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Speech understanding in the elderly.

J Jerger1, S Jerger, T Oliver

  • 1Department of Otolaryngology & Communicative Sciences, Baylor College of Medicine, Houston, Texas.

Ear and Hearing
|April 1, 1989
PubMed
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Many elderly individuals experience auditory and cognitive issues. A study found that while both deficits are common, they do not always occur together, suggesting separate underlying causes for hearing and cognitive decline in older adults.

Area of Science:

  • Gerontology
  • Neuroscience
  • Audiology

Background:

  • Aging is associated with sensory and cognitive changes.
  • Central auditory processing disorder (CAPD) and cognitive deficits are prevalent in the elderly.
  • The relationship between auditory and cognitive decline requires further investigation.

Purpose of the Study:

  • To determine the prevalence of CAPD and cognitive deficits in elderly individuals.
  • To analyze the congruence between auditory and cognitive deficits.
  • To investigate if cognitive decline explains age-related speech understanding difficulties.

Main Methods:

  • Assessed auditory and cognitive status in 130 participants aged 51-91.
  • Analyzed data for the co-occurrence of auditory and cognitive impairments.

Related Experiment Videos

  • Calculated the prevalence of individual deficits and their congruence.

    • Main Results:

    • Prevalence of CAPD was 50%; cognitive deficit was 41%.
    • Congruence between auditory and cognitive deficits was observed in 63% of participants.
    • 23% had abnormal auditory status with normal cognition; 14% had normal auditory status with cognitive deficit.

    Conclusions:

    • Auditory and cognitive deficits in the elderly are common but not always concurrent.
    • The findings do not support the hypothesis that cognitive decline solely explains age-related speech understanding decline.
    • Auditory processing and cognitive function appear to be independently affected in some elderly individuals.