PubMed Health⌕ Search

Biomedical subjects

P L Divenyi

Publications and source records attributed to P L Divenyi.

17 recordsLinked to original sources

Audiological correlates of speech understanding deficits in elderly listeners with mild-to-moderate hearing loss. I. Age and lateral asymmetry effects.

OBJECTIVE: The study was conducted to answer two questions: 1) Which auditory measures detect impairments attributable to age rather than hearing loss? 2) Among the elderly, is there a lateral asymmetry of performance? DESIGN: Audiological status and auditory performance of a group of elderly (60 to 81 yr old) and normal-hearing young (18 to 30 yr old) individuals were determined through a test battery. When present, the hearing loss of elderly subjects was symmetrical in the two ears and, at most, moderate. The battery included tests of speech intelligibility on the word and sentence levels, with and without the presence of interfering speech. In addition to pure-tone and speech reception thresholds, perception of spectrally or temporally distorted speech and auditory resolution of frequency, time, and space were tested. Two tests received special consideration: the Speech Perception In Noise Test and the Modified Rhyme Reverberation Test. RESULTS: Results indicated that 1) hearing loss was a major factor differentiating auditory performance of elderly and young individuals, and 2) genuine age-related deficits were found in measures assessing auditory resolution and the ability to utilize spatial, temporal, and/or linguistic context information to perceptually separate a speech target from surrounding speech noise. Furthermore, the elderly group exhibited a right-ear advantage, caused by left-ear deficits, in tests measuring central auditory processing and a slight left-ear advantage in tests measuring peripheral auditory resolution. CONCLUSIONS: The findings suggest that, after controlling for the effect of hearing loss, there are a number of test measures in which performance of elderly and young listeners differs. Regarding lateral asymmetry, a disproportionate decline in auditory processing in the left ear of elderly individuals has been demonstrated. The major clinical conclusion is that, when testing an elderly group's performance regarding any given auditory function, the influence of pure-tone threshold elevations, no matter how mild, cannot be disregarded.

Age Factors↗

Audiological correlates of speech understanding deficits in elderly listeners with mild-to-moderate hearing loss. II. Correlation analysis.

OBJECTIVE: The study was conducted to determine the relationship between measures of auditory performance in elderly individuals. Specifically, its goal was to uncover a set of measures correlated with the set of measures of speech understanding under specific conditions of interference to gain a better understanding of decline of the "cocktail party effect" in aging. DESIGN: Audiological status and auditory performance of a group of elderly (60- to 81-yr-old) individuals were determined through a test battery. When present, the hearing loss of elderly subjects was symmetrical in the two ears and, at most, moderate. The battery included tests of speech intelligibility on the word and sentence levels, with and without the presence of interfering speech. In addition pure-tone and speech reception thresholds, perception of spectrally or temporally distorted speech and auditory resolution of frequency, time, and space were tested. Two tests received special consideration: the Speech Perception In Noise Test and the Modified Rhyme Reverberation Test. RESULTS: Results indicated that, despite the nearly normal hearing levels that characterized much of the subject group, auditory sensitivity measures showed persistent correlation to all other measures, with the exception of auditory resolution regarding frequency, time, and space. As a set, sensitivity measures accounted for more than 85% of the variance. When auditory sensitivity was controlled for, other factors underlying speech processing in the presence of interfering stimuli were uncovered, factors most likely related to the ability to perceptually segregate one speech signal from another. CONCLUSIONS: The findings suggest that, to determine the relationship between audiological/auditory test results of an elderly population, it is important to remove the effects of hearing loss through appropriate statistical methods.

Aged↗

Audiological correlates of speech understanding deficits in elderly listeners with mild-to-moderate hearing loss. III. Factor representation.

OBJECTIVE: The objective of the study was to determine the major factors that underlie auditory/audiological performance measures in an elderly population, with particular emphasis on finding those factors responsible for speech understanding under specific conditions of interference. DESIGN: Audiological status and auditory performance of a group of elderly (60- to 81-yr-old) and normal-hearing young (18- to 30-yr-old) individuals was determined through a test battery. When present, the hearing loss of elderly subjects was symmetrical in the two ears and, at most, moderate. The battery included tests of speech intelligibility on the word and sentence levels, with and without the presence of interfering speech. In addition to pure-tone and speech reception thresholds, perception of spectrally or temporally distorted speech as well as auditory resolution of frequency, time, and space were tested. Two tests received special consideration: the Speech Perception In Noise Test and the Modified Rhyme Reverberation Test. Taking the overall results as well as various subsets of the results, principal component analyses were conducted to identify major factors underlying auditory performance. RESULTS: The factors extracted by the principal component analyses present a portrayal of the auditory performance profile in which effects of interference, high-frequency hearing, and basic auditory function play a major role. Interference factors include general susceptibility to noise as well as segregation of concurrent speech sounds on the basis of temporal dissimilarities and spatial separation. Comparison of factors extracted from various subsets of tests indicate that factors underlying the decline of the "cocktail party effect" in the elderly are addressed mostly by tests specifically designed to assess speech understanding in spatially distributed babble or in a reverberant environment. CONCLUSIONS: Factor analysis of test measures obtained from a group of elderly individuals with normal hearing or mild-to-moderate hearing loss led to two main findings. First, it portrayed hearing loss as a component of different factors rather than as a factor on its own. Second, the independence of measures of speech understanding in babble or reverberation from other measures suggests that such tests should become an integral part of audiological test batteries designed to assess auditory functions in aging.

