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1.
J Acoust Soc Am ; 156(3): 1565-1574, 2024 Sep 01.
Article in English | MEDLINE | ID: mdl-39240123

ABSTRACT

Audible very-high frequency sound (VHFS) and ultrasound (US) have been rated more unpleasant than lower frequency sounds when presented to listeners at similar sensation levels (SLs). In this study, 17 participants rated the sensory unpleasantness of 14-, 16-, and 18-kHz tones and a 1-kHz reference tone. Tones were presented at equal subjective loudness levels for each individual, corresponding to levels of 10, 20, and 30 dB SL measured at 1 kHz. Participants were categorized as either "symptomatic" or "asymptomatic" based on self-reported previous symptoms that they attributed to exposure to VHFS/US. In both groups, subjective loudness increased more rapidly with sound pressure level for VHFS/US than for the 1-kHz reference tone, which is consistent with a reduced dynamic range at the higher frequencies. For loudness-matched tones, participants rated VHFS/US as more unpleasant than that for the 1-kHz reference. These results suggest that increased sensory unpleasantness and reduced dynamic range at high frequencies should be considered when designing or deploying equipment which emits VHFS/US that could be audible to exposed people.


Subject(s)
Acoustic Stimulation , Loudness Perception , Ultrasonic Waves , Humans , Male , Female , Adult , Young Adult , Sound , Auditory Perception , Pressure , Auditory Threshold
2.
Am J Speech Lang Pathol ; 33(5): 2536-2555, 2024 Sep 18.
Article in English | MEDLINE | ID: mdl-39240811

ABSTRACT

PURPOSE: The goal of this study was to determine the relationship between the perceptual measure of speech naturalness and objective measures of pitch, loudness, and rate control as a potential tool for assessment of ataxic dysarthria. METHOD: Twenty-seven participants with ataxia and 29 age- and sex-matched control participants completed the pitch glide and loudness step tasks drawn from the Frenchay Dysarthria Assessment-Second Edition (FDA-2) in addition to speech diadochokinetic (DDK) tasks. First, group differences were compared for pitch variability in the pitch glide task, loudness variability in the loudness step task, and syllable duration and speech rate in the DDK task. Then, these acoustic measures were compared with previously collected ratings of speech naturalness by speech-language pathology graduate students. RESULTS: Robust group differences were measured for pitch variability and both DDK syllable duration and speech rate, indicating that the ataxia group had greater pitch variability, longer DDK syllable duration, and slower DDK speech rate than the control group. No group differences were measured for loudness variability. There were robust relationships between speech naturalness and pitch variability, DDK syllable duration, and DDK speech rate, but not for loudness variability. CONCLUSIONS: Objective acoustic measures of pitch variability in the FDA-2 pitch glide task and syllable duration and speech rate in the DDK task can be used to validate perceptual measures of speech naturalness. Overall, speech-language pathologists can incorporate both perceptual measures of speech naturalness and acoustic measures of pitch variability and DDK performance for a comprehensive evaluation of ataxic dysarthria.


Subject(s)
Cerebellar Ataxia , Dysarthria , Speech Acoustics , Speech Production Measurement , Voice Quality , Humans , Female , Male , Middle Aged , Dysarthria/physiopathology , Dysarthria/diagnosis , Dysarthria/etiology , Adult , Cerebellar Ataxia/physiopathology , Aged , Pitch Perception , Case-Control Studies , Loudness Perception , Speech Perception
3.
J Acoust Soc Am ; 156(3): 1929-1941, 2024 Sep 01.
Article in English | MEDLINE | ID: mdl-39315887

