Auditory Processing Performance of the Middle-Aged and Elderly: Auditory or Cognitive Decline?

Murphy, Cristina Ferraz Borges; Rabelo, Camila Maia; Silagi, Marcela Lima; Mansur, Letı́cia Lessa; Bamiou, Doris‐Eva; Schochat, Eliane

doi:10.3766/jaaa.15098

Cited by 37 publications

(28 citation statements)

References 52 publications

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“…At the same time, top-down processing that affects central auditory performance includes cognitive abilities, such as processing speed, attention, executive function, and memory. 20 Along with a decrease in the audibility of everyday speech, sensorineural hearing loss results in a distortion of the speech signal that often makes speech unclear even after appropriate amplification. This finding is supported by reports from older adults who, despite having clinically normal auditory thresholds, perform poorly on tasks of understanding speech in noisy backgrounds.…”

Section: Age-related Hearing Lossmentioning

confidence: 99%

Dementia and Hearing Loss: Interrelationships and Treatment Considerations

2018

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Hearing loss is common among typically aging older adults and those with dementia. In recent years, there has been a renewed interest in the relationship between hearing and cognition among older adults, and in hearing loss as a modifiable risk factor for dementia. However, relatively less attention has been focused on the management of hearing loss among individuals with dementia and the key roles of speech-language pathologists and audiologists in providing such care. In this article, the authors review the literature on hearing loss and dementia, and analyze the research evidence for treatment of hearing loss in the context of major neurocognitive disorders, such as Alzheimer's disease. This article provides an up-to-date review of research evidence for hearing interventions, as well as recommendations for speech-language pathologists and audiologists to work together to ensure access to hearing health care and increased opportunities for meaningful life engagement for people with dementia and hearing loss.

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Section: Age-related Hearing Lossmentioning

confidence: 99%

Dementia and Hearing Loss: Interrelationships and Treatment Considerations

2018

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“…Nevertheless, most studies about sensory processing and modulation in the elderly focus on sensory acuity or sensory impairment in a speci c sensory modality, mainly visual, auditory and vestibular [7][8][9][10][11], as measured in laboratory settings. Less is known about the ability of elderly people to process and modulate sensory information from various modalities, in daily life scenarios [5].…”

Section: Introductionmentioning

confidence: 99%

Executive dysfunctions mediate between altered sensory processing and daily activity performance in older adults

Engel‐Yeger

Rosenblum

2021

Preprint

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Background: Sensory processing is essential for the interaction with the environment and for adequate daily function. Sensory processing may deteriorate with aging and restrict daily activity performance. Aging may also affect Executive functions (EFs) which are critical for daily activity performance. Yet, most studies refer separately to the impacts of sensory processing or EFs and use clinical evaluations that do not necessarily reflect functional restrictions in real life. This study aims to describe the prevalence of altered sensory processing in the elderly as expressed in daily life scenarios and explore whether EFs mediate between altered sensory processing and daily activity performance in older adults. Methods : This cross-sectional study included 167 healthy independently functioning people aged 65 and above who were living in the community, had sufficient cognitive status and no symptoms of depression (based on the GDS and the MMSE). All participants completed a socio-demographic-health questionnaire, the Adolescent/Adult Sensory Profile, the Behavior Rating Inventory of Executive Function–Adult Version and the Daily Living Questionnaire. Results: Altered sensory processing, and mainly by the reduced ability to register and modulate sensory input from daily environment, were prevalent in older adults. Their impacts on daily activity performance were mediated by executive dysfunctions. Conclusions: Executive dysfunctions may worsen the negative effects of altered sensory processing on daily activity performance in older adults. The interaction between EFs and sensory processing should receive growing attention in intervention and prevention programs for older adults, with the emphasis on their expressions and implications on peoples’ function in real life context.

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“…16 In particular, aging adults experience difficulty with speech perception (particularly speech-in-noise) and discrimination. 17,18 In a sample of 2015 adults aged 55 years and older, Golding 19 concluded that the detection of CAP abnormality for average older adults increased with age (binaural abnormality was detected in 27.3% of participants aged 64 years and lower; 44.3% of participant aged 65–74 years and 69.0% of participants aged 75 years and above), with men more likely to have a higher number of abnormal CAP test outcomes than women. The probability of demonstrating CAP abnormality increased with accompanying cognitive decline or increased hearing impairment.…”

Section: Introductionmentioning

confidence: 99%

Case studies of adults with central auditory processing disorder: Shifting the spotlight!

Heine

Slone

2019

SAGE Open Medical Case Reports

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Vast literature exists detailing the identification and management of central auditory processing disorder in children: however, less information is available regarding central auditory processing disorder in the adult population. This study aimed to document the diagnostic and management procedure for adults presenting at a multidisciplinary clinic due to concerns regarding their listening and central auditory processing skills. This retrospective study was a case file audit of two adults (a male, aged 37 years and a female, aged 44 years) who presented at a multidisciplinary (audiology and speech pathology) clinic for a hearing and central auditory processing evaluation. Both participants completed a case history questionnaire and were then interviewed with results being documented in their file. Participants were evaluated by a dually qualified audiologist-speech pathologist on a battery of peripheral hearing tests (including pure-tone threshold audiometry, immittance measures and speech tests), central auditory processing assessments (including monaural low redundancy, dichotic listening and temporal processing tests) and evaluation of short-term auditory memory skills. Participants were self-referred, never having been assessed previously for central auditory processing disorder, yet had perceived heightened difficulty with processing information; having conversations (particularly in noisy work or social environments) and remembering information, resulting in a range of psychosocial responses. Following diagnosis of central auditory processing disorder, participants undertook an individualized short-term aural rehabilitation program as dictated by their needs and preferences. Post-program participants perceived better ability to listen and process information even in adverse listening conditions. They reported that their newly learned skills improved their work abilities and social participation leading to positive outcomes. Medical and other allied health professionals should consider the possibility of presentation of central auditory processing disorder in adulthood and make appropriate referrals for central auditory processing testing to facilitate diagnosis and appropriate intervention. Aural rehabilitation should be considered for adults newly diagnosed with central auditory processing disorder.

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Auditory Processing Performance of the Middle-Aged and Elderly: Auditory or Cognitive Decline?

Abstract: Background: Despite the well-established relationship between aging and auditory

Cited by 37 publications

References 52 publications

Dementia and Hearing Loss: Interrelationships and Treatment Considerations

Dementia and Hearing Loss: Interrelationships and Treatment Considerations

Executive dysfunctions mediate between altered sensory processing and daily activity performance in older adults

Case studies of adults with central auditory processing disorder: Shifting the spotlight!

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