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Updated: Feb 15, 2026
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Electrically Evoked Stapedius Reflex Measurements in Cochlear Implantation and Its Application in the Postoperative Fitting Process
Published on: June 21, 2024
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Relations Between Self-reported Executive Functioning and Speech Perception Skills in Adult Cochlear Implant Users
Aaron C Moberly1, Tirth R Patel, Irina Castellanos
1Department of Otolaryngology - Head and Neck Surgery, The Ohio State University Wexner Medical Center, Columbus, Ohio.
Summary
Adults with cochlear implants (CIs) report poorer executive functioning (EF) skills, impacting speech recognition. These EF skills are crucial for processing sound in challenging listening situations.
Area of Science:
- Neuroscience
- Audiology
- Cognitive Psychology
Background:
- Executive functioning (EF) skills are vital for goal-directed behavior and emotional regulation.
- Children with cochlear implants (CIs) exhibit poorer EF compared to normal-hearing (NH) peers.
- Emerging evidence suggests EF skills contribute to speech recognition in CI users.
Purpose of the Study:
- To investigate self-reported executive functioning (EF) in adults with cochlear implants (CIs) compared to normal-hearing (NH) peers.
- To examine the association between EF skills and speech recognition performance in CI users.
Main Methods:
- Thirty postlingually deafened adults with CIs and 42 NH adults participated.
- Participants and informants completed the Behavior Rating Inventory of Executive Function - Adult (BRIEF-A) for EF assessment.
- Speech recognition was evaluated in quiet for CI users and with noise-vocoded stimuli for NH peers.
Main Results:
- CI users reported difficulties with shifting and task monitoring aspects of EF.
- Speech recognition abilities in CI users correlated with several self-reported EF skills.
Conclusions:
- Hearing loss associated with CIs may lead to a decline in neurocognitive factors, specifically EF skills.
- Certain EF skills play a role in the ability to process speech under degraded auditory conditions.
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