ABSTRACT

Electric drones serve diverse functions, including delivery and surveillance. Nonetheless, they encounter significant challenges due to their annoying noise emissions. To address this issue, a sound database was created from experiments conducted in a hover-test-bench and real flights operated indoors. These experiments involved a wide range of parameter variations and operational conditions. A global digital user study involving 578 participants was conducted to assess drone noise annoyance. Furthermore, correlations between annoyance levels, psychoacoustic metrics, sociocultural factors, and technical/operational parameters were analyzed. The effects of implementing acoustic optimization modifications on the drone's performance were quantified with a conceptual design tool. The findings indicate that reducing the levels of loudness, sharpness, tonality, and roughness or fluctuation strength led to an improvement in annoyance. Differences in variable importance of psychoacoustic metrics dependent on the specific model were found. Sociocultural factors did not affect annoyance. Technical and operational parameters impacted annoyance, especially when reducing blade tip speed. A 20% reduction in tip speed showed potential through tool application as it maintained acceptable drone performance while beneficially targeting annoyance. A multi-disciplinary optimization is recommended to maintain operational efficiency. Last, psychoacoustic metrics were validated as an effective measure to evaluate a design solution.


Subject(s)
Aircraft , Noise, Transportation , Psychoacoustics , Humans , Male , Noise, Transportation/adverse effects , Female , Adult , Young Adult , Acoustics , Middle Aged , Equipment Design , Auditory Perception , Loudness Perception
4.
J Acoust Soc Am ; 156(2): 989-1003, 2024 Aug 01.
Article in English | MEDLINE | ID: mdl-39136635

ABSTRACT

In order to improve the prediction accuracy of the sound quality of vehicle interior noise, a novel sound quality prediction model was proposed based on the physiological response predicted metrics, i.e., loudness, sharpness, and roughness. First, a human-ear sound transmission model was constructed by combining the outer and middle ear finite element model with the cochlear transmission line model. This model converted external input noise into cochlear basilar membrane response. Second, the physiological perception models of loudness, sharpness, and roughness were constructed by transforming the basilar membrane response into sound perception related to neuronal firing. Finally, taking the calculated loudness, sharpness, and roughness of the physiological model and the subjective evaluation values of vehicle interior noise as the parameters, a sound quality prediction model was constructed by TabNet model. The results demonstrate that the loudness, sharpness, and roughness computed by the human-ear physiological model exhibit a stronger correlation with the subjective evaluation of sound quality annoyance compared to traditional psychoacoustic parameters. Furthermore, the average error percentage of sound quality prediction based on the physiological model is only 3.81%, which is lower than that based on traditional psychoacoustic parameters.


Subject(s)
Loudness Perception , Noise, Transportation , Psychoacoustics , Humans , Loudness Perception/physiology , Acoustic Stimulation/methods , Finite Element Analysis , Models, Biological , Automobiles , Basilar Membrane/physiology , Cochlea/physiology , Auditory Perception/physiology , Noise , Ear, Middle/physiology , Computer Simulation
5.
J Acoust Soc Am ; 156(2): 879-890, 2024 Aug 01.
Article in English | MEDLINE | ID: mdl-39120867

ABSTRACT

This paper introduces a ranking and selection approach to psychoacoustic and psychophysical experimentation, with the aim of identifying top-ranking samples in listening experiments with minimal pairwise comparisons. We draw inspiration from sports tournament designs and propose to adopt modified knockout (KO) tournaments. Two variants of modified KO tournaments are described, which adapt the tree selection sorting algorithm and the replacement selection algorithm known from computer science. To validate the proposed method, a listening experiment is conducted, where binaural renderings of seven chamber music halls are compared regarding loudness and reverberance. The rankings obtained by the modified KO tournament method are compared to those obtained from a traditional round-robin (RR) design, where all possible pairs are compared. Moreover, the paper presents simulations to illustrate the method's robustness when choosing different parameters and assuming different underlying data distributions. The study's findings demonstrate that modified KO tournaments are more efficient than full RR designs in terms of the number of comparisons required for identifying the top ranking samples. Thus, they provide a promising alternative for this task. We offer an open-source implementation so that researchers can easily integrate KO designs into their studies.


