Auditory Processing of Older Adults With Probable Mild Cognitive Impairment

Auditory Processing of Older Adults With Probable Mild Cognitive Impairment
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DOI:
10.1044/2016_jslhr-h-16-0066
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发表时间:
2017-05-01
影响因子:
2.6
通讯作者:
Bush, Aryn L. Harrison
Bush, Aryn L. Harrison
中科院分区:
医学2区
文献类型:
--
作者:
Edwards, Jerri D.;Lister, Jennifer J.;Bush, Aryn L. Harrison

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目的:研究表明,听觉处理的缺陷预测认知能力下降和痴呆,但这些研究包括有限的听觉处理措施。本研究的目的是在听觉处理的两个领域(在竞争声信号中的听觉表现和听觉的时间方面)比较有和没有可能的轻度认知障碍(MCI)的老年人。2005)被用于将参与者分类为具有或不具有可能的MCI。在这项横断面研究中,参与者(n = 79)完成了4项听觉处理测量:具有同侧竞争信息的合成句子识别(Gates,Beiser,Rees,D 'Agostino,& Wolf,2002),两分句识别(Fifer,Jerger,柏林,Tobey,和坎贝尔,1983),时间分辨率的自适应测试(ATTR; Lister & Roberts,2006;跨通道和通道内子测试)和时间压缩语音(Wilson,1993; Wilson,Preece,Salamon,Sperry,& Bornstein,1994)。结果:那些可能MCI有显着较差的性能比那些没有MCI的合成句识别同侧竞争消息,两分句识别,和ATTR通道内的子测试。没有组间差异被发现时间压缩的语音,ATTR跨通道,或听力measurements.Conclusions:老年人与认知功能障碍不仅有困难的竞争声信号,但也可能表现出不良的时间处理。认知障碍老年人的听觉处理缺陷可能包括多个领域。
Purpose: Studies suggest that deficits in auditory processing predict cognitive decline and dementia, but those studies included limited measures of auditory processing. The purpose of this study was to compare older adults with and without probable mild cognitive impairment (MCI) across two domains of auditory processing (auditory performance in competing acoustic signals and temporal aspects of audition).Method: The Montreal Cognitive Assessment (Nasreddine et al., 2005) was used to classify participants as with or without probable MCI. In this cross-sectional study, participants (n = 79) completed 4 measures of auditory processing: Synthetic Sentence Identification with Ipsilateral Competing Message (Gates, Beiser, Rees, D'Agostino, & Wolf, 2002), Dichotic Sentence Identification (Fifer, Jerger, Berlin, Tobey, & Campbell, 1983), Adaptive Tests of Temporal Resolution (ATTR; Lister & Roberts, 2006; across-channel and within-channel subtests), and time-compressed speech (Wilson, 1993; Wilson, Preece, Salamon, Sperry, & Bornstein, 1994). Audiometry was also conducted.Results: Those with probable MCI had significantly poorer performance than those without MCI on Synthetic Sentence Identification with Ipsilateral Competing Message, Dichotic Sentence Identification, and the ATTR within-channel subtest. No group differences were found for time-compressed speech, ATTR across-channel, or audiometric measures.Conclusions: Older adults with cognitive impairment not only have difficulty with competing acoustic signals but may also show poor temporal processing. The profile of auditory processing deficits among older adults with cognitive impairment may include multiple domains.