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Can auditory processing dysfunction indicate early cognitive decline?

Xinrong Ma1,2,3, Jiayu Li1,2,3, Ying Wang1,2,3

  • 1Department of Otolaryngology-Head and Neck Surgery Shanghai Jiao Tong University Affiliated Sixth People's Hospital Shanghai China.

Alzheimer'S & Dementia (Amsterdam, Netherlands)
|September 29, 2025
PubMed
Summary

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This summary is machine-generated.

Gap detection threshold (GDT) may indicate early cognitive impairment (CI). Higher GDT correlates with poorer cognitive function and altered brain activity, suggesting its potential as a non-invasive biomarker for dementia risk.

Area of Science:

  • Neuroscience
  • Auditory Neuroscience
  • Cognitive Neuroscience

Background:

  • Central auditory processing (CAP) is vital for speech and cognitive functions.
  • Cognitive impairment (CI) poses a significant health challenge, with early detection being crucial.
  • Identifying reliable early markers for CI and dementia risk is a key research objective.

Purpose of the Study:

  • To investigate if gap detection threshold (GDT) can serve as an early marker for identifying individuals with cognitive impairment (CI).
  • To explore the relationship between GDT, cognitive function, and neurophysiological correlates of CI.
  • To assess the potential of GDT as a non-invasive biomarker for early detection of dementia risk.

Main Methods:

  • Sixty-four older adults participated, undergoing peripheral auditory, cognitive, and CAP assessments.
Keywords:
central auditory processingcognitive impairmentelectroencephalogramgap detection threshold

Related Experiment Videos

  • Machine learning algorithms were employed to identify predictors of CI.
  • Resting-state electroencephalography (EEG) and event-related potential (ERP) analyses were conducted to examine neural correlates.
  • Main Results:

    • Individuals with CI exhibited significantly higher GDT compared to controls (p=0.034).
    • GDT showed a significant negative correlation with cognitive test scores (e.g., ACE-III: r=-0.40, p=0.001).
    • EEG revealed altered auditory connectivity, and ERP indicated reduced N1/N2 amplitudes in high-GDT individuals (FDR corrected p < 0.05).

    Conclusions:

    • GDT may reflect early neurophysiological changes associated with cognitive impairment.
    • GDT demonstrates potential as a non-invasive biomarker for identifying individuals at high risk of dementia.
    • Auditory processing deficits, as measured by GDT, are linked to cognitive decline and altered brain function.