Development of Auditory Temporal Resolution in School-Age Children Revealed by Word Recognition in Continuous and Interrupted Noise

Development of the Turkish hearing in noise test for children

OBJECTIVES

The aim of this study is to develop the Turkish version of hearing in noise test for children (HINT-C) by providing norms and correction factors for the children in different age groups.

METHODS

A total of 77 individuals with normal hearing - 62 children (6-12 years old) and 15 adults (18-30 years old) - were included. Twelve phonemically balanced 10-sentence lists were created from the adult version of the Turkish HINT (Study 1). Age-specific norms, correction factors and maturation effects were examined using the Turkish HINT-C (Study 2).

RESULTS

Mean performances under different listening conditions and Spatial Release from Masking (SRM) advantage values were obtained for the 6-, 8-, 10-, and 12-year-old and estimated for the 7-, 9-, and 11-year-old age groups, and correction factors were calculated for all children age groups. Turkish-speaking children did not achieve adult-like hearing in noise performance, until they were 12 years old.

CONCLUSIONS

Twelve phonemically balanced 10-sentence lists of Turkish HINT-C were created, and the mean performances of children in different age groups were measured. In addition to the age-specific HINT-C norms and correction factors for the 6-, 8-, 10-, and 12-year-old age groups, the maturation effects were determined.

Evaluation of Temporal Processing Abilities in Competing Noise

Temporal processing is critical to a wide variety of everyday listening tasks, including speech perception. Although the importance of signal to noise ratio (SNR) is well documented in speech perception experiments, it is less explored in temporal processing experiments. The present study examined the effect of SNR on temporal processing abilities using Gap Detection Threshold (GDT) in children and adults. The study included a total of 45 subjects, where in, 25 children (Group-1) and 20 adults (Group-2) with pure-tone thresholds ranging from 0 to 25 dB HL at frequency range 250-8000 Hz. The GDT was measured at presentation level 50 dBSL. All the measurements were performed in 5 different conditions: 'Quiet', ' + 10 dB SNR', ' + 5 dB SNR', ' + 0 dB SNR' and ' - 5 dB SNR'. Gap Detection Thresholds are significantly higher from + 10 to - 5 dB SNR when compared to quiet condition in young-adults and all sub-groups of children, whereas at + 10 dB SNR, thresholds were not significantly different from quiet condition in young-adults and all sub-groups of children except for sub-group A of children, and were significantly different for all the five conditions. It was revealed that, as the signal to noise ratio (SNR) was decreased from + 10 dB SNR to 0 dB SNR there was a significant increase in Gap Detection Thresholds. There was a significant increase in Gap Detection Thresholds from + 10 dB SNR to - 5 dB SNR in both children and adults. The results also suggest that the performance on temporal processing task in the presence of background noise achieves young-adult like pattern by the age of 10-11 years. Background noise affect temporal processing in both children and young-adults. Background noise impairs temporal processing in children more than the adults, which could be because of poor temporal resolving abilities in children.

Differential Effects of Task-Irrelevant Monaural and Binaural Classroom Scenarios on Children's and Adults' Speech Perception, Listening Comprehension, and Visual-Verbal Short-Term Memory

Most studies investigating the effects of environmental noise on children's cognitive performance examine the impact of monaural noise (i.e., same signal to both ears), oversimplifying multiple aspects of binaural hearing (i.e., adequately reproducing interaural differences and spatial information). In the current study, the effects of a realistic classroom-noise scenario presented either monaurally or binaurally on tasks requiring processing of auditory and visually presented information were analyzed in children and adults. In Experiment 1, across age groups, word identification was more impaired by monaural than by binaural classroom noise, whereas listening comprehension (acting out oral instructions) was equally impaired in both noise conditions. In both tasks, children were more affected than adults. Disturbance ratings were unrelated to the actual performance decrements. Experiment 2 revealed detrimental effects of classroom noise on short-term memory (serial recall of words presented pictorially), which did not differ with age or presentation mode (monaural vs. binaural). The present results add to the evidence for detrimental effects of noise on speech perception and cognitive performance, and their interactions with age, using a realistic classroom-noise scenario. Binaural simulations of real-world auditory environments can improve the external validity of studies on the impact of noise on children's and adults' learning.

Development of binaural temporal fine structure sensitivity in children

The highest frequency for which the temporal fine structure (TFS) of a sinewave can be compared across ears varies between listeners with an upper limit of about 1400 Hz for young normal-hearing adults (YNHA). In this study, binaural TFS sensitivity was investigated for 63 typically developing children, aged 5 years, 6 months to 9 years, 4 months using the temporal fine structure-adaptive frequency (TFS-AF) test of Füllgrabe, Harland, Sęk, and Moore [Int. J. Audiol. 56, 926-935 (2017)]. The test assesses the highest frequency at which an interaural phase difference (IPD) of ϕ° can be distinguished from an IPD of 0°. The values of ϕ were 30° and 180°. The starting frequency was 200 Hz. The thresholds for the children were significantly lower (worse) than the thresholds reported by Füllgrabe, Harland, Sęk, and Moore [Int. J. Audiol. 56, 926-935 (2017)] for YNHA. For both values of ϕ, the median age at which children performed above chance level was significantly higher (p < 0.001) than for those who performed at chance. For the subgroup of 40 children who performed above chance for ϕ = 180°, the linear regression analyses showed that the thresholds for ϕ = 180° increased (improved) significantly with increasing age (p < 0.001) with adult-like thresholds predicted to be reached at 10 years, 2 months of age. The implications for spatial release from masking are discussed.

The Swedish hearing in noise test for children, HINT-C

OBJECTIVE

The aim of this study was to develop and evaluate a Swedish version of the Hearing In Noise Test for Children (HINT-C).

DESIGN

In the first part, the Swedish HINT lists for adults was evaluated by children at three signal to noise ratios (SNRs), -4, -1 and +2 dB. Lists including sentences not reaching 50% recognition at +2 dB SNR were excluded and the rest constituted the HINT-C. In the second part, HINT-C was evaluated in children and adults using an adaptive procedure to determine the SNR for 50% correctly repeated sentences. Study Sample In the first part, 112 children aged 6-11 years participated while another 28 children and 9 adults participated in the second part.

RESULTS

Eight out of 24 tested adult HINT lists did not reach the inclusion criteria. The remaining 16 lists formed the Swedish HINT-C which was evaluated in children 6-11 years old. A regression analysis showed that the predicted SNR threshold (dB) was 0.495-0.365*age (years + months/12) and the children reached the mean adult score at an age of 10.5 years.

