Moulin Annie, Aguera Pierre-Emmanuel, Ferschneider Mathieu
C. Bernard University, Lyon 1, Inserm U1028, CNRS UMR 5292, Lyon Neuroscience Research Center, Perception, Attention and Memory Team (PAM), F-69 000 Lyon, France.
INSERM Rhône-Alpes Directorate, Information Technology Department, F-69 000 Lyon, France.
Audiol Res. 2025 Sep 8;15(5):113. doi: 10.3390/audiolres15050113.
BACKGROUND/OBJECTIVES: Potential correlations between the scores of self-report questionnaires and speech perception in noise abilities vary widely among studies and have been little explored in patients with conventional hearing aids (HAs). This study aimed to analyse the interrelations between (1) self-report auditory scales (the 15-item short-form of the Speech Spatial and Qualities of Hearing Scale (15iSSQ) and the Extended Listening Effort Assessment Scale (EEAS); (2) speech perception in cocktail party noise, measured with and without HAs; and (3) a self-assessment of the listening effort perceived during the speech in a noise-perception task (TLE) in hearing-aid wearers.
-Thirty-two patients, aged of 77.5 years (SD = 12) with a mean HA experience of 5.6 years, completed the 15iSSQ and EEAS. Their speech-in-babble-noise perception thresholds (SPIN) were assessed with (HA_SPIN) and without their HAs (UA_SPIN), using a four-alternative forced-choice test in free field, with several fixed Signal to Noise ratios (SNR). They were asked to self-assess their listening effort at each of those SNRs, allowing us to define a task-related listening-effort threshold with (HA_TLE) and without HAs (UA_TLE), i.e., the SNR for which they self-evaluated their listening effort as 5 out of 10.
15iSSQ decreased as both HA_SPIN (r = -0.47, < 0.01) and HA_TLE increased (r = -0.36, < 0.05). The relationship between 15iSSQ and UA_SPIN (and UA_TLE) showed a strong moderating influence by HA experience and HA daily wear (HADW), explaining up to 31% of the variance. 15iSSQ depended on HA SPIN and HA_TLE (r = -0.50, < 0.01), and the relationship between 15iSSQ and UA_TLE was moderated by HADW. EEAS scores depended on both HA experience and UA_SPIN, with a strong moderating influence by HADW.
Relationships between auditory questionnaires and SPIN are strongly moderated by both HA experience and HADW, even in experienced HA users, showing the need to account for these variables when analysing relationships between questionnaires and hearing-in-noise tests in experienced HA wearers.
背景/目的：在各项研究中，自我报告问卷得分与噪声环境下言语感知能力之间的潜在相关性差异很大，而对于使用传统助听器（HA）的患者，这方面的研究还很少。本研究旨在分析以下几方面的相互关系：（1）自我报告听觉量表（15项简版言语空间和听力质量量表（15iSSQ）和扩展听力努力评估量表（EEAS））；（2）佩戴和不佩戴HA时在鸡尾酒会噪声环境下的言语感知；（3）助听器佩戴者在噪声感知任务（TLE）中对言语过程中所感知到的听力努力的自我评估。
32名年龄为77.5岁（标准差 = 12）、平均使用HA经验为5.6年的患者完成了15iSSQ和EEAS。使用自由场四选一强制选择测试，在几个固定的信噪比（SNR）条件下，评估他们佩戴HA时（HA_SPIN）和不佩戴HA时（UA_SPIN）的言语嘈杂噪声感知阈值。要求他们在每个SNR条件下自我评估听力努力程度，从而使我们能够确定佩戴HA时（HA_TLE）和不佩戴HA时（UA_TLE）与任务相关的听力努力阈值，即他们将听力努力自我评估为10分制中的5分时的SNR。
随着HA_SPIN（r = -0.47，P < 0.01）和HA_TLE升高，15iSSQ降低（r = -0.36，P < 0.05）。15iSSQ与UA_SPIN（以及UA_TLE）之间的关系显示出HA使用经验和HA每日佩戴时间（HADW）的强烈调节作用，可解释高达31%的方差。15iSSQ取决于HA_SPIN和HA_TLE（r = -0.50，P < 0.01），且15iSSQ与UA_TLE之间的关系受到HADW的调节。EEAS得分取决于HA使用经验和UA_SPIN，且受到HADW的强烈调节。
即使在有经验的HA使用者中，听觉问卷与SPIN之间的关系也受到HA使用经验和HADW的强烈调节，这表明在分析有经验的HA佩戴者问卷与噪声环境下听力测试之间的关系时，需要考虑这些变量。
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