Subject(s)
Algorithms , Psychoacoustics , Humans , Music , Computer Simulation , Auditory Perception , Acoustics , Loudness Perception , Acoustic Stimulation/methods
6.
JASA Express Lett ; 4(8)2024 08 01.
Article in English | MEDLINE | ID: mdl-39140831

ABSTRACT

Previous research suggests that noise sensitivity is related to inefficient auditory processing that might increase the mental load of noise and affect noise evaluation. This assumption was tested in an experiment using a dual-task paradigm with a visual primary task and an auditory secondary task. Results showed that participants' noise sensitivity was positively correlated with mental effort. Furthermore, mental effort mediated the effect of noise sensitivity on loudness and unpleasantness ratings. The results thus support the idea that noise sensitivity is related to increased mental effort and difficulties in filtering auditory information and that situational factors should be considered.


Subject(s)
Auditory Perception , Noise , Humans , Noise/adverse effects , Male , Female , Adult , Auditory Perception/physiology , Young Adult , Loudness Perception/physiology , Visual Perception/physiology , Acoustic Stimulation
7.
Neuroimage ; 299: 120796, 2024 Oct 01.
Article in English | MEDLINE | ID: mdl-39153523

ABSTRACT

PURPOSE: In this study, the objectification of the subjective perception of loudness was investigated using electroencephalography (EEG). In particular, the emergence of objective markers in the domain of the acoustic discomfort threshold was examined. METHODS: A cohort of 27 adults with normal hearing, aged between 18 and 30, participated in the study. The participants were presented with 500 ms long noise stimuli via in-ear headphones. The acoustic signals were presented with sound levels of [55, 65, 75, 85, 95 dB]. After each stimulus, the subjects provided their subjective assessment of the perceived loudness using a colored scale on a touchscreen. EEG signals were recorded, and afterward, event-related potentials (ERPs) locked to sound onset were analyzed. RESULTS: Our findings reveal a linear dependency between the N100 component and both the sound level and the subjective loudness categorization of the sound. Additionally, the data demonstrated a nonlinear relationship between the P300 potential and the sound level as well as for the subjective loudness rating. The P300 potential was elicited exclusively when the stimuli had been subjectively rated as "very loud" or "too loud". CONCLUSION: The findings of the present study suggest the possibility of the identification of the subjective uncomfortable loudness level by objective neural parameters.


Subject(s)
Electroencephalography , Loudness Perception , Humans , Adult , Male , Female , Electroencephalography/methods , Young Adult , Loudness Perception/physiology , Adolescent , Event-Related Potentials, P300/physiology , Acoustic Stimulation , Evoked Potentials, Auditory/physiology , Brain/physiology , Evoked Potentials/physiology
8.
J Acoust Soc Am ; 156(1): 262-277, 2024 Jul 01.
Article in English | MEDLINE | ID: mdl-38980101

ABSTRACT

A series of Bayesian adaptive procedures to estimate loudness growth across a wide frequency range from individual listeners was developed, and these procedures were compared. Simulation experiments were conducted based on multinomial psychometric functions for categorical loudness scaling across ten test frequencies estimated from 61 listeners with normal hearing and 87 listeners with sensorineural hearing loss. Adaptive procedures that optimized the stimulus selection based on the interim estimates of two types of category-boundary models were tested. The first type of model was a phenomenological model of category boundaries adopted from previous research studies, while the other type was a data-driven model derived from a previously collected set of categorical loudness scaling data. An adaptive procedure without Bayesian active learning was also implemented. Results showed that all adaptive procedures provided convergent estimates of the loudness category boundaries and equal-loudness contours between 250 and 8000 Hz. Performing post hoc model fitting, using the data-driven model, on the collected data led to satisfactory accuracies, such that all adaptive procedures tested in the current study, independent of modeling approach and stimulus-selection rules, were able to provide estimates of the equal-loudness-level contours between 20 and 100 phons with root-mean-square errors typically under 6 dB after 100 trials.