CONCLUSIONS

A Swedish version of HINT-C was developed and evaluated in children six years and older.

An examination of electrophysiological release from masking in young and older adults

The effect of age on release from masking (RFM) was examined using cortical auditory evoked potentials (CAEPs). Two speech-in-noise paradigms [i.e., fixed speech with varying signal-to-noise ratios (SNRs) and fixed noise with varying speech levels], similar to those used in behavioral measures of RFM, were employed with competing continuous and interrupted noises. Young and older normal-hearing adults participated (N = 36). Cortical responses were evoked in the fixed speech paradigm at SNRs of -10, 0, and 10 dB. In the fixed noise paradigm, the CAEP SNR threshold was determined in both noises as the lowest SNR that yielded a measurable response. RFM was demonstrated in the fixed speech paradigm with a significant amount of missing responses, longer P1 and N1 latencies, and smaller N1 response amplitudes in continuous noise at the poorest -10 dB SNR. In the fixed noise paradigm, RFM was demonstrated with significantly lower CAEP SNR thresholds in interrupted noise. Older participants demonstrated significantly longer P2 latencies and reduced P1 and N1 amplitudes. There was no evidence of a group difference in RFM in either paradigm.

Infants' use of isolated and combined temporal cues in speech sound segregation

This paper investigates infants' and adults' use of envelope cues and combined onset asynchrony and envelope cues in the segregation of concurrent vowels. Listeners heard superimposed vowel pairs consisting of two different vowels spoken by a male and a female talker and were trained to respond to one specific target vowel, either the male /u:/ or male /i:/. Vowel detection was measured in three conditions. In the baseline condition the two superimposed vowels had similar amplitude envelopes and synchronous onset. In the envelope cue condition, the amplitude envelopes of the two vowels differed. In the combined cue condition, both the onset time and amplitude envelopes of the two vowels differed. Seven-month-old infants' concurrent vowel segregation improved both with envelope and with combined onset asynchrony and envelope cues to the same extent as adults'. A preliminary investigation with 3-month-old infants suggested that neither envelope cues nor combined asynchrony and envelope cues improved their ability to detect the target vowel. Taken together, these results suggest that envelope and combined onset-asynchrony cues are available to infants as they attempt to process competing speech sounds, at least after 7 months of age.

The Finnish simplified matrix sentence test for the assessment of speech intelligibility in the elderly

Objective: A simplified version of the Finnish matrix sentence test (FMST) was developed to improve the reliability of hearing diagnostic for children and for patients with limited working memory capacity and/or vocabulary.Design: Study 1 evaluated the word matrix of the Finnish simplified matrix sentence test (FINSIMAT) to rule out systematic differences between the new FINSIMAT test lists, and to provide reference values for normal-hearing (NH) young adults (YA). In Study 2, the FINSIMAT and the FMST were evaluated in elderly listeners with mild-to-moderate hearing impairment (HI).Study sample: Twenty NH YAs participated in Study 1, and 16 elderly HI adults participated in Study 2.Results: For NH YAs, the reference speech reception threshold (SRT₅₀) estimate and the slope for the FINSIMAT were -11.2 ± 1.0 dB signal-to-noise ratio (SNR) and 19.4 ± 1.9%/dB SNR. For the elderly HI listeners, the mean SRT₅₀ estimates for the FINSIMAT and FMST were -4.1 and -3.6 dB SNR, respectively. The correlation between the FMST and FINSIMAT results was strong (r² = 0.78, p < 0.001).Conclusion: The FINSIMAT showed comparable characteristics to the FMST and proved feasible for measurements in elderly HI listeners.

Speech-in-Noise Perception in Children With Cochlear Implants, Hearing Aids, Developmental Language Disorder and Typical Development: The Effects of Linguistic and Cognitive Abilities

Children with hearing loss, and those with language disorders, can have excellent speech recognition in quiet, but still experience unique challenges when listening to speech in noisy environments. However, little is known about how speech-in-noise (SiN) perception relates to individual differences in cognitive and linguistic abilities in these children. The present study used the Norwegian version of the Hearing in Noise Test (HINT) to investigate SiN perception in 175 children aged 5.5–12.9 years, including children with cochlear implants (CI, n = 64), hearing aids (HA, n = 37), developmental language disorder (DLD, n = 16) and typical development (TD, n = 58). Further, the study examined whether general language ability, verbal memory span, non-verbal IQ and speech perception of monosyllables and sentences in quiet were predictors of performance on the HINT. To allow comparisons across ages, scores derived from age-based norms were used for the HINT and the tests of language and cognition. There were significant differences in SiN perception between all the groups except between the HA and DLD groups, with the CI group requiring the highest signal-to-noise ratios (i.e., poorest performance) and the TD group requiring the lowest signal-to-noise ratios. For the full sample, language ability explained significant variance in HINT performance beyond speech perception in quiet. Follow-up analyses for the separate groups revealed that language ability was a significant predictor of HINT performance for children with CI, HA, and DLD, but not for children with TD. Memory span and IQ did not predict variance in SiN perception when language ability and speech perception in quiet were taken into account. The finding of a robust relation between SiN perception and general language skills in all three clinical groups call for further investigation into the mechanisms that underlie this association.

Development of temporal auditory processing in childhood: Changes in efficiency rather than temporal-modulation selectivity

The ability to detect amplitude modulation (AM) is essential to distinguish the spectro-temporal features of speech from those of a competing masker. Previous work shows that AM sensitivity improves until 10 years of age. This may relate to the development of sensory factors (tuning of AM filters, susceptibility to AM masking) or to changes in processing efficiency (reduction in internal noise, optimization of decision strategies). To disentangle these hypotheses, three groups of children (5-11 years) and one of young adults completed psychophysical tasks measuring thresholds for detecting sinusoidal AM (with a rate of 4, 8, or 32 Hz) applied to carriers whose inherent modulations exerted different amounts of AM masking. Results showed that between 5 and 11 years, AM detection thresholds improved and that susceptibility to AM masking slightly increased. However, the effects of AM rate and carrier were not associated with age, suggesting that sensory factors are mature by 5 years. Subsequent modelling indicated that reducing internal noise by a factor 10 accounted for the observed developmental trends. Finally, children's consonant identification thresholds in noise related to some extent to AM sensitivity. Increased efficiency in AM detection may support better use of temporal information in speech during childhood.

