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Recommendations for selection of target parameters and process recommendations for audiological and technical functional testing of cochlear implant : Prepared by the ERA consortium (AG-ERA) of ADANO in cooperation with the Implantable Hearing Systems expert committee of the DGA. Confirmed by the board of ADANO on 31.01.2025.

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A Cognitive Paradigm to Investigate Interference in Working Memory by Distractions and Interruptions
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[Examination of speech perception and cognitive functioning in the elderly].

H Meister1, S Schreitmüller, L Grugel

  • 1Jean-Uhrmacher-Institut für klinische HNO-Forschung, Universität zu Köln, Köln, Deutschland. hartmut.meister@uni-koeln.de

HNO
|April 22, 2011
PubMed
Summary

Elderly individuals experience reduced speech understanding in noisy environments, even with good hearing. Cognitive functions, particularly verbal memory, significantly impact this decline.

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Area of Science:

  • Auditory Neuroscience
  • Cognitive Psychology
  • Gerontology

Context:

  • Aging is associated with difficulties in speech perception, especially in complex auditory environments.
  • Hearing impairment is a known factor, but cognitive decline may also contribute to speech understanding problems in older adults.
  • This study investigates speech perception in elderly individuals with normal hearing thresholds.

Purpose:

  • To compare speech perception abilities between young and elderly listeners in various acoustic conditions.
  • To assess the relationship between cognitive functioning and speech understanding in the elderly.
  • To identify specific cognitive factors influencing speech perception in older age.

Summary:

  • Elderly listeners with normal hearing demonstrated poorer speech discrimination than young adults across most tested acoustic situations.
  • Significant differences were observed in challenging conditions, such as those with fluctuating maskers and competing speech.
  • Speech perception performance correlated significantly with declarative verbal memory test results.

Impact:

  • Age-related decline in speech understanding in complex listening environments is confirmed.
  • Cognitive abilities, especially working memory, play a crucial role in compensating for auditory challenges in the elderly.
  • Findings highlight the importance of considering cognitive factors in addressing speech perception difficulties in aging populations.