Adolescent↗

Binaural suppression of nonechoes.

A brief diotic conditioner has been shown to effectively disrupt lateralization of a brief dichotic probe presented after a short interval (4-10 ms, onset to onset) with an interaural time delay that is clearly discriminable in the absence of the conditioner [e.g., P. M. Zurek, J. Acoust. Soc. Am. 66, 1750-1757 (1980)], even when the conditioner and the probe are different sounds [P. L. Divenyi and J. Blauert, in Auditory Processing of Complex Sounds, edited by W. A. Yost and C. S. Watson (Erlbaum, Hillsdale, NJ, 1987), pp. 146-155]. The present experiments investigated lateralization suppression of a narrow-band dichotic probe centered at 2 kHz by a narrow-band diotic conditioner, in situations in which the probe could not be regarded as an echo of the conditioner. In one case, the conditioner was identical to the probe but was presented in opposite phase; in other conditions, the center frequency of the conditioner was different, with the center frequency to bandwidth ratio remaining constant. The effects of frequency and temporal separation between the conditioner and the probe on the suppression of the lateralization of the probe were explored. Suppression of lateralization was measured as the increase in the just-noticeable interaural time difference (jnd), with respect to the interaural time jnd obtained for the probe alone. Low-frequency (0.5 to 1.5 kHz) conditioners were more effective in suppressing the lateralization of the probe than those at or above the probe frequency.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗

In defense of the right and left audiograms: a reply to Coren (1989) and Coren and Hakstian (1990)

Coren (1989) noticed that the various air-conduction pure-tone thresholds obtained from one ear of an individual in quiet tend to display a high correlation. In addition, Coren and Hakstian (1990) reported a consistently high correlation between pure-tone thresholds in the two ears of the same individual. On the basis of these observations, these authors proposed that pure-tone thresholds measured at audiometric frequencies in one ear, and those measured in both ears of an individual, be collapsed into a single average threshold value. The present paper disputes the usefulness and the appropriateness of such a proposal.

Audiometry, Pure-Tone↗

Nonlinguistic auditory capabilities in aphasia.

Nonlinguistic auditory capabilities were assessed through psychophysical tests in 11 left-CVA aphasic, four right-CVA nonaphasic, and eight normal male subjects selected from the same age group. The tests included frequency discrimination, gap detection, gap discrimination, frequency sweep discrimination, assessment of the magnitude of the frequency uncertainty effect in the detectability of tones in noise, and assessment of frequency selectivity through simultaneous masked thresholds. Results of these tests were compared to measures of auditory comprehension obtained from the Boston Diagnostic Aphasia Examination, the Porch Index of Communicative Ability, and the Token Test. Nonlinguistic auditory performance of the three subject groups differed significantly from each other. For the left-CVA subjects, frequency sweep discrimination, frequency discrimination, and the frequency uncertainty effect in tone-in-noise detection were the best predictors of verbal auditory comprehension. The right-CVA subjects displayed marked deficits with regard to all pitch-related tests. The findings stress the importance of considering the presence of nonlinguistic auditory dysfunctions when evaluating linguistic auditory capabilities in aphasia.

Adult↗

Central auditory processing. I. Ear dominance--a perceptual or an attentional asymmetry?

The phenomenon of ear dominance for pitch described by Efron and Yund has been attributed by them to an asymmetry of sensory origin in the binaural integration of dichotic tone pairs. An explanation of this phenomenon in terms of an attentional bias is rejected on the basis of two experiments where the possibility of such bias was excluded. These and other experiments indicate that a simple explanation of this ear dominance in terms of a hemispheric specialization in the processing of tonal stimuli also must be rejected.

Attention↗

Central auditory processing. III. The "cocktail party" effect and anterior temporal lobectomy.

