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Occupational Noise-Induced Tinnitus: A Review of Auditory Behavioral and Electrophysiological Evaluations 职业性噪声诱发耳鸣:听觉行为和电生理评价综述
IF 0.5 Q4 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2023-03-12 DOI: 10.18502/avr.v32i2.12164
B. Kohansal, M. Asghari, Mahsa Habibi
Background and Aim: The increasing prevalence of Noise-Induced Tinnitus (NIT) is considered one of the major occupational health threats these days. Despite the devastating effect of tinnitus on a subject’s performance, auditory functions and life quality,  there is a lack of standard protocol for its diagnosis and management. Furthermore, the mechanisms    of NIT are not clear yet. So, this review summarized data on NIT mechanisms as well as questionnaires, behavioral and physiologic assessment tools in NIT studies. Recent Findings: Based on the authors’ research,  27  eligible articles were  included  in this review. NIT was mainly bilateral with moderate severity with an overall prevalence ranging from 4% to 73.7%. Self-report questionnaires, tinnitus handicap inventory, auditory brainstem response, otoacoustic emissions and speech in noise tests were the most frequent NIT assessment methods in the reviewed studies. Our review highlights increased latencies  in brainstem evoked potentials in tinnitus workers, but the knowledge gap about changes at subcortical and cortical levels remains. Conclusion: This review suggests speech in noise test as a useful extension to routine tinnitus assessment by questionnaires among workers. Due to insufficient studies and inconsistent results in NIT subjects, more electrophysiological research is suggested in large and homogeneous samples. Keywords: Noise; tinnitus; occupational; questionnaire; physiological
背景与目的:噪声性耳鸣(NIT)的日益流行被认为是当今主要的职业健康威胁之一。尽管耳鸣对一个人的表现、听觉功能和生活质量有毁灭性的影响,但缺乏标准的诊断和治疗方案。此外,NIT的机制尚不清楚。因此,本文综述了NIT的机制以及NIT研究中的问卷调查、行为和生理评估工具。最新发现:根据作者的研究,本综述纳入了27篇符合条件的文章。NIT主要为双侧,严重程度中等,总体患病率为4%至73.7%。自我报告问卷、耳鸣障碍量表、听觉脑干反应、耳声发射和噪音测试中的言语是所回顾研究中最常见的NIT评估方法。我们的综述强调了耳鸣工作者脑干诱发电位潜伏期的增加,但关于皮层下和皮层水平变化的知识差距仍然存在。结论:噪声中语音测试是常规工人耳鸣问卷评估的有益延伸。由于对NIT受试者的研究不足和结果不一致,建议在大样本和均匀样本中进行更多的电生理研究。关键词:噪声;耳鸣;职业;问卷调查;生理
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引用次数: 0
Effects of Visual Input Changes on Canal and Otolith- Dependent Vestibulo-Ocular Reflexes: A Review Study 视觉输入变化对耳道和耳石依赖性前庭-眼反射影响的研究综述
IF 0.5 Q4 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2023-03-12 DOI: 10.18502/avr.v32i2.12165
Javad Heravian Shandiz, Mahdi Mazloom, Sadegh Jafarzadeh
Background and Aim: There is an integration between visual and vestibular systems. Changes in visual inputs can result in different changes in the Vestibulo-Ocular Reflex (VOR). This review study investigate the changes in VOR due to changes in visual inputs. In this regard, the effects of different conditions such as visual deprivation, changes in visual acuity, visual-vestibular conflict, and binocular vision dysfunction on VOR were assessed. Recent Findings: Changes in visual inputs and visual-vestibular conflicts can lead to different changes in VOR. Conclusion: The changes in VOR effects vary from slight to severe transformation dependent on the time course, severity and duration of changes in visual inputs. Keywords: Vestibulo-ocular reflex; visual inputs; refractive errors; head impulse test