Reducing Simulated Channel Interaction Reveals Differences in Phoneme Identification Between Children and Adults With Normal Hearing

OBJECTIVES

Channel interaction, the stimulation of overlapping populations of auditory neurons by distinct cochlear implant (CI) channels, likely limits the speech perception performance of CI users. This study examined the role of vocoder-simulated channel interaction in the ability of children with normal hearing (cNH) and adults with normal hearing (aNH) to recognize spectrally degraded speech. The primary aim was to determine the interaction between number of processing channels and degree of simulated channel interaction on phoneme identification performance as a function of age for cNH and to relate those findings to aNH and to CI users.

DESIGN

Medial vowel and consonant identification of cNH (age 8-17 years) and young aNH were assessed under six (for children) or nine (for adults) different conditions of spectral degradation. Stimuli were processed using a noise-band vocoder with 8, 12, and 15 channels and synthesis filter slopes of 15 (aNH only), 30, and 60 dB/octave (all NH subjects). Steeper filter slopes (larger numbers) simulated less electrical current spread and, therefore, less channel interaction. Spectrally degraded performance of the NH listeners was also compared with the unprocessed phoneme identification of school-aged children and adults with CIs.

RESULTS

Spectrally degraded phoneme identification improved as a function of age for cNH. For vowel recognition, cNH exhibited an interaction between the number of processing channels and vocoder filter slope, whereas aNH did not. Specifically, for cNH, increasing the number of processing channels only improved vowel identification in the steepest filter slope condition. Additionally, cNH were more sensitive to changes in filter slope. As the filter slopes increased, cNH continued to receive vowel identification benefit beyond where aNH performance plateaued or reached ceiling. For all NH participants, consonant identification improved with increasing filter slopes but was unaffected by the number of processing channels. Although cNH made more phoneme identification errors overall, their phoneme error patterns were similar to aNH. Furthermore, consonant identification of adults with CI was comparable to aNH listening to simulations with shallow filter slopes (15 dB/octave). Vowel identification of earlier-implanted pediatric ears was better than that of later-implanted ears and more comparable to cNH listening in conditions with steep filter slopes (60 dB/octave).

CONCLUSIONS

Recognition of spectrally degraded phonemes improved when simulated channel interaction was reduced, particularly for children. cNH showed an interaction between number of processing channels and filter slope for vowel identification. The differences observed between cNH and aNH suggest that identification of spectrally degraded phonemes continues to improve through adolescence and that children may benefit from reduced channel interaction beyond where adult performance has plateaued. Comparison to CI users suggests that early implantation may facilitate development of better phoneme discrimination.

Effect of age on Gaps-In-Noise test in pediatric population

OBJECTIVES

The main objective was to examine the effect of central maturation on the auditory temporal resolution in a group of school-age children using Gaps-In-Noise test.

METHODS

The study involved 180 children (6-16 years) with normal hearing, average intelligence and language skills, and adequate scholastic achievement. Subjects were divided into four age subgroups. Investigations involved basic audiological evaluation, screening test battery for central auditory processing, and finally Gaps-In-Noise test.

RESULTS

Comparison of the four age subgroups revealed non-significant age effect on the Gaps-In-Noise test. The approximate gap detection threshold of children was comparable to that of adults. Equivalent data were obtained as a function of the ear, gender, list, and retest.

CONCLUSION

Central auditory maturation of the temporal resolution and hence the Gaps-In-Noise test has been established by age 5 years. Consequently, assessment of Gaps-In-Noise test in school-age children provided adult-like normative data. The stability of outcomes across different factors highlights the clinical validity of Gaps-In-Noise test in the assessment of temporal resolution deficit and follow-up after remediation.

Speech Recognition Abilities in Normal-Hearing Children 4 to 12 Years of Age in Stationary and Interrupted Noise

Objectives:

The main purpose of this study was to examine developmental effects for speech recognition in noise abilities for normal-hearing children in several listening conditions, relevant for daily life. Our aim was to study the auditory component in these listening abilities by using a test that was designed to minimize the dependency on nonauditory factors, the digits-in-noise (DIN) test. Secondary aims were to examine the feasibility of the DIN test for children, and to establish age-dependent normative data for diotic and dichotic listening conditions in both stationary and interrupted noise.

Design:

In experiment 1, a newly designed pediatric DIN (pDIN) test was compared with the standard DIN test. Major differences with the DIN test are that the pDIN test uses 79% correct instead of 50% correct as a target point, single digits (except 0) instead of triplets, and animations in the test procedure. In this experiment, 43 normal-hearing subjects between 4 and 12 years of age and 10 adult subjects participated. The authors measured the monaural speech reception threshold for both DIN test and pDIN test using headphones. Experiment 2 used the standard DIN test to measure speech reception thresholds in noise in 112 normal-hearing children between 4 and 12 years of age and 33 adults. The DIN test was applied using headphones in stationary and interrupted noise, and in diotic and dichotic conditions, to study also binaural unmasking and the benefit of listening in the gaps.

Results:

Most children could reliably do both pDIN test and DIN test, and measurement errors for the pDIN test were comparable between children and adults. There was no significant difference between the score for the pDIN test and that of the DIN test. Speech recognition scores increase with age for all conditions tested, and performance is adult-like by 10 to 12 years of age in stationary noise but not interrupted noise. The youngest, 4-year-old children have speech reception thresholds 3 to 7 dB less favorable than adults, depending on test conditions. The authors found significant age effects on binaural unmasking and fluctuating masker benefit, even after correction for the lower baseline speech reception threshold of adults in stationary noise.

Conclusions:

Speech recognition in noise abilities develop well into adolescence, and young children need a more favorable signal-to-noise ratio than adults for all listening conditions. Speech recognition abilities in children in stationary and interrupted noise can accurately and reliably be tested using the DIN test. A pediatric version of the test was shown to be unnecessary. Normative data were established for the DIN test in stationary and fluctuating maskers, and in diotic and dichotic conditions. The DIN test can thus be used to test speech recognition abilities for normal-hearing children from the age of 4 years and older.

