Monotic auditory processing disorder tests in the older adult population.
The purpose of this study was to determine if peripheral hearing loss of varying degrees in elderly subjects affected performance on monotic auditory processing disorder (APD) tests. A battery of monotic APD tests was administered to a group of well-educated and high-functioning older adults who were divided into three subgroups based on hearing acuity but similar in age: (1) normal hearing out to 4000 Hz with a slight high-frequency slope above that point, (2) normal hearing in the speech range but greater high-frequency loss (sloping configuration), and (3) hearing loss in both the low and high frequencies (low/high). The findings documented that subjects with normal hearing in the speech range performed well on all the APD tests. The subjects in the two hearing loss groups, however, performed more poorly on certain tests. The low/high loss subjects did significantly poorer than did the sloping subjects. These data suggest that low/high-frequency peripheral hearing loss is a factor for poor performance on certain monotic APD tests. Results further showed that when cognitive ability and presentation level are held constant, chronological age does not appear to be a contributing factor to performance on the majority of these monotic APD tests. If APD tests are to be administered to elder subjects, peripheral hearing loss configuration needs to be documented. For subjects with low/high-frequency losses, the tester needs to be aware that serious contamination of the results may occur.
Cox
L Clarke
LC
Department of Otolaryngology, Boston University School of Medicine, 720 Harrison Ave., Ste. 601, Boston, MA 02118, USA. clcox@bu.edu
McCoy
Sandra L
SL
Tun
Patricia A
PA
Wingfield
Arthur
A
D000161:Acoustic Stimulation; D000368:Aged; D000369:Aged, 80 and over; D000375:Aging / Q000502:physiology*; D003071:Cognition / Q000502:physiology; D003072:Cognition Disorders / Q000175:diagnosis* / Q000503:physiopathology; D005260:Female; D006319:Hearing Loss, Sensorineural / Q000175:diagnosis* / Q000503:physiopathology; D006320:Hearing Tests / Q000379:methods / Q000592:standards*; D006801:Humans; D008297:Male; D009483:Neuropsychological Tests; D009622:Noise; D011237:Predictive Value of Tests; D015203:Reproducibility of Results; D013067:Speech Perception / Q000502:physiology*
Psychol Aging. 1990 Dec;5(4):597-9
2278686
J Comp Neurol. 1955 Apr;102(2):511-6
14381544
Otolaryngol Head Neck Surg. 1993 Apr;108(4):329-33
8483603
Ear Hear. 2006 Apr;27(2):129-38
16518141
Trends Amplif. 2006 Mar;10(1):29-59
16528429
Exp Aging Res. 1988 Summer-Autumn;14(2-3):103-7
3234452
Arch Otolaryngol. 1965 Aug;82:115-32
14317382
J Am Acad Audiol. 1996 Dec;7(6):419-27
8972443
Am Ann Deaf. 1991 Apr;136(2):82-6
1651646
J Comp Neurol. 1985 Jul 22;237(4):545-51
3840181
Laryngoscope. 1964 Feb;74:205-20
14117252
Audiology. 1990;29(2):85-92
2350306
J Am Acad Audiol. 2006 Apr;17(4):230-40; quiz 297-8
16761698
J Gerontol. 1994 Mar;49(2):P65-71
8126361
Ear Hear. 1997 Apr;18(2):100-13
9099559
Neurology. 1998 Jan;50(1):114-20
9443467
J Acoust Soc Am. 1988 Mar;83(3):859-95
3281988
Ear Hear. 1997 Feb;18(1):42-61
9058037
J Neuropathol Exp Neurol. 1972 Apr;31(2):304-16
5026016
Psychol Rev. 1996 Jul;103(3):403-28
8759042
J Am Acad Audiol. 1996 Oct;7(5):358-64
8898272
Brain. 1996 Jun;119 ( Pt 3):741-53
8673487
Ear Hear. 1991 Dec;12(6 Suppl):131S-138S
1794640
Biol Psychol. 2000 Oct;54(1-3):35-54
11035219
Percept Psychophys. 1986 Dec;40(6):407-11
3808907
Psychol Aging. 1997 Mar;12(1):12-21
9100264
Arch Otolaryngol. 1978 Jan;104(1):11-5
619879
Hear Res. 2006 Jun-Jul;216-217:216-23
16597491
Ear Hear. 1991 Oct;12(5):304-11
1783233
Brain Lang. 1977 Apr;4(2):277-94
851857
J Am Acad Audiol. 2004 Jan;15(1):6-16
15030098
Psychon Bull Rev. 1996 Dec;3(4):458-80
24213979
J Acoust Soc Am. 1995 Jan;97(1):593-608
7860836
Cereb Cortex. 1999 Jan-Feb;9(1):65-76
10022496
Ear Hear. 1989 Apr;10(2):79-89
2707505
Neurobiol Aging. 1982 Fall;3(3):187-95
6298647
Trends Amplif. 2006 Mar;10(1):1-28
16528428