Karaman Demirel Ayşenur, Akbulut Ahmet Alperen, Çiprut Ayşe Ayça, Bal Nilüfer
Vocational School of Health Services, Istanbul Okan University, Istanbul 34959, Türkiye.
Audiology and Speech Disorders PhD Program, Institute of Health Sciences, Marmara University, Istanbul 34854, Türkiye.
Audiol Res. 2025 Aug 2;15(4):94. doi: 10.3390/audiolres15040094.
: This study investigated the association between cochlear implant (CI) users' assessed perception of musical sound quality and their subjective music perception and music-related quality of life (QoL). The aim was to provide a comprehensive evaluation by integrating a relatively objective Turkish Multiple Stimulus with Hidden Reference and Anchor (TR-MUSHRA) test and a subjective music questionnaire. : Thirty CI users and thirty normal-hearing (NH) adults were assessed. Perception of sound quality was measured using the TR-MUSHRA test. Subjective assessments were conducted with the Music-Related Quality of Life Questionnaire (MuRQoL). : TR-MUSHRA results showed that while NH participants rated all filtered stimuli as perceptually different from the original, CI users provided similar ratings for stimuli with adjacent high-pass filter settings, indicating less differentiation in perceived sound quality. On the MuRQoL, groups differed on the Frequency subscale but not the Importance subscale. Critically, no significant correlation was found between the TR-MUSHRA scores and the MuRQoL subscale scores in either group. : The findings demonstrate that TR-MUSHRA is an effective tool for assessing perceived sound quality relatively objectively, but there is no relationship between perceiving sound quality differences and measures of self-reported musical engagement and its importance. Subjective music experience may represent different domains beyond the perception of sound quality. Therefore, successful auditory rehabilitation requires personalized strategies that consider the multifaceted nature of music perception beyond simple perceptual judgments.
本研究调查了人工耳蜗（CI）使用者对音乐音质的评估感知与他们的主观音乐感知及与音乐相关的生活质量（QoL）之间的关联。目的是通过整合相对客观的土耳其语多刺激隐藏参考和锚定（TR-MUSHRA）测试及一份主观音乐问卷来提供全面评估。：对30名CI使用者和30名听力正常（NH）的成年人进行了评估。使用TR-MUSHRA测试测量音质感知。通过音乐相关生活质量问卷（MuRQoL）进行主观评估。：TR-MUSHRA结果显示，虽然NH参与者将所有滤波后的刺激评定为在感知上与原始刺激不同，但CI使用者对具有相邻高通滤波器设置的刺激给出了相似的评定，表明在感知音质方面的区分较少。在MuRQoL上，两组在频率子量表上存在差异，但在重要性子量表上没有差异。关键的是，两组中TR-MUSHRA分数与MuRQoL子量表分数之间均未发现显著相关性。：研究结果表明，TR-MUSHRA是一种相对客观地评估感知音质的有效工具，但感知音质差异与自我报告的音乐参与度及其重要性的测量之间没有关系。主观音乐体验可能代表了音质感知之外的不同领域。因此，成功的听觉康复需要个性化策略，该策略要考虑到音乐感知的多面性，而不仅仅是简单的感知判断。