Subject(s)
Acoustic Stimulation , Bayes Theorem , Hearing Loss, Sensorineural , Loudness Perception , Humans , Hearing Loss, Sensorineural/psychology , Hearing Loss, Sensorineural/physiopathology , Adult , Middle Aged , Female , Male , Acoustic Stimulation/methods , Aged , Young Adult , Case-Control Studies , Auditory Threshold , Computer Simulation , Psychoacoustics
9.
J Acoust Soc Am ; 156(1): 326-340, 2024 Jul 01.
Article in English | MEDLINE | ID: mdl-38990035

ABSTRACT

Humans are adept at identifying spectral patterns, such as vowels, in different rooms, at different sound levels, or produced by different talkers. How this feat is achieved remains poorly understood. Two psychoacoustic analogs of spectral pattern recognition are spectral profile analysis and spectrotemporal ripple direction discrimination. This study tested whether pattern-recognition abilities observed previously at low frequencies are also observed at extended high frequencies. At low frequencies (center frequency ∼500 Hz), listeners were able to achieve accurate profile-analysis thresholds, consistent with prior literature. However, at extended high frequencies (center frequency ∼10 kHz), listeners' profile-analysis thresholds were either unmeasurable or could not be distinguished from performance based on overall loudness cues. A similar pattern of results was observed with spectral ripple discrimination, where performance was again considerably better at low than at high frequencies. Collectively, these results suggest a severe deficit in listeners' ability to analyze patterns of intensity across frequency in the extended high-frequency region that cannot be accounted for by cochlear frequency selectivity. One interpretation is that the auditory system is not optimized to analyze such fine-grained across-frequency profiles at extended high frequencies, as they are not typically informative for everyday sounds.


Subject(s)
Acoustic Stimulation , Auditory Threshold , Psychoacoustics , Humans , Young Adult , Female , Male , Adult , Cues , Speech Perception/physiology , Sound Spectrography , Loudness Perception , Pattern Recognition, Physiological
10.
Psychol Res ; 88(5): 1602-1615, 2024 Jul.
Article in English | MEDLINE | ID: mdl-38720089

ABSTRACT

For the auditory dimensions loudness and pitch a vertical SARC effect (Spatial Association of Response Codes) exists: When responding to loud (high) tones, participants are faster with top-sided responses compared to bottom-sided responses and vice versa for soft (low) tones. These effects are typically explained by two different spatial representations for both dimensions with pitch being represented on a helix structure and loudness being represented as spatially associated magnitude. Prior studies show incoherent results with regard to the question whether two SARC effects can occur at the same time as well as whether SARC effects interact with each other. Therefore, this study aimed to investigate the interrelation between the SARC effect for pitch and the SARC effect for loudness in a timbre discrimination task. Participants (N = 36) heard one tone per trial and had to decide whether the presented tone was a violin tone or an organ tone by pressing a top-sided or bottom-sided response key. Loudness and pitch were varied orthogonally. We tested the occurrence of SARC effects for pitch and loudness as well as their potential interaction by conducting a multiple linear regression with difference of reaction time (dRT) as dependent variable, and loudness and pitch as predictors. Frequentist and Bayesian analyses revealed that the regression coefficients of pitch and loudness were smaller than zero indicating the simultaneous occurrence of a SARC effects for both dimensions. In contrast, the interaction coefficient was not different from zero indicating an additive effect of both predictors.


Subject(s)
Loudness Perception , Pitch Perception , Humans , Male , Female , Adult , Loudness Perception/physiology , Young Adult , Pitch Perception/physiology , Reaction Time/physiology , Acoustic Stimulation
11.
Perception ; 53(7): 450-464, 2024 Jul.
Article in English | MEDLINE | ID: mdl-38778785

ABSTRACT

This study aimed to investigate the perception of loudness in response to changes in fundamental frequency (F0) in spoken sounds, as well as the influence of linguistic background on this perceptual process. The results revealed that participants perceived changes in F0 to have accompanying changes in loudness, with a trend of lower F0 sounds being perceived as louder than higher F0 sounds. This finding contrasts with previous studies on pure tones, where increases in frequency typically led to increases in loudness. Furthermore, the study examined differences between two distinct groups of participants: Chinese-speaking and English-speaking individuals. It was observed that English-speaking participants exhibited a greater sensitivity to minor intensity changes compared to Chinese-speaking participants. This discrepancy in sensitivity suggests that linguistic background may play a significant role in shaping the perception of loudness in spoken sound. The study's findings contribute to our understanding of how F0 variations are perceived in terms of loudness, and highlight the potential impact of language experience on this perceptual process.