The Relationship Between Spectral Modulation Detection and Speech Recognition: Adult Versus Pediatric Cochlear Implant Recipients

Adult cochlear implant (CI) recipients demonstrate a reliable relationship between spectral modulation detection and speech understanding. Prior studies documenting this relationship have focused on postlingually deafened adult CI recipients—leaving an open question regarding the relationship between spectral resolution and speech understanding for adults and children with prelingual onset of deafness. Here, we report CI performance on the measures of speech recognition and spectral modulation detection for 578 CI recipients including 477 postlingual adults, 65 prelingual adults, and 36 prelingual pediatric CI users. The results demonstrated a significant correlation between spectral modulation detection and various measures of speech understanding for 542 adult CI recipients. For 36 pediatric CI recipients, however, there was no significant correlation between spectral modulation detection and speech understanding in quiet or in noise nor was spectral modulation detection significantly correlated with listener age or age at implantation. These findings suggest that pediatric CI recipients might not depend upon spectral resolution for speech understanding in the same manner as adult CI recipients. It is possible that pediatric CI users are making use of different cues, such as those contained within the temporal envelope, to achieve high levels of speech understanding. Further investigation is warranted to investigate the relationship between spectral and temporal resolution and speech recognition to describe the underlying mechanisms driving peripheral auditory processing in pediatric CI users.

The MAndarin spoken word-Picture IDentification test in noise-Adaptive (MAPID-A) measures subtle speech-recognition-in-noise changes and spatial release from masking in very young children

Background

Spatial release of masking (SRM) is a measure of an individual’s ability to perform speech-noise segregation, which is usually quantified by the extent of improvement of the individual’s speech recognition performance when the noise is switched from a spatially co-located position (e.g., speech and noise both presented from the front) to a spatially separated position (e.g., speech presented from the front and noise presented from the right side) with reference to the target speech. SRM is a combined measure of head shadow and binaural unmasking benefits. SRM has only been investigated in young children at group level but not at individual participant level in the international literature due to the lack of reliable speech recognition test materials able to detect subtle statistically significant within-participant changes in speech-recognition-in-noise thresholds.

Method

The performance to signal-to-noise ratio (P-SNR) functions of twenty-four disyllabic words were obtained from 40 native Mandarin-speaking children aged 3.6–6.2 years with reported normal speech, language and hearing. The test items’ difficulty levels were homogenized by adjusting the speech intensity level of each item so that the adjusted signal-to-noise ratio for 50% correct score (SNR-50%) point of each item would overlap at the mean SNR-50% point of all test items. In the MAPID-A, the homogenized test items were randomly presented in an adaptive testing procedure at a fixed noise intensity level, but the speech intensity level of the upcoming test item varied in 2-dB SNR steps depending on the recognition result of the previous test item. The SNR reversal point is marked by a change from a decrease to an increase in the SNR or vice versa. Two successive SNR reversal points marked the boundaries of an excursion. The mid-points from 12 excursions (in dB SNR) were averaged to produce the adaptive SNR-50% measure (aSNR-50%).

Results

The aSNR-50% results were obtained from another 12 children aged 4.8–5.3 years with reported normal speech, language and hearing. The average 99% confidence interval (CI) of all participants’ mean aSNR-50% values was ±1.61 dB SNR; therefore, 3.22 dB SNR was the average critical difference required to confirm a significant difference in the scores obtained from the same participant between two test conditions. Statistically significant within-participant SRM was identified in 95% of the participants; in other words, aSNR-50% obtained from the spatially separated condition outperformed aSNR-50% obtained from the spatially co-located condition. The adaptive testing procedure was highly reliable, with an within-participant test-retest reliability of 90.6%. and significantly limited testing time to an average of 4.2 min. This research study has fulfilled its aim on detecting subtle within-participant SRM in very young children starting from 4 years of age with a reliable statistical procedure. MAPID-A offers a reliable and efficient clinical tool to investigate speech-recognition-in-noise and SRM performances in young Mandarin-speaking children.

Conclusions

The narrow CIs, high test-retest reliability, and short testing time has proven that the MAPID-A is a promising sensitive, reliable and time-efficient clinical tool to detect subtle within-participant speech-recognition-in-noise changes in children as young as 4–5 years. The MAPID-A offers a clinical tool to behaviorally track young children’s development in speech-recognition-in-noise and SRM, and to potentially review the development of the auditory neural pathway and the cerebral dominance for speech-recognition-in-noise in young children.

Forward and Backward Masking of Consonants in School-Age Children and Adults

PURPOSE

This experiment sought to determine whether children's increased susceptibility to nonsimultaneous masking, particularly backward masking, is evident for speech stimuli.

METHOD

Five- to 9-year-olds and adults with normal hearing heard nonsense consonant-vowel-consonant targets. In Experiments 1 and 2, those targets were presented between two 250-ms segments of 70-dB-SPL speech-shaped noise, at either -30 dB signal-to-noise ratio (Experiment 1) or at the listener's word recognition threshold (Experiment 2). In Experiment 3, the target was presented in steady speech-shaped noise at listener threshold. For all experiments, percent correct was estimated for initial and final consonants.

RESULTS

In the nonsimultaneous noise conditions, child-adult differences were larger for the final consonant than the initial consonant whether listeners were tested at -30 dB signal-to-noise ratio (Experiment 1) or at their individual word recognition threshold (Experiment 2). Children were not particularly susceptible to backward masking relative to adults when tested in a steady masker (Experiment 3).

CONCLUSIONS

Child-adult differences were greater for backward than forward masking for speech in a nonsimultaneous noise masker, as observed in previous psychophysical studies using tonal stimuli. Children's greater susceptibility to nonsimultaneous masking, and backward masking in particular, could play a role in their limited ability to benefit from masker envelope modulation when recognizing masked speech.

Assessing the Importance of Lexical Tone Contour to Sentence Perception in Mandarin-Speaking Children With Normal Hearing

PURPOSE

The aim of the present study was to evaluate the influence of lexical tone contour and age on sentence perception in quiet and in noise conditions in Mandarin-speaking children ages 7 to 11 years with normal hearing.

METHOD

Test materials were synthesized Mandarin sentences, each word with a manipulated lexical contour, that is, normal contour, flat contour, or a tone contour randomly selected from the four Mandarin lexical tone contours. A convenience sample of 75 Mandarin-speaking participants with normal hearing, ages 7, 9, and 11 years (25 participants in each age group), was selected. Participants were asked to repeat the synthesized speech in quiet and in speech spectrum-shaped noise at 0 dB signal-to-noise ratio.

RESULTS

In quiet, sentence recognition by the 11-year-old children was similar to that of adults, and misrepresented lexical tone contours did not have a detrimental effect. However, the performance of children ages 9 and 7 years was significantly poorer. The performance of all three age groups, especially the younger children, declined significantly in noise.

