Age-Related Changes in Objective and Subjective Speech Perception in Complex Listening Environments

被引:35
作者
Helfer, Karen S. [1 ]
Merchant, Gabrielle R. [1 ]
Wasiuk, Peter A. [1 ]
机构
[1] Univ Massachusetts Amherst, Dept Commun Disorders, Amherst, MA 01003 USA
来源
JOURNAL OF SPEECH LANGUAGE AND HEARING RESEARCH | 2017年 / 60卷 / 10期
基金
美国国家卫生研究院;
关键词
WORKING-MEMORY CAPACITY; HEARING-IMPAIRED LISTENERS; TEMPORAL FINE-STRUCTURE; ADULT LIFE-SPAN; OLDER-ADULTS; COMPETING SPEECH; SENTENCE INTELLIGIBILITY; INDIVIDUAL-DIFFERENCES; SPATIAL SEPARATION; COGNITIVE FUNCTION;
D O I
10.1044/2017_JSLHR-H-17-0030
中图分类号
R36 [病理学]; R76 [耳鼻咽喉科学];
学科分类号
100104 ; 100213 ;
摘要
Purpose: A frequent complaint by older adults is difficulty communicating in challenging acoustic environments. The purpose of this work was to review and summarize information about how speech perception in complex listening situations changes across the adult age range. Method: This article provides a review of age-related changes in speech understanding in complex listening environments and summarizes results from several studies conducted in our laboratory. Results: Both degree of high frequency hearing loss and cognitive test performance limit individuals' ability to understand speech in difficult listening situations as they age. The performance of middle-aged adults is similar to that of younger adults in the presence of noise maskers, but they experience substantially more difficulty when the masker is 1 or 2 competing speech messages. For the most part, middle-aged participants in studies conducted in our laboratory reported as much self-perceived hearing problems as did older adult participants. Conclusions: Research supports the multifactorial nature of listening in real-world environments. Current audiologic assessment practices are often insufficient to identify the true speech understanding struggles that individuals experience in these situations. This points to the importance of giving weight to patients' self-reported difficulties.
引用
收藏
页码:3009 / 3018
页数:10
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