Subject(s)
Loudness Perception , Speech Perception , Humans , Male , Female , Loudness Perception/physiology , Adult , Young Adult , Speech Perception/physiology , Speech Acoustics , Language
12.
J Speech Lang Hear Res ; 67(6): 1731-1751, 2024 Jun 06.
Article in English | MEDLINE | ID: mdl-38754028

ABSTRACT

PURPOSE: The present study examined whether participants respond to unperturbed parameters while experiencing specific perturbations in auditory feedback. For instance, we aim to determine if speakers adjust voice loudness when only pitch is artificially altered in auditory feedback. This phenomenon is referred to as the "accompanying effect" in the present study. METHOD: Thirty native Mandarin speakers were asked to sustain the vowel /ɛ/ for 3 s while their auditory feedback underwent single shifts in one of the three distinct ways: pitch shift (±100 cents; coded as PT), loudness shift (±6 dB; coded as LD), or first formant (F1) shift (±100 Hz; coded as FM). Participants were instructed to ignore the perturbations in their auditory feedback. Response types were categorized based on pitch, loudness, and F1 for each individual trial, such as Popp_Lopp_Fopp indicating opposing responses in all three domains. RESULTS: The accompanying effect appeared 93% of the time. Bayesian Poisson regression models indicate that opposing responses in all three domains (Popp_Lopp_Fopp) were the most prevalent response type across the conditions (PT, LD, and FM). The more frequently used response types exhibited opposing responses and significantly larger response curves than the less frequently used response types. Following responses became more prevalent only when the perturbed stimuli were perceived as voices from someone else (external references), particularly in the FM condition. In terms of isotropy, loudness and F1 tended to change in the same direction rather than loudness and pitch. CONCLUSION: The presence of the accompanying effect suggests that the motor systems responsible for regulating pitch, loudness, and formants are not entirely independent but rather interconnected to some degree.


Subject(s)
Bayes Theorem , Pitch Perception , Humans , Male , Female , Young Adult , Pitch Perception/physiology , Adult , Speech Perception/physiology , Loudness Perception/physiology , Feedback, Sensory/physiology , Voice/physiology , Acoustic Stimulation/methods , Speech Acoustics
13.
Trends Hear ; 28: 23312165241239541, 2024.
Article in English | MEDLINE | ID: mdl-38738337

ABSTRACT

Cochlear synaptopathy, a form of cochlear deafferentation, has been demonstrated in a number of animal species, including non-human primates. Both age and noise exposure contribute to synaptopathy in animal models, indicating that it may be a common type of auditory dysfunction in humans. Temporal bone and auditory physiological data suggest that age and occupational/military noise exposure also lead to synaptopathy in humans. The predicted perceptual consequences of synaptopathy include tinnitus, hyperacusis, and difficulty with speech-in-noise perception. However, confirming the perceptual impacts of this form of cochlear deafferentation presents a particular challenge because synaptopathy can only be confirmed through post-mortem temporal bone analysis and auditory perception is difficult to evaluate in animals. Animal data suggest that deafferentation leads to increased central gain, signs of tinnitus and abnormal loudness perception, and deficits in temporal processing and signal-in-noise detection. If equivalent changes occur in humans following deafferentation, this would be expected to increase the likelihood of developing tinnitus, hyperacusis, and difficulty with speech-in-noise perception. Physiological data from humans is consistent with the hypothesis that deafferentation is associated with increased central gain and a greater likelihood of tinnitus perception, while human data on the relationship between deafferentation and hyperacusis is extremely limited. Many human studies have investigated the relationship between physiological correlates of deafferentation and difficulty with speech-in-noise perception, with mixed findings. A non-linear relationship between deafferentation and speech perception may have contributed to the mixed results. When differences in sample characteristics and study measurements are considered, the findings may be more consistent.