背景与目的:视觉系统和前庭系统之间存在整合。视觉输入的变化可导致前庭-眼反射(VOR)的不同变化。本综述研究了视觉输入的改变对VOR的影响。在这方面,我们评估了视觉剥夺、视力变化、视觉-前庭冲突和双眼视觉功能障碍等不同条件对VOR的影响。最近研究发现:视觉输入和视觉前庭冲突的改变可导致不同程度的VOR变化。结论:视输入改变的时间、严重程度和持续时间不同,视输入改变的程度由轻微到严重不等。关键词:前庭眼反射;视觉输入;屈光不正;头部冲击试验
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引用次数: 0
Test-retest Reliability of Various Psychoacoustic Tests in Psycon Application Psycon应用中各种心理声学测试的复测信度
IF 0.5 Q4 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2023-03-12 DOI: 10.18502/avr.v32i2.12171
Supriya Mathew, Banumathi, Sandeep Kumar, Kishore Tanniru, Chandni Jain
Background and Aim: Psychoacoustics includes studying the perceived effects of changes in sound intensity, temporal, and frequency aspects that are critical for speech perception. Psycon is one such software used in studies to assess psychoacoustic abilities. Psycon has the potential for wide clinical applications in psychoacoustic research and relies on Auditory syntaX (AUX), a program designed specifically to handle auditory signals. The current study aimed to determine the test-retest reliability of the Psycon application for differential sensitivity measures of frequency, intensity, duration and silence. Methods: The study included 39 participants with normal hearing sensitivity. Psychoacoustic measures, namely, gap detection threshold, duration discrimination threshold, difference limen of intensity, and difference limen of frequency, were used to assess test-retest reliability. The test-retest reliability of all measures was checked in two separate sessions within one day. Results: The reliability of each measure was measured using Cronbach’s alpha. Test-retest reliability of various psychoacoustic tests measured with Psycon ranges from good to excellent. difference limen of frequency had the highest reliability, followed by duration discrimination thresholds, difference limen of intensity, and gap detection thresholds. Conclusion: Psycon appears to be a reliable tool for assessing different psychoacoustic abilities. Keywords: Psycon; psychoacoustics; reliability; difference limen; perception
背景和目的:心理声学包括研究对语音感知至关重要的声强、时间和频率变化的感知效应。Psycon就是这样一款用于评估心理声学能力的软件。Psycon在心理声学研究中具有广泛的临床应用潜力,它依赖于听觉语法(AUX),一种专门设计用于处理听觉信号的程序。目前的研究旨在确定Psycon应用程序对频率、强度、持续时间和沉默的差异灵敏度测量的重测可靠性。方法:39例听力正常的受试者。采用间隙检测阈值、持续时间分辨阈值、强度差异阈值和频率差异阈值等心理声学测量来评估重测信度。所有测量的重测信度在一天内的两次单独的会议中进行检查。结果:采用Cronbach 's alpha测量各测量的信度。用Psycon测量的各种心理声学测试的重测信度从好到优不等。信度最高的是频率差异阈值,其次是时间区分阈值、强度差异阈值和间隙检测阈值。结论:Psycon似乎是评估不同心理声学能力的可靠工具。关键词:Psycon;心理声学;可靠性;差别阈限;感知
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引用次数: 1
Is Pattern of Acceptable Noise Level Growth for Apparently Normal Contralateral Ear Similar to Affected Ear in Unilateral Meniere’s Disease? 对侧正常耳的可接受噪声水平增长模式与单侧梅尼埃氏病的影响耳相似吗?