CONCLUSIONS

The present research suggests that lexical tone contour plays an important role in Mandarin sentence recognition, and misrepresented tone contours result in greater difficulty in sentence recognition in younger children. These results imply that maturation and/or language use experience play a role in the processing of tone contours for Mandarin speech understanding, particularly in noise.

Mandarin-Speaking Children's Speech Recognition: Developmental Changes in the Influences of Semantic Context and F0 Contours

The goal of this developmental speech perception study was to assess whether and how age group modulated the influences of high-level semantic context and low-level fundamental frequency (F₀) contours on the recognition of Mandarin speech by elementary and middle-school-aged children in quiet and interference backgrounds. The results revealed different patterns for semantic and F₀ information. One the one hand, age group modulated significantly the use of F₀ contours, indicating that elementary school children relied more on natural F₀ contours than middle school children during Mandarin speech recognition. On the other hand, there was no significant modulation effect of age group on semantic context, indicating that children of both age groups used semantic context to assist speech recognition to a similar extent. Furthermore, the significant modulation effect of age group on the interaction between F₀ contours and semantic context revealed that younger children could not make better use of semantic context in recognizing speech with flat F₀ contours compared with natural F₀ contours, while older children could benefit from semantic context even when natural F₀ contours were altered, thus confirming the important role of F₀ contours in Mandarin speech recognition by elementary school children. The developmental changes in the effects of high-level semantic and low-level F₀ information on speech recognition might reflect the differences in auditory and cognitive resources associated with processing of the two types of information in speech perception.

Application of the online hearing screening test "Earcheck": Speech intelligibility in noise in teenagers and young adults

Objective:

The objective was to describe the speech intelligibility in noise test results among Dutch teenagers and young adults aged 12–24 years, using a national online speech reception threshold (SRT) test, the Earcheck. A secondary objective was to assess the effect of age and gender on speech intelligibility in noise.

Design:

Cross-sectional SRT data were collected over a 5-year period (2010–2014), from participants of Earcheck. Regression analyses were performed, with SRT as the dependent variable, and age and gender as explaining variables. To cross-validate the model, data from 12- to 24-year olds from the same test distributed by a hearing aid dispenser (Hoorscan) were used.

Results:

In total, 96,803 valid test results were analyzed. The mean SRT score was −18.3 dB signal-to-noise ratio (SNR) (standard deviation (SD) = 3.7). Twenty-five percent of the scores was rated as insufficient or poor. SRT performance significantly improved with increasing age for teenagers aged 12–18 years by 0.49 dB SNR per age-year. A smaller age-effect (0.09 dB SNR per age-year) was found for young adults aged 19–24 years. Small differences between male and female users were found.

Conclusion:

Earcheck generated large quantities of national SRT data. The data implied that a substantial number of users of Earcheck may have some difficulty in understanding speech in noise. Furthermore, the results of this study showed an effect of gender and age on SRT performance, suggesting an ongoing maturation of speech-in-noise performance into late adolescence. This suggests the use of age-dependent reference values, but for this purpose, more research is required.

Masking Release in Children and Adults With Hearing Loss When Using Amplification

PURPOSE

This study compared masking release for adults and children with normal hearing and hearing loss. For the participants with hearing loss, masking release using simulated hearing aid amplification with 2 different compression speeds (slow, fast) was compared.

METHOD

Sentence recognition in unmodulated noise was compared with recognition in modulated noise (masking release). Recognition was measured for participants with hearing loss using individualized amplification via the hearing-aid simulator.

RESULTS

Adults with hearing loss showed greater masking release than the children with hearing loss. Average masking release was small (1 dB) and did not depend on hearing status. Masking release was comparable for slow and fast compression.

CONCLUSIONS

The use of amplification in this study contrasts with previous studies that did not use amplification. The results suggest that when differences in audibility are reduced, participants with hearing loss may be able to take advantage of dips in the noise levels, similar to participants with normal hearing. Although children required a more favorable signal-to-noise ratio than adults for both unmodulated and modulated noise, masking release was not statistically different. However, the ability to detect a difference may have been limited by the small amount of masking release observed.

Development of spatial release from masking in mandarin-speaking children with normal hearing

PURPOSE

This study investigated the development of spatial release from masking in children using closed-set Mandarin disyllabic words and monosyllabic words carrying lexical tones as test stimuli and speech spectrum-weighted noise as a masker.

METHOD

Twenty-six children ages 4-9 years and 12 adults, all with normal hearing, participated in speech recognition tests under 2 conditions: (a) speech and noise spatially mixed and presented from the front (NF), and (b) speech presented from the front with noise spatially separated and presented from the side (NS) with different signal-to-noise ratios (SNRs). Performance-SNR psychometric functions were obtained that generated the SNR for a 50% correct score (SNR-50%) as the outcome measure.

RESULTS

In the child participants, SNR-50% improved with age in NS but not NF. The difference in SNR-50% between NS and NF-the spatial release from masking (SRM)-increased with age with an average improvement of 0.1-0.15 dB per month.

CONCLUSIONS

SRM has a long developmental time, at least up to 9 years of age, which is significantly longer than some previous developmental studies have suggested. The child participants had not yet reached the adult SRM performance level. SRM is a potential clinical measure to reflect the maturation of spatial auditory processing.

Development of speech glimpsing in synchronously and asynchronously modulated noise

This study investigated development of the ability to integrate glimpses of speech in modulated noise. Noise was modulated synchronously across frequency or asynchronously such that when noise below 1300 Hz was "off," noise above 1300 Hz was "on," and vice versa. Asynchronous masking was used to examine the ability of listeners to integrate speech glimpses separated across time and frequency. The study used the Word Intelligibility by Picture Identification (WIPI) test and included adults, older children (age 8-10 yr) and younger children (5-7 yr). Results showed poorer masking release for the children than the adults for synchronous modulation but not for asynchronous modulation. It is possible that children can integrate cues relatively well when all intervals provide at least partial speech information (asynchronous modulation) but less well when some intervals provide little or no information (synchronous modulation). Control conditions indicated that children appeared to derive less benefit than adults from speech cues below 1300 Hz. This frequency effect was supported by supplementary conditions where the noise was unmodulated and the speech was low- or high-pass filtered. Possible sources of the developmental frequency effect include differences in frequency weighting, effective speech bandwidth, and the signal-to-noise ratio in the unmodulated noise condition.

