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评估退伍军人诊断措施的自我感知听力障碍,尽管正常的听力测量值:一个快速的范围审查
David P Jedlicka1,2, Hari Bharadwaj1, Elaine Mormer1
1Department of Communication Science and Disorders, University of Pittsburgh, PA.
Journal of speech, language, and hearing research : JSLHR
|August 7, 2025
概括
自我报告问卷有效地区分了听力障碍但听力正常的退伍军人. 为了更好的诊断,进一步的研究应该探索听觉处理以外的因素.
科学领域:
- 听力学 听力学是指听力学.
- 神经科学是一个神经科学.
- 退伍军人健康 退伍军人的健康
背景情况:
- 退伍军人经常报告听力障碍尽管正常的听力学值.
- 将这些人与没有听力障碍的人区分开来,对于适当的诊断和治疗至关重要.
研究的目的:
- 确定临床测试,以区分退伍军人与正常听力和无残疾的正常听力和正常听力值 (SPHH-NA).
- 评估各种诊断措施在区分这些退伍军人群体方面的有效性.
主要方法:
- 对PubMed和CINAHL数据库进行了快速范围审查.
- 包括的研究是实验性的,用英语,完全在线访问,包括美国军人或退伍军人与SPHH-NA接受诊断测试.
- 效应大小 (Hedges' g) 根据临床意义进行计算.
主要成果:
- 分析了11项研究,包括27项测试措施.
- 在至少一项研究中,15项测量结果显示出显著差异,但结果不一致.
- 自我报告问卷是唯一在多项研究中显示出大效果的大小的措施.
- 语音噪音测试显示有效性有限,只有一个实例具有很大的效果大小.
结论:
- 传统的听力测试可能无法充分区分患有SPHH-NA的退伍军人.
- 诊断方法应该考虑更高层次的处理和超出听觉系统的因素.
- 未来的研究应该探索更广泛的潜在差异化机制.
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