IF 0.5 Q4 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2023-03-12 DOI: 10.18502/avr.v32i2.12182
Elahe Nasiri, Hamid Jalilvand, N. Yazdani, Mohammad Ebrahim Mahdavi, A. Akbarzadeh Baghban
Background and Aim: The Acceptance Noise Level (ANL) which determines the tolerable noise level while listening to running speech, is related to factors such as hearing loss and speech presentation level. This study aims to investigate the effect of speech presentation level on the ANL in people with unilateral Meniere’s Disease (MD) compared to the normal-hearing people. Methods: In this study, 33 people aged 32–60 years with unilateral MD and 38 normal-hearing people aged 20–46 years participated. The ANL growth was evaluated unilaterally at four different speech presentation levels: Most Comfortable Level (MCL), –10 dB lower than the MCL, +10 dB higher than the MCL, and a range between MCL and uncomfortable level. Results: In MD patients, the ANL of the affected ear was significantly different from that of the contralateral ear (p<0.010). Compared to the normal-hearing people, the pattern of ANL growth in MD patients was significantly different, but the ANL growth patterns were similar between the affected and contralateral ears. Conclusion: ANL and its growth pattern are different between the affected and contralateral ears of patients with unilateral MD, but are similar compared to normal-hearing people. Despite the apparently normal hearing thresholds, the performance of the contralateral ear in noise at various speech presentation levels in patients with unilateral MD seems to be similar to that of the affected ear. Keywords: Meniere disease; hearing loss; acceptable noise level
背景和目的:可接受噪声水平(ANL)决定了听跑步语音时的可容忍噪声水平,它与听力损失和语音呈现水平等因素有关。本研究旨在调查与听力正常的人相比,单侧梅尼埃病(MD)患者的言语呈现水平对ANL的影响。方法:在本研究中,33名年龄在32-60岁的单侧MD患者和38名年龄在20-46岁的正常听力人群参与了研究。ANL的增长是在四个不同的语音呈现水平下单方面评估的:最舒适水平(MCL),比MCL低-10dB,比MCL高+10dB,以及MCL和不舒适水平之间的范围。结果:在MD患者中,患耳的ANL与对侧耳朵的ANL有显著差异(p<0.010)。与正常听力人群相比,MD患者的ANL生长模式有显著差异,但患耳和对侧耳朵之间的ANL增长模式相似。结论:单侧MD患者的ANL及其生长模式在患侧和对侧耳朵之间不同,但与正常听力人群相比相似。尽管听力阈值明显正常,但单侧MD患者对侧耳朵在不同语音呈现水平的噪声中的表现似乎与受影响耳朵相似。关键词:梅尼埃病;听力丧失可接受噪声级
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引用次数: 0
Real-ear Unaided Gain in Wrestlers with Unilateral Cauliflower Ear 具有单侧花椰菜耳朵的摔跤运动员的真实耳朵独立增益
IF 0.5 Q4 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2023-03-12 DOI: 10.18502/avr.v32i2.12187
Kamal Pahlavan Yali, Mohammad Maarefvand
Background and Aim: Real-Ear Unaided Gain(REUG) can reveal the outer-ear resonance which reflects the effects of body and ear factors. Deformity in the outer ear may change the real-ear unaided responses. Cauliflower ear is a common ear deformity in wrestlers. Therefore, the use of required hearing aid gain in people with hearing loss for people with cauliflower ears may be inaccurate and causes dissatisfaction. This study aimed to compare the REUG of normal and cauliflower ear in wrestlers to investigate the frequencies at which the gain may be inaccurate. Methods: Ten male wrestlers with the age ranged from 21 to 31 years participated in this study. The study had within-subject design and only one group. The REUGs was recorded for both ears (normal and cauliflower ears) and the results analyzed. Results: The mean of REUG values were significantly different between the deformed and normal ears. There were two distinct peaks in the REUG curve of the deformed ear, while there was a single peak in that of the normal ear. Conclusion: The differences in the REUG at 2–6 kHz between the deformed and normal ears should be adjusted to reach the optimal hearing level for a hearing aid user with cauliflower ear. Keywords: Cauliflower ear; real ear unaided gain; hearing aid verification; target gain