The capacity to selectively attend to only one of multiple, spatially separated. simultaneous sound sources--the "cocktail party" effect--was evaluated in normal subjects and in those with anterior temporal lobectomy using common environmental sounds. A significant deficit in this capacity was observed for those stimuli located on the side of space contralateral to the lobectomy, a finding consistent with the hypothesis that within each anterior temporal lobe is a mechanism that is normally capable of enhancing the perceptual salience of one acoustic stimulus on the opposite side of space, when other sound sources are present on that side. Damage to this mechanism also appears to be associated with a deficit of spatial localization for sounds contralateral to the lesion.

Attention↗

The effect of bone conduction on the intensity independence of dichotic chords.

The relative salience of the pitch components of a two-tone dichotic chord is invariant with respect to the relative intensity of the two tones over a wide range of interaural intensity differences [R. Efron and E. W. Yund, J. Acoust, Soc. Am. 889--898 (1976)]. According to a recently developed model, the range of intensity independence is limited by the bone-conducted energy from the more intense tone [E. W. Yund and R. Efron, J. Acoust. Soc. Am. 62, 607--617 (1977)]. The model predicts that a decrease in bone conduction such as the one achieved by using insertion earphones, must increase the range of intensity independence. This prediction is confirmed.

Bone Conduction↗

Individual differences in the perception of dichotic chords.

A new method was employed to measure the changes in the strength of ear dominance in the perception of dichotic chords as a function of stimulus intensity. The results of the first experiment, where the right and left tones were of equal intensity, revealed striking individual differences in the way the ear dominance of five subjects changed as the intensity of the chords was varied over a 60-dB range--no two subjects exhibiting the same pattern of behavior. Since, within the context of the model of Yund and Efron [J. Acoust. Soc. Am. 62, 607-617 (1977)] these individual differences could result from right-left asymmetries in the subject's intensity-response (I-R) transduction mechanisms, a second experiment was performed in which the two tones had different intensities. From the results of the second experiment the shape of the I-R function for each ear could be computed. Using these I-R functions as parameters, the model accurately predicted the idiosyncratic changes of ear dominance observed in the first experiment. The right-left asymmetries in the I-R functions also a-count for previously reported idiosyneratic changes in ear dominance as a function of the frequency difference between the two tones of the dichotic chord.

Acoustic Stimulation↗

Is pitch a learned attribute of sounds? Two points in support of Terhardt's pitch theory.

Terhardt [J. Acoust. Soc. Am. 55, 1061-1069 (1974)] postulated a pitch perception model wherein a learning stage constitutes an integral part: it is only repeated exposure to patterns of spectral pitch that will generate the percept of virtual pitch (i.e., the residue). Two examples, one clinical and one musical, are cited to support the idea that perception of the pitch of complex tones represents a case of pattern perception which is acquired with experience.

Hearing Loss, Sensorineural↗

Some figural properties of auditory patterns.

Listeners identified one of six permutations of three frequencies, presented as brief three-note melodies. Identification performance remained high in spite of transposition of the original three frequencies throughout a two-octave range, so long as the musical intervals or frequency ratios between the adjacent pairs of frequencies remained constant. Even when those intervals were compressed or expanded, while remaining about equal to each other, identification was quite good for the range between the lowest and highest frequency of no more than approximately 1/3 octave. Performance decreased sharply when the span was much wider. Unequal intervals, where the low and middle frequencies were closer together or farther apart than the middle and high frequencies, did not retain good identification performance. When the three-tone patterns were embedded in longer sequences of seven or eight tones, the identification performance was best when the pattern occurred at the beginning or the end of the sequence, and when the range of frequencies from which the irrelevant background tones were chosen lay outside the range of pattern frequencies. Under conditions where the background frequencies were fixed and the pattern frequencies were moved, thus combining the manipulation of embedding with that of transposition of the pattern, overlap of pattern and background frequencies was still the principal cause of deterioration in performance. The findings are related to some analogies to the perceptual rules of Gestalt theory, as well as to certain aspects of musical practice.

Auditory Perception↗

Modeling and perception of 'gesture reduction'.

The phenomenon of vowel reduction is investigated by modeling 'gesture reduction' with the use of the Distinctive Region Model (DRM). First, a definition is proposed for the term gesture, i.e. an acoustically efficient command aimed at deforming, in the time domain, the area function of the vocal tract. Second, tests are reported on the perception of vowel-to-vowel transitions obtained with reduced gestures. These tests show that a dual representation of formant transitions is required to explain the reduction phenomenon: the trajectory in the F(1)-F(2) plane and the time course of the formant changes. The results also suggest that time-domain integration of the trajectories constitutes an integral part of the auditory processing of transitions. Perceptual results are also discussed in terms of the acoustic traces of DRM gestures.

Humans↗