Comparison of clinical and real-life judgments of loudness discomfort

The purpose of this study was to determine the relationship between the loudness discomfort level (LDL) and real-life impressions of loudness discomfort. LDLs were measured with an established procedure for a variety of stimuli including FM tones, speech noise, and stimuli recorded from two real-life environments, in two groups of subjects. Sound pressure level distributions were measured in each of two environments at the time of subject recruitment, and LDLs were subsequently measured. LDLs were then compared to the sound pressure levels measured in each environment, and to the impressions of loudness discomfort which subjects reported through the use of a questionnaire. Results indicated large discrepancies between LDLs and judgments of loudness discomfort in real-life environments. The LDL does not appear to be an accurate predictor of subjects' impression of loudness discomfort and may not be appropriate for setting the SSPL of hearing aids.