Determining attributed factors of hearing handicap in individuals with auditory sensory and neural pathology

Introduction: There is a modest relationship between speech perception skills and perceived hearing handicap in individuals with hearing loss. In this study, an attempt is made at linking psychoacoustic results and speech perception skills to understand the subjective handicap and quality of life. O...

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Main Authors: Sindhu Parthasarathy, Hemanth Narayan Shetty
Format: Article
Language:English
Published: Elsevier 2022-11-01
Series:Brazilian Journal of Otorhinolaryngology
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1808869421001269
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author Sindhu Parthasarathy
Hemanth Narayan Shetty
author_facet Sindhu Parthasarathy
Hemanth Narayan Shetty
author_sort Sindhu Parthasarathy
collection DOAJ
description Introduction: There is a modest relationship between speech perception skills and perceived hearing handicap in individuals with hearing loss. In this study, an attempt is made at linking psychoacoustic results and speech perception skills to understand the subjective handicap and quality of life. Objective: To investigate how speech perception in noise (signal to noise ratio-50), difference limen frequency, temporal modulation transfer function, hearing handicap inventory for adults, and quality of life in auditory neuropathy spectrum disorder differs from sensorineural hearing loss. Further we attempt to discern attributed factors of hearing handicap in auditory neuropathy spectrum disorder and sensorineural hearing loss. Methods: A cross-sectional study with comparative and correlational research designs were utilized. Eighty-four participants were grouped into sensorineural hearing loss (n = 49), and auditory neuropathy spectrum disorder (n = 35) was sub-grouped into mild, moderately severe, and severe. We evaluated signal to noise ratio-50, difference limen frequency, and temporal modulation transfer function. In addition, hearing handicap inventory for adults, and quality of life questionnaires were administered. Results: Mild auditory neuropathy spectrum disorder showed impairment in speech perception and discriminating frequency, which were similar to the severe sensory neural hearing loss. Temporal resolution impairment in auditory neuropathy spectrum disorder mild was significantly higher than in each sub-groups of sensorineural hearing loss. The severity of the hearing handicap in was similar to severe sensorineural hearing loss, quality of life was equally affected in sensorineural hearing loss and auditory neuropathy spectrum disorder. In sensorineural hearing loss, signal to noise ratio-50 was positively related, and quality of life was negatively related to hearing handicap. In auditory neuropathy spectrum disorder, no contributory factors were related to hearing handicap. Conclusion: Mild auditory neural pathology demonstrates impairment in speech recognition and psychoacoustic skills similar to severe cochlear pathology. In sensorineural hearing loss, hearing handicap is predicted from quality of life and speech perception, but none of the contributory factors predicted hearing handicap in auditory neuropathy spectrum disorder.
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spelling doaj.art-511d5c16770e4950885f82e1b6b7425d2022-12-22T04:36:15ZengElsevierBrazilian Journal of Otorhinolaryngology1808-86942022-11-0188S9S19Determining attributed factors of hearing handicap in individuals with auditory sensory and neural pathologySindhu Parthasarathy0Hemanth Narayan Shetty1All India Institute of Speech and Hearing, Department of Audiology, Mysuru, India; J.S.S. Institute of Speech and Hearing, Department of Speech and Hearing, Mysuru, Karnataka, India; Corresponding author.All India Institute of Speech and Hearing, Department of Audiology, Mysuru, India; J.S.S. Institute of Speech and Hearing, Department of Speech and Hearing, Mysuru, Karnataka, IndiaIntroduction: There is a modest relationship between speech perception skills and perceived hearing handicap in individuals with hearing loss. In this study, an attempt is made at linking psychoacoustic results and speech perception skills to understand the subjective handicap and quality of life. Objective: To investigate how speech perception in noise (signal to noise ratio-50), difference limen frequency, temporal modulation transfer function, hearing handicap inventory for adults, and quality of life in auditory neuropathy spectrum disorder differs from sensorineural hearing loss. Further we attempt to discern attributed factors of hearing handicap in auditory neuropathy spectrum disorder and sensorineural hearing loss. Methods: A cross-sectional study with comparative and correlational research designs were utilized. Eighty-four participants were grouped into sensorineural hearing loss (n = 49), and auditory neuropathy spectrum disorder (n = 35) was sub-grouped into mild, moderately severe, and severe. We evaluated signal to noise ratio-50, difference limen frequency, and temporal modulation transfer function. In addition, hearing handicap inventory for adults, and quality of life questionnaires were administered. Results: Mild auditory neuropathy spectrum disorder showed impairment in speech perception and discriminating frequency, which were similar to the severe sensory neural hearing loss. Temporal resolution impairment in auditory neuropathy spectrum disorder mild was significantly higher than in each sub-groups of sensorineural hearing loss. The severity of the hearing handicap in was similar to severe sensorineural hearing loss, quality of life was equally affected in sensorineural hearing loss and auditory neuropathy spectrum disorder. In sensorineural hearing loss, signal to noise ratio-50 was positively related, and quality of life was negatively related to hearing handicap. In auditory neuropathy spectrum disorder, no contributory factors were related to hearing handicap. Conclusion: Mild auditory neural pathology demonstrates impairment in speech recognition and psychoacoustic skills similar to severe cochlear pathology. In sensorineural hearing loss, hearing handicap is predicted from quality of life and speech perception, but none of the contributory factors predicted hearing handicap in auditory neuropathy spectrum disorder.http://www.sciencedirect.com/science/article/pii/S1808869421001269Hearing handicapAuditory neural pathologyCochlear pathologyQuality of lifePsychoacoustic skills
spellingShingle Sindhu Parthasarathy
Hemanth Narayan Shetty
Determining attributed factors of hearing handicap in individuals with auditory sensory and neural pathology
Brazilian Journal of Otorhinolaryngology
Hearing handicap
Auditory neural pathology
Cochlear pathology
Quality of life
Psychoacoustic skills
title Determining attributed factors of hearing handicap in individuals with auditory sensory and neural pathology
title_full Determining attributed factors of hearing handicap in individuals with auditory sensory and neural pathology
title_fullStr Determining attributed factors of hearing handicap in individuals with auditory sensory and neural pathology
title_full_unstemmed Determining attributed factors of hearing handicap in individuals with auditory sensory and neural pathology
title_short Determining attributed factors of hearing handicap in individuals with auditory sensory and neural pathology
title_sort determining attributed factors of hearing handicap in individuals with auditory sensory and neural pathology
topic Hearing handicap
Auditory neural pathology
Cochlear pathology
Quality of life
Psychoacoustic skills
url http://www.sciencedirect.com/science/article/pii/S1808869421001269
work_keys_str_mv AT sindhuparthasarathy determiningattributedfactorsofhearinghandicapinindividualswithauditorysensoryandneuralpathology
AT hemanthnarayanshetty determiningattributedfactorsofhearinghandicapinindividualswithauditorysensoryandneuralpathology