Listeners.

Ear Hear. 2025-6-19

[5]
Degradation in Binaural and Spatial Hearing, and Auditory Temporal Processing Abilities, as a Function of Aging.

bioRxiv. 2025-2-20

[6]
Extended High-Frequency Thresholds: Associations With Demographic and Risk Factors, Cognitive Ability, and Hearing Outcomes in Middle-Aged and Older Adults.

Ear Hear.

[7]
Effects of Masker Intelligibility and Talker Sex on Speech-in-Speech Recognition by Mandarin Speakers Across the Lifespan.

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[8]
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medRxiv. 2025-6-23

[9]
Non-speech oral motor treatment for children with developmental speech sound disorders.

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[10]
Speech-in-Noise Ability and Signal to Noise Ratio Predict the Timing of Hearing-Impaired Listeners' Intertalker Saccades When Observing Conversational Turn-Taking: An Explorative Investigation.

Ear Hear. 2025-7-15

本文引用的文献

[1]
Strategic stabilization of arousal boosts sustained attention.

Curr Biol. 2024-9-23

[2]
Regulation of pupil size in natural vision across the human lifespan.

R Soc Open Sci. 2024-6-19

[3]
Neurobehavioral meaning of pupil size.

Neuron. 2024-10-23

[4]
A disinhibitory circuit mechanism explains a general principle of peak performance during mid-level arousal.

Proc Natl Acad Sci U S A. 2024-1-30

[5]
Previous Mental Load and Incentives Influence Anticipatory Arousal as Indexed by the Baseline Pupil Diameter in a Speech-in-Noise Task.

Trends Hear. 2023

[6]
Control and coding of pupil size by hypothalamic orexin neurons.

Nat Neurosci. 2023-7

[7]
Afferent Loss, GABA, and Central Gain in Older Adults: Associations with Speech Recognition in Noise.

J Neurosci. 2022-9-21

[8]
Predicting neural deficits in sensorineural hearing loss from word recognition scores.

Sci Rep. 2022-6-23

[9]
Arousal state affects perceptual decision-making by modulating hierarchical sensory processing in a large-scale visual system model.

PLoS Comput Biol. 2022-4

[10]
A functional topography within the cholinergic basal forebrain for encoding sensory cues and behavioral reinforcement outcomes.

Elife. 2021-11-25

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