背景与目的:真实耳无偏增益(REUG)可以揭示外耳道共振,反映身体和耳朵因素的影响。外耳畸形可能会改变真实的耳朵自主反应。花椰菜耳朵是摔跤运动员常见的耳朵畸形。因此,花椰菜耳朵的听力损失患者使用所需的助听器增益可能不准确,并引起不满。本研究旨在比较摔跤运动员正常耳朵和花椰菜耳朵的REUG,以研究增益可能不准确的频率。方法:10名年龄在21~31岁之间的男性摔跤运动员参加本研究。这项研究采用了学科内部设计,只有一组。记录两只耳朵(正常耳朵和花椰菜耳朵)的REUGs,并对结果进行分析。结果:畸形耳和正常耳的REUG平均值有显著差异。变形耳的REUG曲线有两个明显的峰值,而正常耳的REUG曲线只有一个峰值。结论:变形耳和正常耳在2–6 kHz下的REUG差异应进行调整,以达到花椰菜耳助听器使用者的最佳听力水平。关键词:花椰菜果穗;实际耳朵独立增益;助听器验证;目标增益
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引用次数: 0
A Comparison of the Digits-in-Noise Test and Extended High Frequency Response between Formally Trained Musicians and Non-Musicians 受过正规训练的音乐家和非音乐家在噪声测试和扩展高频响应中的数字比较
IF 0.5 Q4 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2023-03-12 DOI: 10.18502/avr.v32i2.12185
Belinda Dreyer, Lidia Pottas, M. Soer, M. Graham
Background and Aim: Musical training has been hypothesised to result in enhanced Speech Perception in Noise (SPIN) abilities, but prolonged exposure to music  also  increases  the risk for Music-Induced Hearing Loss (MIHL). The Signal-to-Noise Ratios (SNR) and the Extended High Frequency (EHF) thresholds between formally trained musicians and non- musicians were compared to determine the effect of musical training on musicians’ SPIN and hearing abilities. Methods: This cross-sectional study included 40 musicians and 39 non-musicians 18–30 years, with mean age (SD) 22.43(2.71) years. EHF audiometry and the Digits-in-Noise (DIN) test were conducted via a smartphone. Results: Differences found between the two groups regarding the DIN test and EHF thresholds were statistically insignificant. Musicians displayed early signs of MIHL as the musicians reported significantly more (p=0.004) instances of tinnitus than non-musicians. A statistically significant correlation was found only for the non-musician group between the 12.5 kHz threshold left and the SNR obtained in the diotic listening condition (rs=-0.465; p=0.003). Conclusion: The results suggested that musicians did not display a significant advantage for SPIN and did not appear to have significantly poorer EHF hearing sensitivity. However, slight trends were noticeable in the musicians which gravitated more towards studies that found enhanced SPIN abilities and elevated EHF thresholds in the musician population. In the future, it may be useful to include additional speech tests (open-set) alongside the DIN test (closed-set). The present study suggests that EHF audiometry may be used for the early detection of MIHL. Keywords: Music; audiometry; hearing loss; noise-induced; pitch discrimination; sound localization
背景和目的:音乐训练被认为可以增强噪声中的言语感知(SPIN)能力,但长时间接触音乐也会增加音乐性听力损失(MIHL)的风险。比较了正式训练的音乐家和非音乐家之间的信噪比(SNR)和扩展高频(EHF)阈值,以确定音乐训练对音乐家SPIN和听力的影响。方法:这项横断面研究包括40名音乐家和39名18-30岁的非音乐家,平均年龄(SD)为22.43(2.71)岁。EHF听力测定和噪声中的数字(DIN)测试是通过智能手机进行的。结果:两组在DIN测试和EHF阈值方面的差异在统计学上不显著。音乐家表现出MIHL的早期迹象,因为音乐家报告的耳鸣次数明显多于非音乐家(p=0.004)。仅在非音乐家组中,左12.5 kHz阈值与在diotic听力条件下获得的SNR之间存在统计学上显著的相关性(rs=-0.465;p=0.003)。结论:结果表明,音乐家在SPIN方面没有表现出显著优势,EHF听力灵敏度也没有显着降低。然而,音乐家的轻微趋势是明显的,他们更倾向于研究发现音乐家群体的SPIN能力增强和EHF阈值升高。在未来,在DIN测试(封闭集)的基础上增加额外的语音测试(开放集)可能会很有用。本研究提示EHF测听法可用于MIHL的早期检测。关键词:音乐;听力测定;听力丧失噪声诱发;音高歧视;声音定位
{"title":"A Comparison of the Digits-in-Noise Test and Extended High Frequency Response between Formally Trained Musicians and Non-Musicians","authors":"Belinda Dreyer, Lidia Pottas, M. Soer, M. Graham","doi":"10.18502/avr.v32i2.12185","DOIUrl":"https://doi.org/10.18502/avr.v32i2.12185","url":null,"abstract":"Background and Aim: Musical training has been hypothesised to result in enhanced Speech Perception in Noise (SPIN) abilities, but prolonged exposure to music  also  increases  the risk for Music-Induced Hearing Loss (MIHL). The Signal-to-Noise Ratios (SNR) and the Extended High Frequency (EHF) thresholds between formally trained musicians and non- musicians