Subject(s)
Cochlea , Speech Perception , Tinnitus , Humans , Cochlea/physiopathology , Tinnitus/physiopathology , Tinnitus/diagnosis , Animals , Speech Perception/physiology , Hyperacusis/physiopathology , Noise/adverse effects , Auditory Perception/physiology , Synapses/physiology , Hearing Loss, Noise-Induced/physiopathology , Hearing Loss, Noise-Induced/diagnosis , Loudness Perception
14.
J Speech Lang Hear Res ; 67(6): 1868-1885, 2024 Jun 06.
Article in English | MEDLINE | ID: mdl-38718262

ABSTRACT

PURPOSE: This report describes a hearing device and corresponding fitting protocol designed for use in a transitional intervention for debilitating loudness-based hyperacusis. METHOD: The intervention goal is to transition patients with hyperacusis from their typical counterproductive sound avoidance behaviors (i.e., sound attenuation and limited exposure to healthy low-level sounds) into beneficial sound therapy treatment that can expand their dynamic range to the point where they can tolerate everyday sounds and experience an improved quality of life. This requires a combination of counseling and sound therapy, the latter of which is provided via the hearing device technology, signal processing, and precision fitting approach described in this report. The device combines a miniature behind-the-ear sound processor and a custom earpiece designed to maximize the attenuation of external sounds. Output-limiting loudness suppression is used to restrict exposure to offending high-level sounds while unity gain amplification maximizes exposure to healthy and tolerable lower level sounds. The fitting process includes measurement of the real-ear unaided response, the real-ear measurement (REM) system noise floor, the real-ear occluded response, real-ear insertion gain, and the output limit. With these measurements, the device can achieve the prescribed unity gain needed to provide transparent access to comfortable sound levels. It also supports individualized configuration of the therapeutic noise from an on-board sound generator and adaptive output limiting based on treatment-induced increases in dynamic range. RESULTS AND CONCLUSION: The utility of this device and fitting protocol, in combination with structured counseling, is highlighted in the outcomes of a successful 6-month trial of the transitional intervention described in a companion report in this issue.


Subject(s)
Hearing Aids , Hyperacusis , Humans , Hyperacusis/therapy , Loudness Perception , Equipment Design , Quality of Life
15.
J Speech Lang Hear Res ; 67(6): 1984-1993, 2024 Jun 06.
Article in English | MEDLINE | ID: mdl-38718264

ABSTRACT

PURPOSE: This report provides the experimental, clinical, theoretical, and historical background that motivated a patented transitional intervention and its implementation and evaluation in a field trial for mitigation of debilitating loudness-based hyperacusis (LH). BACKGROUND AND RATIONALE: Barriers for ameliorating LH, which is differentiated here from other forms of hyperacusis, are delineated, including counterproductive management and treatment strategies that may exacerbate the condition. Evidence for hyper-gain central auditory processes as the bases for LH and the associated LH-induced distress and stress responses are presented. This presentation is followed by an overview of prior efforts to use counseling and therapeutic sound as interventional tools for recalibrating the hyper-gain LH response. We also consider previous efforts to use output-limiting sound-protection devices in the management of LH. This historical background lays the foundation for our transitional intervention protocol and its implementation and evaluation in a field trial. CONCLUSIONS: The successful implementation and evaluation of a transitional intervention, which we document in the outcomes of a companion proof-of-concept field trial in this issue, build on our prior efforts and those of others to understand, manage, and treat hyperacusis. These efforts to overcome significant barriers and vexing long-standing challenges in the management and treatment of LH, as reviewed here, are the pillars of the transitional intervention and its primary components, namely, counseling combined with protective sound management and therapeutic sound, which we detail in separate reports in this issue.


