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Beyond the central auditory nervous system: the relation between emotional difficulties and auditory processing.

Zahra Hosseini Dastgerdi1, Nasrin Gohari2,3, Behnam Ghadimi1

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International Journal of Psychiatry in Clinical Practice
|November 12, 2025
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Summary

This study found a weak link between anxiety and hyperacusis, but emotional difficulties like anxiety and depression do not significantly impact most auditory processing skills in students.

Keywords:
Auditory processingauditory systememotional difficultiesserotonin

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Area of Science:

  • Auditory Neuroscience
  • Clinical Psychology

Background:

  • Emotional difficulties, such as anxiety and depression, are prevalent among students.
  • Auditory processing encompasses various functions crucial for communication and learning.

Purpose of the Study:

  • To investigate the relationship between emotional difficulties (anxiety, depression) and auditory processing.
  • To determine if anxiety and depression affect specific auditory functions.

Main Methods:

  • Cross-sectional study of 94 students (aged 18-30).
  • Assessed anxiety and depression using Beck questionnaires.
  • Evaluated auditory processing with Dichotic Digit (DDT), Pitch Pattern (PPST), Quick Speech in Noise (QSIN), Digit Span (DSF, DSB), and Hyperacusis Questionnaire (HQ).

Main Results:

  • 72.3% of participants reported anxiety and/or depression.
  • A significant relationship was observed between anxiety and hyperacusis (HQ).
  • Depression correlated significantly with Quick Speech in Noise (QSIN) performance; other auditory tests showed no significant correlation with anxiety or depression.

Conclusions:

  • A weak association exists between anxiety and hyperacusis.
  • Anxiety and depression may not significantly impact core auditory processing functions like speech-in-noise or memory span.