were compared to determine the effect of musical training on musicians’ SPIN and hearing abilities. \u0000Methods: This cross-sectional study included 40 musicians and 39 non-musicians 18–30 years, with mean age (SD) 22.43(2.71) years. EHF audiometry and the Digits-in-Noise (DIN) test were conducted via a smartphone. \u0000Results: Differences found between the two groups regarding the DIN test and EHF thresholds were statistically insignificant. Musicians displayed early signs of MIHL as the musicians reported significantly more (p=0.004) instances of tinnitus than non-musicians. A statistically significant correlation was found only for the non-musician group between the 12.5 kHz threshold left and the SNR obtained in the diotic listening condition (rs=-0.465; p=0.003). \u0000Conclusion: The results suggested that musicians did not display a significant advantage for SPIN and did not appear to have significantly poorer EHF hearing sensitivity. However, slight trends were noticeable in the musicians which gravitated more towards studies that found enhanced SPIN abilities and elevated EHF thresholds in the musician population. In the future, it may be useful to include additional speech tests (open-set) alongside the DIN test (closed-set). The present study suggests that EHF audiometry may be used for the early detection of MIHL. \u0000Keywords: Music; audiometry; hearing loss; noise-induced; pitch discrimination; sound localization","PeriodicalId":34089,"journal":{"name":"Auditory and Vestibular Research","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2023-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44290677","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Correlation between Binaural Interaction Component of the Auditory Brainstem Response and Total Score of the Persian Version of the Spatial Hearing Questionnaire 听觉脑干反应的双耳交互成分与空间听力问卷波斯语版总分的相关性
IF 0.5 Q4 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2023-03-12 DOI: 10.18502/avr.v32i2.12169
Seyede Mohadeseh Hazavei, N. Rouhbakhsh, A. Heidari, S. Jalaie
Background and Aim: People with spatial hearing impairment have difficulty perception   of speech in the presence of noise, sound localization, and estimating the distance from the sound source. In this study, the comparison between amplitude and latency of the Binaural Interaction Component of the Auditory Brainstem Response (ABR-BIC) with the total score of the Persian version of the Spatial Hearing Questionnaire (SHQ) in adults with normal hearing and moderate sensorineural hearing loss (SNHL) was evaluated. Methods: In this cross-sectional comparative study 55, 18–45-year-old individuals including 35 of normal hearing and 20 moderate SNHL participated. All participants underwent the assessments of medical history, otoscopy, conventional audiometry, tympanometry, SHQ questionnaire, and auditory brainstem response (ABR). Results: There was no significant correlation between the amplitude and latency of the ABR- BIC and the Persian version of the SHQ in normal groups (r=–0.085, r=0.116) and in moderate SNHL groups (r=0.030, r=0.119). The mean value of ABR-BIC range of people with normal hearing and SNHL is statistically significant (p=0.001). Conclusion: The results showed that the amplitude and latency of ABR-BIC were not correlated with the Persian version of the SHQ in people with normal hearing and with moderate SNHL but statistically significant between the mean amplitude and latency of ABR- BIC in people with normal hearing and people with hearing loss. Keywords: Auditory brainstem response; spatial hearing questionnaire; binaural interaction component; spatial hearing; spatial hearing disorder