Infants' detection and discrimination of sounds in modulated maskers

Adults and 7-month-old infants were compared in detection and discrimination of sounds in modulated maskers. In two experiments, the level of a target sound was varied to equate listeners' performance in unmodulated noise, and performance was assessed at that level in a noise modulated with the envelope of single-talker speech. While adults' vowel discrimination and tone detection were better in the modulated than in the unmodulated masker, infants' vowel discrimination was poorer in the modulated than in the unmodulated masker. Infants' tone detection was the same in the two maskers. In two additional experiments, each age group was tested at one level with order of testing in modulated and unmodulated maskers counterbalanced across subjects. Both infants and adults discriminated between vowels better in single-talker modulated and sinusoidally amplitude modulated (SAM) maskers than in an unmodulated masker, but infants' modulated-unmodulated difference was smaller than than that of adults. Increasing the modulation depth of the SAM masker did not affect the size of infants' modulated-unmodulated difference. However, infants' asymptotic performance in a modulated masker limits the extent to which their performance could improve. Infants can make use of information in masker dips, but masker modulation may also interfere with their ability to process the target.

Effects of reverberation on speech recognition in stationary and modulated noise by school-aged children and young adults

OBJECTIVES

The purpose of this study was to determine how combinations of reverberation and noise, typical of environments in many elementary school classrooms, affect normal-hearing school-aged children's speech recognition in stationary and amplitude-modulated noise, and to compare their performance with that of normal-hearing young adults. In addition, the magnitude of release from masking in the modulated noise relative to that in stationary noise was compared across age groups in nonreverberant and reverberant listening conditions. Last, for all noise and reverberation combinations the degree of change in predicted performance at 70% correct was obtained for all age groups using a best-fit cubic polynomial.

DESIGN

Bamford-Kowal-Bench sentences and noise were convolved with binaural room impulse responses representing nonreverberant and reverberant environments to create test materials representative of both audiology clinics and school classroom environments. Speech recognition of 48 school-aged children and 12 adults was measured in speech-shaped and amplitude-modulated speech-shaped noise, in the following three virtual listening environments: nonreverberant, reverberant at 2 m, and reverberant at 6 m.

RESULTS

Speech recognition decreased in the reverberant conditions and with decreasing age. Release from masking in modulated noise relative to stationary noise decreased with age and was reduced by reverberation. In the nonreverberant condition, participants showed similar amounts of masking release across ages. The slopes of performance-intensity functions increased with age, with the exception of the nonreverberant modulated masker condition. The slopes were steeper in the stationary masker conditions, where they also decreased with reverberation and distance. In the presence of a modulated masker, the slopes did not differ between the two reverberant conditions.

CONCLUSIONS

The results of this study reveal systematic developmental changes in speech recognition in noisy and reverberant environments for elementary-school-aged children. The overall pattern suggests that younger children require better acoustic conditions to achieve sentence recognition equivalent to their older peers and adults. In addition, this is the first study to report a reduction of masking release in children as a result of reverberation. Results support the importance of minimizing noise and reverberation in classrooms, and highlight the need to incorporate noise and reverberation into audiological speech-recognition testing to improve predictions of performance in the real world.

Comparison of auditory temporal resolution between monolingual Persian and bilingual Turkish-Persian individuals

OBJECTIVE

The aims of this study were to prepare a Persian version of the temporal resolution test using the method of Phillips et al (1994) and Stuart and Phillips (1996), and to compare the word-recognition performance in the presence of continuous and interrupted noise as well as the temporal resolution abilities between monolingual (ML) Persian and bilingual (BL) Turkish-Persian young adults.

DESIGN

Word-recognition scores (WRSs) were obtained in quiet and in the presence of background competing continuous and interrupted noise at signal-to-noise ratios (SNRs) of -20, -10, 0, and 10 dB.

STUDY SAMPLE

Two groups of 33 ML Persian and 36 BL Turkish-Persian volunteers participated.

RESULTS

WRSs significantly differed between ML and BL subjects at four sensation levels in the presence of continuous and interrupted noise. However, the difference in the release from masking between ML and BL subjects was not significant at the studied SNRs.

CONCLUSIONS

BL Turkish-Persian listeners seem to show poorer performance when responding to Persian words in continuous and interrupted noise. However, bilingualism may not affect auditory temporal resolution ability.

Auditory training of speech recognition with interrupted and continuous noise maskers by children with hearing impairment

Previous studies have indicated that individuals with normal hearing (NH) experience a perceptual advantage for speech recognition in interrupted noise compared to continuous noise. In contrast, adults with hearing impairment (HI) and younger children with NH receive a minimal benefit. The objective of this investigation was to assess whether auditory training in interrupted noise would improve speech recognition in noise for children with HI and perhaps enhance their utilization of glimpsing skills. A partially-repeated measures design was used to evaluate the effectiveness of seven 1-h sessions of auditory training in interrupted and continuous noise. Speech recognition scores in interrupted and continuous noise were obtained from pre-, post-, and 3 months post-training from 24 children with moderate-to-severe hearing loss. Children who participated in auditory training in interrupted noise demonstrated a significantly greater improvement in speech recognition compared to those who trained in continuous noise. Those who trained in interrupted noise demonstrated similar improvements in both noise conditions while those who trained in continuous noise only showed modest improvements in the interrupted noise condition. This study presents direct evidence that auditory training in interrupted noise can be beneficial in improving speech recognition in noise for children with HI.

Impairments in speech and nonspeech sound categorization in children with dyslexia are driven by temporal processing difficulties

Auditory processing problems in persons with dyslexia are still subject to debate, and one central issue concerns the specific nature of the deficit. In particular, it is questioned whether the deficit is specific to speech and/or specific to temporal processing. To resolve this issue, a categorical perception identification task was administered in thirteen 11-year old dyslexic readers and 25 matched normal readers using 4 sound continua: (1) a speech contrast exploiting temporal cues (/bA/-/dA/), (2) a speech contrast defined by nontemporal spectral cues (/u/-/y/), (3) a nonspeech temporal contrast (spectrally rotated/bA/-/da/), and (4) a nonspeech nontemporal contrast (spectrally rotated/u/-/y/). Results indicate that children with dyslexia are less consistent in classifying speech and nonspeech sounds on the basis of rapidly changing (i.e., temporal) information whereas they are unimpaired in steady-state speech and nonspeech sounds. The deficit is thus restricted to categorizing sounds on the basis of temporal cues and is independent of the speech status of the stimuli. The finding of a temporal-specific but not speech-specific deficit in children with dyslexia is in line with findings obtained in adults using the same paradigm (Vandermosten et al., 2010, Proceedings of the National Academy of Sciences of the United States of America, 107: 10389-10394). Comparison of the child and adult data indicates that the consistency of categorization considerably improves between late childhood and adulthood, particularly for the continua with temporal cues. Dyslexic and normal readers show a similar developmental progress with the dyslexic readers lagging behind both in late childhood and in adulthood.

