Potential Consequences of Spectral and Binaural Loudness Summation for Bilateral Hearing Aid Fitting

Aversiveness of loud sounds is a frequent complaint by hearing aid users, especially when fitted bilaterally. This study investigates whether loudness summation can be held responsible for this finding. Two aspects of loudness summation should be taken into account: spectral loudness summation for b...

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Bibliographic Details
Main Authors: Maarten van Beurden, Monique Boymans, Mirjam van Geleuken, Dirk Oetting, Birger Kollmeier, Wouter A. Dreschler
Format: Article
Language:English
Published: SAGE Publishing 2018-10-01
Series:Trends in Hearing
Online Access:https://doi.org/10.1177/2331216518805690
Description
Summary:Aversiveness of loud sounds is a frequent complaint by hearing aid users, especially when fitted bilaterally. This study investigates whether loudness summation can be held responsible for this finding. Two aspects of loudness summation should be taken into account: spectral loudness summation for broadband signals and binaural loudness summation for signals that are presented binaurally. In this study, the effect of different symmetrical hearing losses was studied. Measurements were obtained with the widely used technique of Adaptive Categorical Loudness Scaling. For large bandwidths, spectral loudness summation for hearing-impaired listeners was found to be greater than that for normal-hearing listeners, both for monaurally and binaurally presented signals. For binaural loudness summation, the effect of hearing loss was not significant. In all cases, individual differences were substantial.
ISSN:2331-2165