背景和目的:空间性听力障碍患者在噪声存在的情况下难以感知语音,难以定位声音,难以估计与声源的距离。在本研究中,评估了听力正常和中度感音神经性听力损失(SNHL)成年人的听脑干反应(ABR-BIC)双耳交互成分的振幅和潜伏期与空间听力问卷(SHQ)波斯版总分之间的比较。方法:在这项横断面比较研究中,55名18-45岁的个体参与了研究,其中35名听力正常,20名中度SNHL。所有参与者都接受了病史评估、耳镜检查、常规听力测量、鼓室测量、SHQ问卷和听性脑干反应(ABR)。结果:正常组(r=-0.085,r=0.116)和中度SNHL组(r=0.030,r=0.119)ABR-BIC波幅和潜伏期与波斯版SHQ无显著相关性在听力正常和中度SNHL的人中,ABR-BIC与波斯版SHQ无关,但在听力正常的人和听力损失的人中ABR-BIC的平均振幅和潜伏期之间具有统计学意义。关键词:听性脑干反应;空间听觉问卷;双耳交互成分;空间听觉;空间性听力障碍
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引用次数: 0
Bilateral Superior Semi-Circular Canal Dehiscence Presenting as Conductive Hearing Loss with Vestibular Symptoms: A Client Centre Case Report 双侧上半规管破裂表现为传导性听力损失并伴有前庭症状:一个客户中心病例报告
IF 0.5 Q4 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2023-03-12 DOI: 10.18502/avr.v32i2.12186
Mahmoud Rezvani Amin, Hadi Behzad, Setareh Kafashan, A. Kamrani
Background: Superior semicircular canal dehiscence (SSCD) is a rare bone defect in the petrous part of the temporal bone. In this syndrome, a third window is created between the middle cranial fossa and the bony labyrinth of the inner ear which can lead to stimulation of the vestibular system by sound. Patients usually have symptoms such as vertigo, imbalance, autophony, pulsatile tinnitus, and aural fullness. The clinical symptoms of this disease vary from person to person. The Case: This study reports a case of a rare bilateral SSCD in a 39-year-old woman with imbalance and autophony problems. The audiological findings showed a bilateral mild conductive hearing loss at low frequencies with symptoms of vertigo and torsional nystagmus. The SSCD was diagnosed by computed tomography. Then, the patient underwent bone repair surgery. Auditory and balance tests were performed again after the surgery to evaluate the extent of recovery. Conclusion: The SSCD can be diagnosed by using the mentioned test battery. By choosing the appropriate treatment methods and following up of the outcomes, most of the problems of patients with SSCD can be solved. Keywords: Superior semicircular canal dehiscence; bilateral; conductive hearing loss
背景:上半规管开裂(SSCD)是一种发生在颞骨岩部的罕见骨缺损。在这种综合征中,在颅中窝和内耳的骨迷路之间产生了第三个窗口,它可以通过声音刺激前庭系统。患者通常有眩晕、失衡、自音、搏动性耳鸣、耳廓充盈等症状。这种疾病的临床症状因人而异。病例:本研究报告了一例罕见的双侧SSCD,患者为39岁女性,伴有失衡和自音问题。听力学结果显示双侧轻度低频传导性听力丧失,伴有眩晕和扭转性眼球震颤的症状。通过计算机断层扫描诊断SSCD。然后,患者接受了骨修复手术。术后再次进行听觉和平衡测试以评估恢复程度。结论:SSCD可通过上述试验电池进行诊断。通过选择合适的治疗方法和随访疗效,可以解决SSCD患者的大部分问题。关键词:上半规管开裂;两国;传导性听力损失
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引用次数: 0
Development of the Persian Version of Dichotic Offset Measure and Evaluation of Its Psychometric Properties in Normal-hearing Children: A Pilot Study 波斯语版二分偏转量表的开发及其对正常听力儿童心理测量特性的评价:一项初步研究
IF 0.5 Q4 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2023-03-12 DOI: 10.18502/avr.v32i2.12168
Reza Irani, Farzaneh Fatahi, S. Farahani, Sahar Shomeil Shushtari, S. Jalaie, J. Katz
Background and Aim: Buffalo model consists of four Central Auditory Processing Disorder (CAPD) categories: decoding, tolerance-fading memory, organization, and integration. Integration is considered as the most complex category. The Dichotic Offset Measure  (DOM) provides valuable information about the organization and integration problems. The present study aimed to develop the Persian version of the DOM (P-DOM) and evaluate its psychometric properties in normal-hearing children. Methods: In this study, 25 normal-hearing children (13 girls) aged 7–12 years participated and were divided into six age groups. The face validity was determined based on the opinions of 15 experts, five children with CAPD, and five normal-hearing children. All children were tested with the Persian staggered spondaic word test, Persian phonemic synthesis test, and the Persian randomized dichotic digit test. Results: The results showed the high face validity of the P-DOM. No significant differences were