Normative data for the Words-in-Noise Test for 6- to 12-year-old children

PURPOSE

To establish normative data for children on the Words-in-Noise Test (WIN; R. H. Wilson, 2003; R. H. Wilson & R. McArdle, 2007).

METHOD

Forty-two children in each of 7 age groups, ranging in age from 6 to 12 years (n=294), and 24 young adults (age range: 18-27 years) with normal hearing for pure tones participated. All listeners were screened at 15 dB HL (American National Standards Institute, 2004) with the octave interval between 500 and 4000 Hz. Randomizations of WIN Lists 1, 2, and 1 or WIN Lists 2, 1, and 2 were presented with the noise fixed at 70 dB SPL, followed by presentation at 90 dB SPL of the 70 Northwestern University Auditory Test No. 6 (T. W. Tillman & R. Carhart, 1966) words used in the WIN. Finally, the Peabody Picture Vocabulary Test-Revised (L. M. Dunn & L. M. Dunn, 1981) was administered. Testing was conducted in a quiet room.

RESULTS

There were 3 main findings: (a) The biggest change in recognition performance occurred between the ages of 6 and 7 years; (b) from 9 to 12 years, recognition performance was stable; and (c) performance by young adults (18-27 years) was slightly better (1-2 dB) than performance by the older children.

CONCLUSION

The WIN can be used with children as young as 6 years of age; however, age-specific ranges of normal recognition performance must be used.

Spectral integration and bandwidth effects on speech recognition in school-aged children and adults

OBJECTIVES

Previous studies have shown that adult listeners are more adept than child listeners at identifying spectrally degraded speech. However, the development of the ability to combine speech information from different frequency regions has received little previous attention. The purpose of this study was to determine the effect of age on the bandwidth necessary to achieve a relatively low-criterion level of speech recognition for two frequency bands and then to determine the improvement in speech recognition that resulted when both speech bands were present simultaneously.

DESIGN

Listeners in this study included normal-hearing children (aged 6 to 14 yrs, N = 18) and adults (N = 11). In the first stage of testing, sentences were band pass filtered around either 500 or 2500 Hz, and the bandwidth of that filter was varied adaptively to determine the width required for approximately 15 to 25% correct speech recognition. In the second stage of testing, these criterion bandwidths were presented in fixed block trials with either one band or both bands, and the percent correct performance was determined.

RESULTS

Results suggest that age is inversely associated with the bandwidth required to achieve a relatively low-criterion level of speech recognition for speech bands centered at either 500 or 2500 Hz. However, both adults and children show a similar, large improvement in performance when both bands are presented simultaneously.

CONCLUSIONS

Although younger children require more bandwidth to recognize speech filtered around a single frequency correctly, they seem to be relatively adept at integrating frequency-distributed information to recognize a composite stimulus.

Immediate and long-term effects of hearing loss on the speech perception of children

The purpose of the present study was to examine the immediate and long-term effects of hearing loss on the speech perception of children. Hearing loss was simulated in normally-hearing children and their performance was compared to that of children with hearing loss (long-term effects) as well as to their own performance in quiet (immediate effects). Eleven children with normal hearing (7-10 years) were matched to five children with mild to moderate sensorineural hearing loss (8-10 years). Frequency-shaped broadband noise was used to elevate the hearing thresholds of the children with normal hearing to those of their matched hearing-impaired peer. Meaningful and nonsense sentences were presented at five levels and quantified using an audibility index (AI). Comparison of the AI functions calculated for each group and listening condition revealed a significant, immediate effect of elevated hearing thresholds in the children with normal hearing but no long-term effects of hearing loss. The results of this study suggest that hearing loss affects speech perception adversely and that amplification does not fully compensate for those effects. However, the data suggest that over the long term children may develop compensatory strategies to reduce the effects of hearing loss.

Associations and dissociations between psychoacoustic abilities and speech perception in adolescents with severe-to-profound hearing loss

PURPOSE

To clarify the relationship between psychoacoustic capabilities and speech perception in adolescents with severe-to-profound hearing loss (SPHL).

METHOD

Twenty-four adolescents with SPHL and young adults with normal hearing were assessed with psychoacoustic and speech perception tests. The psychoacoustic tests included gap detection (GD), difference limen for frequency, and psychoacoustic-tuning curves. To assess the perception of words that differ in spectral and temporal cues, the speech tests included the Hebrew Early Speech Perception test and the Hebrew Speech Pattern Contrast test (L. Kishon-Rabin et al., 2002). All tests were conducted for the listeners with normal hearing at low and high presentation levels and for the participants with SPHL at 20 dB SL.

RESULTS

Only GD thresholds were comparable across the 2 groups at similar presentation levels. Psychoacoustic performance was poorer in the group with SPHL, but only selected tests were correlated with speech perception. Poor GD was associated with pattern perception, 1-syllable word identification, and final voicing subtests.

CONCLUSIONS

Speech perception performance in adolescents with SPHL could not be predicted solely on the basis of spectral and temporal capabilities of the auditory system. However, when the GD threshold was greater than 40 ms, speech perception skills were predictable by psychoacoustic abilities.

Attentional modulation of word recognition by children in a dual-task paradigm

PURPOSE

This study investigated an account of limited short-term memory capacity for children's speech perception in noise using a dual-task paradigm.

METHOD

Sixty-four normal-hearing children (7-14 years of age) participated in this study. Dual tasks were repeating monosyllabic words presented in noise at 8 dB signal-to-noise ratio and rehearsing sets of 3 or 5 digits for subsequent serial recall. Half of the children were told to allocate their primary attention to word repetition and the other half to remembering digits. Dual-task performance was compared to single-task performance. Limitations in short-term memory demands required for the primary task were measured by dual-task decrements in nonprimary tasks.

