The relationship of speech intelligibility with hearing sensitivity, cognition, and perceived hearing difficulties varies for different speech perception tests.
The relationship of speech intelligibility with hearing sensitivity, cognition, and perceived hearing difficulties varies for different speech perception tests.
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DOI：
10.3389/fpsyg.2015.00782
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发表时间：
2015
影响因子：
3.8
通讯作者：
Ferguson MA
中科院分区：
文献类型：
--
作者：
Heinrich A;Henshaw H;Ferguson MA
在嘈杂的环境中，听众的理解能力各不相同。通过纯音测听测量的听力敏感度只能部分解释这些结果，而认知已成为另一个关键概念。虽然认知与言语感知有关，但这种关系的确切性质仍有待充分理解。本研究探讨了认知的不同方面，特别是工作记忆和注意力，与各种测试的语音清晰度。语音感知的感知准确性只是听力环境中功能的一个方面。除了听力环境的要求外，听力损失所带来的活动和参与限制也很重要，自我报告问卷可能会更好地反映这一点。理解言语感知如何与自我报告的听力方面形成了研究的第二个重点。对44名年龄在50岁至74岁之间的轻度感音神经性听力损失的听众进行了复杂度从低到高不同的言语感知测试。（安静时的音素辨别），中等（语音形状噪声中的数字三联体感知）至高（在调制噪声中的句子感知）;注意力、记忆力和非语言智商的认知测试;以及一般健康相关和听力相关生活质量的自我报告问卷。听力灵敏度和认知与可懂度的关系取决于不同的语音测试：对音素辨别都不重要，听力灵敏度对数字三联体感知很重要，听力和认知一起在句子感知中发挥作用。自我报告的听觉功能方面与言语清晰度不同程度的相关性，在噪声中的数字三联体显示出最丰富的模式。结果表明，可懂度测试可以在他们的听觉和认知需求以及他们对听觉环境对功能构成的挑战的敏感性方面有所不同。
Listeners vary in their ability to understand speech in noisy environments. Hearing sensitivity, as measured by pure-tone audiometry, can only partly explain these results, and cognition has emerged as another key concept. Although cognition relates to speech perception, the exact nature of the relationship remains to be fully understood. This study investigates how different aspects of cognition, particularly working memory and attention, relate to speech intelligibility for various tests. Perceptual accuracy of speech perception represents just one aspect of functioning in a listening environment. Activity and participation limits imposed by hearing loss, in addition to the demands of a listening environment, are also important and may be better captured by self-report questionnaires. Understanding how speech perception relates to self-reported aspects of listening forms the second focus of the study. Forty-four listeners aged between 50 and 74 years with mild sensorineural hearing loss were tested on speech perception tests differing in complexity from low (phoneme discrimination in quiet), to medium (digit triplet perception in speech-shaped noise) to high (sentence perception in modulated noise); cognitive tests of attention, memory, and non-verbal intelligence quotient; and self-report questionnaires of general health-related and hearing-specific quality of life. Hearing sensitivity and cognition related to intelligibility differently depending on the speech test: neither was important for phoneme discrimination, hearing sensitivity alone was important for digit triplet perception, and hearing and cognition together played a role in sentence perception. Self-reported aspects of auditory functioning were correlated with speech intelligibility to different degrees, with digit triplets in noise showing the richest pattern. The results suggest that intelligibility tests can vary in their auditory and cognitive demands and their sensitivity to the challenges that auditory environments pose on functioning.
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DOI：
10.1044/jshr.3304.726
发表时间：
1990-12-01
期刊：
JOURNAL OF SPEECH AND HEARING RESEARCH
影响因子：
--
作者：
HUMES, LE;ROBERTS, L
通讯作者：
ROBERTS, L
影响因子：
2.7
作者：
Houtgast, Tammo;Festen, Joost M.
通讯作者：
Festen, Joost M.
影响因子：
3.5
作者：
Joore, MA;Potjewijd, J;Anteunis, LJC
通讯作者：
Anteunis, LJC
影响因子：
3.7
作者：
Ferguson MA;Henshaw H;Clark DP;Moore DR
通讯作者：
Moore DR
影响因子：
2.4
作者：
George, Erwin L. J.;Festen, Joost M.;Houtgast, Tammo
通讯作者：
Houtgast, Tammo