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Extended High Frequency Hearing, but Not Tinnitus, Is Associated With Every-Day Cognitive Performance.

Sebastian Waechter1, Wayne J Wilson2, Måns Magnusson3

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Tinnitus does not directly impact cognitive performance. However, extended high-frequency hearing loss is linked to everyday cognitive challenges, suggesting broader hearing assessments for better management.

Keywords:
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Area of Science:

  • Audiology
  • Cognitive Science
  • Neuroscience

Background:

  • Tinnitus research often overlooks real-world cognitive complaints.
  • Previous studies focused on specific cognitive domains in lab settings.

Purpose of the Study:

  • To compare cognitive performance and perceived exertion in adults with and without tinnitus.
  • To investigate the role of hearing thresholds, anxiety, and depression in cognitive function.

Main Methods:

  • A visual office-like task was administered to 38 adults with tinnitus and 38 controls.
  • Participants underwent assessments for hearing (including extended high frequencies), anxiety, and depression.

Main Results:

  • No significant association was found between tinnitus and cognitive performance or perceived exertion.
  • Extended high-frequency hearing thresholds (10-16 kHz) were significantly associated with cognitive performance.
  • Tinnitus handicap, anxiety, and depression did not significantly mediate the relationship.

Conclusions:

  • Extended high-frequency hearing loss, not tinnitus itself, is linked to everyday cognitive difficulties.
  • Clinical hearing assessments should include thresholds above 8 kHz to aid in identifying and managing cognitive issues.
  • Auditory stimulation strategies targeting extended high frequencies may benefit individuals with cognitive challenges.