RESULTS

Results revealed that (a) regardless of task priority, no dual-task decrements were found for word recognition, but significant dual-task decrements were found for digit recall; (b) most children did not show the ability to allocate attention preferentially to primary tasks; and (c) younger children (7- to 10-year-olds) demonstrated improved word recognition in the dual-task conditions relative to their single-task performance.

CONCLUSIONS

Seven- to 8-year-old children showed the greatest improvement in word recognition at the expense of the greatest decrement in digit recall during dual tasks. Several possibilities for improved word recognition in the dual-task conditions are discussed.

Maturation of visual and auditory temporal processing in school-aged children

PURPOSE

To examine development of sensitivity to auditory and visual temporal processes in children and the association with standardized measures of auditory processing and communication. Methods Normative data on tests of visual and auditory processing were collected on 18 adults and 98 children aged 6-10 years of age. Auditory processes included detection of pitch from temporal cues using iterated rippled noise and frequency modulation detection at 2 Hz, 40 Hz, and 240 Hz. Visual processes were coherent form and coherent motion detection. Test-retest data were gathered on 21 children.

RESULTS

Performance on perceptual tasks improved with age, except for fine temporal processing (iterated rippled noise) and coherent form perception, both of which were relatively stable over the age range. Within-subject variability (as assessed by track width) did not account for age-related change. There was no evidence for a common temporal processing factor, and there were no significant associations between perceptual task performance and communication level (Children's Communication Checklist, 2nd ed.; D. V. M. Bishop, 2003) or speech-based auditory processing (SCAN-C; R. W. Keith, 2000).

CONCLUSIONS

The auditory tasks had different developmental trajectories despite a common procedure, indicating that age-related change was not solely due to responsiveness to task demands. The 2-Hz frequency modulation detection task, previously used in dyslexia research, and the visual tasks had low reliability compared to other measures.

Development of perceptual correlates of reading performance

Performance on perceptual tasks requiring the discrimination of brief, temporally proximate or temporally varying sensory stimuli (temporal processing tasks) is impaired in some individuals with developmental language disorder and/or dyslexia. Little is known about how these temporal processes in perception develop and how they relate to language and reading performance in the normal population. The present study examined performance on 8 temporal processing tasks and 5 language/reading tasks in 120 unselected readers who varied in age over a range in which reading and phonological awareness were developing. Performance on all temporal processing tasks except coherent motion detection improved over ages 7 years to adulthood (p<0.01), especially between ages 7 and 13 years. Independent of these age effects, performance on all 8 temporal processing tasks predicted phonological awareness and reading performance (p<0.05), and three auditory temporal processing tasks predicted receptive language function (p<0.05). Furthermore, all temporal processing measures except within-channel gap detection and coherent motion detection predicted unique variance in phonological scores within subjects, whereas only within-channel gap detection performance explained unique variance in orthographic reading performance. These findings partially support the (Farmer, M.E., Klein, R.M., 1995. The evidence for a temporal processing deficit linked to dyslexia: A review. Psychon. Bull. Rev. 2, 460-493) notion of there being separable auditory and visual perceptual contributions to phonological and orthographic reading development. The data also are compatible with the view that the umbrella term "temporal processing" encompasses fundamentally different sensory or cognitive processes that may contribute differentially to language and reading performance, which may have different developmental trajectories and be differentially susceptible to pathology.

Age-related changes in transient and oscillatory brain responses to auditory stimulation in healthy adults 19-45 years old

The capacity of the human cerebral cortex to track fast temporal changes in auditory stimuli is related to the development of language in children and to deficits in speech perception in the elderly. Although maturation of temporal processing in children and its deterioration in the elderly has been investigated previously, little is known about naturally occurring changes in auditory temporal processing between these limits. The present study examined age-related (19-45 years) changes in 3 electrophysiological measures of auditory processing: 1) the late transient auditory evoked potentials to tone onset, 2) the auditory steady-state response (ASSR) to a 40-Hz frequency-modulated tone, and 3) the envelope following response (EFR) to sweeps of amplitude-modulated white noise from 10 to 100 Hz. With increasing age, the latency of the auditory P1-N1 complex decreased, the oscillatory (ASSR) response became larger and more stable, and the resonant peak of the EFR increased from 38 Hz at 19 years to 46 Hz at 45 years. Source analysis localized these changes to the auditory regions of the temporal lobe. These results indicate persistent adaptation of cortical auditory processes into middle adulthood. We speculate that experience-driven myelination and/or refinement of inhibitory circuits may underlie these changes.

Detection of signals in modulated and unmodulated noise observed using auditory evoked potentials

OBJECTIVE

To investigate a neurophysiological correlate of the perceptual enhancement of noise-masked sounds when the masking frequencies have a wide spectral bandwidth and are coherently amplitude-modulated.

METHODS

Auditory evoked potentials were recorded to 1 kHz tones (200 ms, 61 dBSPL, SOA 3s) occurring in silence or with 80 dB masking noise, which was either wide-band or narrow-band and either unmodulated or 100% amplitude-modulated by a 17.5 Hz square-wave. In a second study, the tones were timed to coincide alternately with the rise and fall of the masker envelope.

RESULTS

N1 and P2 potentials recorded to the unmasked tones were abolished in the presence of the unmodulated masker, but were elicited again with lower amplitude and longer latency when the masker was modulated. No significant effect of the masker bandwidth was observed. Latencies were strongly determined by whether the tones coincided with the rise or fall of the masker envelope, indicating that the responses were only evoked when the instantaneous noise level was low.

CONCLUSIONS

The findings demonstrate partial correspondence to the threshold reduction to similar stimuli seen in comodulation masking release (CMR). The dependence of latencies on the phase of the masker envelope is consistent with the 'dip-listening' model of CMR.

SIGNIFICANCE

Under these conditions the N1/P2 complex can be viewed as a possible neurophysiological correlate of perceptual CMR.

Auditory temporal resolution in normal-hearing preschool children revealed by word recognition in continuous and interrupted noise

The purpose of this study was to examine temporal resolution in normal-hearing preschool children. Word recognition was evaluated in quiet and in spectrally identical continuous and interrupted noise at signal-to-noise ratios (S/Ns) of 10, 0, and -10 dB. Sixteen children 4 to 5 years of age and eight adults participated. Performance decreased with decreasing S/N. At poorer S/Ns, participants demonstrated superior performance or a release from masking in the interrupted noise. Adults performed better than children, yet the release from masking was equivalent. Collectively these findings are consistent with the notion that preschool children suffer from poorer processing efficiency rather than temporal resolution per se.