observed between the scores of girls and boys (p=0.394 for the right non-competing, p=0.623 for the right competing, p=0.155 for the left competing, p=0.066 for the left non- competing, p=0.174 for the total score, and p=0.701 for the reversals). Significant differences were observed in the main scores of P-DOM test among the age groups. The Spearman test showed a high test-retest reliability (r>0.69). Conclusion: As a preliminary study it seems that the P-DOM has good validity and reliability to be used in normal-hearing children, but it needs further research with larger sample size. Keywords: Auditory processing; dichotic offset measure; dichotic listening; integration deficit
背景和目的:水牛模型由四类中枢听觉处理障碍(CAPD)组成:解码、容忍衰退记忆、组织和整合。一体化被认为是最复杂的类别。二分偏移度量(DOM)提供了有关组织和集成问题的有价值的信息。本研究旨在开发波斯语版DOM(P-DOM),并评估其在听力正常儿童中的心理测量特性。方法:在本研究中,25名7-12岁的正常听力儿童(13名女孩)参加了研究,并被分为6个年龄组。面部有效性是根据15名专家、5名CAPD儿童和5名听力正常儿童的意见确定的。所有儿童都接受了波斯交错对应词测试、波斯音素合成测试和波斯随机二分位数测试。结果:结果表明P-DOM具有较高的人脸有效性。女孩和男孩的得分没有显著差异(右侧非竞赛组p=0.394,右侧竞赛组p=0.623,左侧竞赛组p=0.155,左侧非竞赛组p=0.066,总分p=0.174,逆转组p=0.701)。P-DOM测试的主要得分在不同年龄组之间存在显著差异。Spearman检验具有较高的重测信度(r>0.69)。关键词:听觉加工;二分法偏移量;二分听;整合赤字
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引用次数: 0
Effect of Online Unified Protocol for Transdiagnostic Treatment of Emotional Disorders on Emotion Perception of School-Aged Children with Cochlear Implant 情绪障碍转诊治疗在线统一方案对耳蜗植入学龄儿童情绪感知的影响
IF 0.5 Q4 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2023-03-12 DOI: 10.18502/avr.v32i2.12183
Marzieh Mehrdadfar, S. Ghasemzadeh, Bagher Ghobari Bonab, S. Hasanzadeh, Samira Vakili
Background and Aim: Emotion perception means the ability to identify, predict and explain one’s own emotions and those of others. Less attention has been paid to the psychosocial effects of hearing loss such as emotion perception. The current study aimed to investigate the effect of the unified protocol for transdiagnostic treatment of emotional disorders on emotion perception of children with Cochlear Implant (CI). Methods: This is a quasi-experimental study with a pretest/post-test/follow-up design. Participants were 18 children with CI aged 8–11 years and their mothers were randomly divided into experimental and control groups. All mothers and their children in the experimental group received the Unified Protocol (UP) program online at 20 sessions twice a week. For the evaluation of emotion perception, we used the Test of Emotion Comprehension (TEC) which had high internal consistency. For statistical analyses, descriptive statistics and repeated measures ANOVA were used. Results: Mean score of emotion comprehension test at the mental and reflective levels and its overall score were significantly different between pretest and post-test and between pretest and follow-up phases in both group. The difference in the external level of emotion perception was not significant among three phases in any groups. Conclusion: The UP program can positively affect the emotion perception in children with CI, especially in more difficult levels (mental and reflective), and its effects remain stable three months after the intervention. Keywords: Emotion; children; cochlear implants; perception; transdiagnostic treatment.
背景和目的:情绪感知是指识别、预测和解释自己和他人情绪的能力。人们很少关注听力损失的心理社会影响,如情绪感知。本研究旨在研究情绪障碍的跨诊断治疗统一方案对人工耳蜗植入(CI)儿童情绪感知的影响。方法:这是一项准实验研究,采用前测/后测/随访设计。参与者是18名8-11岁的CI儿童,他们的母亲被随机分为实验组和对照组。实验组中的所有母亲和孩子每周两次在线接受20次统一协议(UP)计划。对于情绪感知的评估,我们使用了具有高度内部一致性的情绪理解测试(TEC)。统计分析采用描述性统计和重复测量方差分析。结果:两组在心理和反思水平上的情绪理解测试的平均分及其总分在测试前和测试后以及测试前和随访阶段之间都有显著差异。在任何一组的三个阶段中,情绪感知的外部水平的差异都不显著。结论:UP程序可以积极影响CI儿童的情绪感知,尤其是在更困难的水平(心理和反思),并且在干预后三个月其效果保持稳定。关键词:情感;儿童人工耳蜗;知觉跨诊断治疗。
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Auditory and Vestibular Research
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