Subject(s)
Hyperacusis , Humans , Hyperacusis/therapy , Counseling/methods , Loudness Perception , Male , Female , Adult
16.
JASA Express Lett ; 4(5)2024 05 01.
Article in English | MEDLINE | ID: mdl-38717467

ABSTRACT

A long-standing quest in audition concerns understanding relations between behavioral measures and neural representations of changes in sound intensity. Here, we examined relations between aspects of intensity perception and central neural responses within the inferior colliculus of unanesthetized rabbits (by averaging the population's spike count/level functions). We found parallels between the population's neural output and: (1) how loudness grows with intensity; (2) how loudness grows with duration; (3) how discrimination of intensity improves with increasing sound level; (4) findings that intensity discrimination does not depend on duration; and (5) findings that duration discrimination is a constant fraction of base duration.


Subject(s)
Inferior Colliculi , Loudness Perception , Animals , Rabbits , Loudness Perception/physiology , Inferior Colliculi/physiology , Acoustic Stimulation/methods , Discrimination, Psychological/physiology , Auditory Perception/physiology , Neurons/physiology
17.
Am J Audiol ; 33(2): 433-441, 2024 Jun 04.
Article in English | MEDLINE | ID: mdl-38661487

ABSTRACT

PURPOSE: So far, there have been no in-depth analyses of the connection between tinnitus sensation-level loudness and sleep quality. Accordingly, the present study was formulated as a mediation analysis focused on exploring this relationship. METHOD: Overall, 1,255 adults with consecutive subjective tinnitus who had sought outpatient treatment were enrolled in the present study. RESULTS: Direct effects of tinnitus sensation-level loudness on sleep quality were not statistically significant (95% confidence intervals [CI] include zero), as measured by the point estimate, -0.016. However, the 95% CI for indirect effects did not include zero when assessing the Self-Rating Anxiety Scale (SAS) scores, the Self-Rating Depression Scale (SDS) scores, the visual analogue scale (VAS) scores, and self-reported tinnitus annoyance. CONCLUSIONS: These results suggest that tinnitus sensation-level loudness does not directly have an effect on sleep quality. However, it indirectly impacts sleep quality, mediated by SAS scores, SDS scores, the impact of tinnitus on life measured using the VAS, and self-reported tinnitus annoyance. As such, alleviating anxiety and depression in patients with tinnitus may result in reductions in their insomnia even if there is no reduction in tinnitus loudness. Importantly, otolaryngologists and other clinicians treating tinnitus should refer patients with tinnitus suffering from insomnia with comorbid depression or anxiety for appropriate psychological and/or psychiatric treatment.


Subject(s)
Anxiety , Depression , Loudness Perception , Mediation Analysis , Sleep Quality , Tinnitus , Humans , Tinnitus/psychology , Tinnitus/physiopathology , Tinnitus/complications , Male , Female , Middle Aged , Adult , Aged , Self Report , Sleep Initiation and Maintenance Disorders
18.
Audiol Neurootol ; 29(5): 367-373, 2024.
Article in English | MEDLINE | ID: mdl-38432195

ABSTRACT

INTRODUCTION: We aimed to investigate the clinical significance of the loudness discomfort level (LDL) test in tinnitus patients and its relationship with pure-tone audiometry, tinnitogram, and questionnaires. METHODS: We retrospectively reviewed the medical records of 320 tinnitus patients who visited a tertiary university hospital's tinnitus clinic and completed LDL tests between March 2020 and December 2022. Epidemiological data and psychoacoustic test results were collected. RESULTS: The LDL showed no significant differences between frequencies for both ears. The mean LDL did not correlate with mean pure-tone average or hearing thresholds at each frequency. The hearing loss group had a higher LDL at 8 kHz compared to the normal hearing group (p < 0.01). Objective sound intolerance was found in a quarter, correlating with subjective hyperacusis, anxiety, and depression. Weak negative correlations were found between most of questionnaire's scores and LDL on the left side. Tinnitus loudness weak negatively correlated with LDL at most frequencies, except 8 kHz. DISCUSSION/CONCLUSION: Our findings suggest a notable association between LDL levels and emotional factors in tinnitus patients, rather than with auditory thresholds. While lateralized differences in LDL responses were observed, specifically on the left side, these preliminary results do not confirm a causal link and thus do not warrant changes to current clinical testing protocols without further research.


Subject(s)
Audiometry, Pure-Tone , Auditory Threshold , Loudness Perception , Tinnitus , Humans , Tinnitus/physiopathology , Female , Male , Middle Aged , Retrospective Studies , Adult , Aged , Surveys and Questionnaires , Hyperacusis , Young Adult
19.
J Exp Psychol Hum Percept Perform ; 50(6): 554-569, 2024 Jun.
Article in English | MEDLINE | ID: mdl-38546625

ABSTRACT

Crossmodal correspondences refer to systematic associations between stimulus attributes encountered in different sensory modalities. These correspondences can be probed in the speeded classification task where they tend to produce congruency effects. This study aimed to replicate and extend previous work conducted by Marks (1987, Experiment 3, Journal of Experimental Psychology: Human Perception and Performance, Vol. 13, No. 3, 384-394) which demonstrated a crossmodal correspondence between auditory and visual intensity attributes. Experiment 1 successfully replicates Marks' original finding that performance in a brightness classification task is affected by whether the loudness of a concurrently presented auditory distractor matches the brightness of the visual target. Furthermore, in line with the original study, we found that this effect was absent in a lightness classification task. In Experiment 2, we demonstrate that loudness-brightness correspondence is robust even when the exact stimulus input changes. This finding suggests that there is a context-dependent mapping between loudness and brightness levels, rather than an absolute mapping between any particular intensity levels. Finally, exploratory analysis using the diffusion model for conflict tasks indicated that evidence from the task-irrelevant modality generates a burst of weak, short-lived automatic activation that can bias decision-making in difficult tasks, but not in easy tasks. Our results provide further evidence for the existence of a flexible crossmodal correspondence between brightness and loudness, which might be helpful in determining one's distance to a stimulus source during the early stages of multisensory integration. (PsycInfo Database Record (c) 2024 APA, all rights reserved).


Subject(s)
Auditory Perception , Visual Perception , Humans , Adult , Young Adult , Male , Female , Visual Perception/physiology , Auditory Perception/physiology , Loudness Perception/physiology , Psychomotor Performance/physiology
20.
Otol Neurotol ; 45(5): e385-e392, 2024 Jun 01.
Article in English | MEDLINE | ID: mdl-38518764

ABSTRACT

HYPOTHESIS: The behaviorally based programming with loudness balancing (LB) would result in better speech understanding, spectral-temporal resolution, and music perception scores, and there would be a relationship between these scores. BACKGROUND: Loudness imbalances at upper stimulation levels may cause sounds to be perceived as irregular, gravelly, or overly echoed and may negatively affect the listening performance of the cochlear implant (CI) user. LB should be performed after fitting to overcome these problems. METHODS: The study included 26 unilateral Med-EL CI users. Two different CI programs based on the objective electrically evoked stapedial reflex threshold (P1) and the behaviorally program with LB (P2) were recorded for each participant. The Turkish Matrix Sentence Test (TMS) was applied to evaluate speech perception; the Random Gap Detection Test (RGDT) and Spectral-Temporally Modulated Ripple Test (SMRT) were applied to evaluate spectral temporal resolution skills; the Mini Profile of Music Perception Skills (mini-PROMS) and Melodic Contour Identification (MCI) tests were applied to evaluate music perception, and the results were compared. RESULTS: Significantly better scores were obtained with P2 in TMS tests performed in noise and quiet. SMRT scores were significantly correlated with TMS in quiet and noise, and mini-PROMS sound perception results. Although better scores were obtained with P2 in the mini-PROMS total score and MCI, a significant difference was found only for MCI. CONCLUSION: The data from the current study showed that equalization of loudness across CI electrodes leads to better perceptual acuity. It also revealed the relationship between speech perception, spectral-temporal resolution, and music perception.


Subject(s)
Cochlear Implantation , Cochlear Implants , Music , Speech Perception , Humans , Male , Female , Middle Aged , Adult , Speech Perception/physiology , Cochlear Implantation/methods , Speech Intelligibility/physiology , Aged , Auditory Perception/physiology , Loudness Perception/physiology , Young Adult
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