Developmental changes in masked thresholds

Correlations between Visual Temporal Resolution and Individual Alpha Peak Frequency: Evidence that Internal and Measurement Noise Drive Null Findings

The brain organizes the continuous flow of sensory input by parsing it into discrete events. In the case of two flashes separated by a brief ISI, for example, perception may be of a single flash or two distinct flashes, depending on the ISI but also on the speed of processing. A number of studies have reported evidence that participants with a higher EEG peak alpha frequency are able to detect the presence of two flashes separated by short intervals, whereas those with slower alpha report only one flash. Other studies have not found this correlation. We investigated potential factors that might mask the relationship between individual alpha frequency and visual perception. We recorded resting-state EEG from a large sample of participants (n = 50) and measured the temporal resolution of visual perception with the two-flash fusion task. We found that individual alpha frequency over posterior channels predicted the two-flash fusion threshold, in line with previous studies, but this correlation was significant only when taking into account the steepness of the psychophysical curve of the two-flash task. Participants with a relatively shallow psychophysical curve, likely reflecting high sensory and/or decision noise, failed to show this relationship. These findings replicate previous reports of a correlation between alpha frequency and visual temporal resolution, while also suggesting that an explanation of two-flash fusion performance that neglects the role of internal noise might be insufficient to account for all individual differences.

Speech recognition in noise task among children and young-adults: a pupillometry study

Introduction

Children experience unique challenges when listening to speech in noisy environments. The present study used pupillometry, an established method for quantifying listening and cognitive effort, to detect temporal changes in pupil dilation during a speech-recognition-in-noise task among school-aged children and young adults.

Methods

Thirty school-aged children and 31 young adults listened to sentences amidst four-talker babble noise in two signal-to-noise ratios (SNR) conditions: high accuracy condition (+10 dB and  + 6 dB, for children and adults, respectively) and low accuracy condition (+5 dB and + 2 dB, for children and adults, respectively). They were asked to repeat the sentences while pupil size was measured continuously during the task.

Results

During the auditory processing phase, both groups displayed pupil dilation; however, adults exhibited greater dilation than children, particularly in the low accuracy condition. In the second phase (retention), only children demonstrated increased pupil dilation, whereas adults consistently exhibited a decrease in pupil size. Additionally, the children's group showed increased pupil dilation during the response phase.

Discussion

Although adults and school-aged children produce similar behavioural scores, group differences in dilation patterns point that their underlying auditory processing differs. A second peak of pupil dilation among the children suggests that their cognitive effort during speech recognition in noise lasts longer than in adults, continuing past the first auditory processing peak dilation. These findings support effortful listening among children and highlight the need to identify and alleviate listening difficulties in school-aged children, to provide proper intervention strategies.

Spectral Resolution Development in Children With Normal Hearing and With Cochlear Implants: A Review of Behavioral Studies

PURPOSE

This review article provides a theoretical overview of the development of spectral resolution in children with normal hearing (cNH) and in those who use cochlear implants (CIs), with an emphasis on methodological considerations. The aim was to identify key directions for future research on spectral resolution development in children with CIs.

METHOD

A comprehensive literature review was conducted to summarize and synthesize previously published behavioral research on spectral resolution development in normal and impaired auditory systems.

CONCLUSIONS

In cNH, performance on spectral resolution tasks continues to improve through the teenage years and is likely driven by gradual maturation of across-channel intensity resolution. A small but growing body of evidence from children with CIs suggests a more complex relationship between spectral resolution development, patient demographics, and the quality of the CI electrode-neuron interface. Future research should aim to distinguish between the effects of patient-specific variables and the underlying physiology on spectral resolution abilities in children of all ages who are hard of hearing and use auditory prostheses.

Effective Masking Levels for Bone Conduction Auditory Brainstem Response Stimuli in Infants and Adults with Normal Hearing

OBJECTIVE

The purpose of the present study was to investigate effective masking levels (EMLs) for bone conduction (BC) auditory brainstem response (ABR) testing in infants and adults. Early hearing detection and intervention programs aim to limit delays in identifying ear-specific type/degree of hearing loss in infants using the ABR. Ear-specific assessment poses challenges as sound delivered to one ear can travel across the skull and activate the contralateral cochlea. Wave V amplitude and latency measures ipsilateral and contralateral to the bone oscillator can be compared to isolate the test cochlea in some cases; however, when these findings are equivocal, clinical masking is required. This study aims to determine EMLs for ABRs elicited to 500- and 2000-Hz BC stimuli for normal-hearing infants (0 to 18 months) and adults.

DESIGN

Participants were 21 adults (18 to 54 years) and 24 infants (5 to 47 weeks) with normal hearing. BC 500- and 2000-Hz brief tonal stimuli at intensities approximating normal levels were presented via a B-71 oscillator (infants: 20 dB nHL at 500 Hz and 30 dB nHL at 2000 Hz; adults: 500 and 2000 Hz at 20 and 30 dB nHL, respectively). White noise masking was presented binaurally via ER-3A earphones (22 to 82 dB SPL; 10-dB steps). The lowest level of masking to eliminate a BC response was deemed the EML.

RESULTS

For stimuli presented at 20 dB nHL, adult mean (1 SD) EMLs for 500 and 2000 Hz were 65 (9) and 53 (6) dB SPL, respectively. Mean EMLs for infants were 80 (6) dB SPL for 500 Hz at 20 dB nHL and 64 (9) dB SPL for 2000 Hz at 30 dB nHL. Compared to adults, infants required approximately 13 dB more masking at 500 Hz but a similar amount of masking at 2000 Hz. Infants required 26 dB more masking at 500 versus 2000 Hz, whereas, adults required only 12 dB more masking.

CONCLUSIONS

Maximum binaural EMLs for infant BC responses elicited to 500 Hz at 20 dB nHL are 82 dB SPL, and for 2000 Hz at 30 and 40 dB nHL, respectively, are 72 and 82 dB SPL. Monaural masking levels for the nontest ear (assuming 10 dB of interaural attenuation) recommended clinically are as follows: (1) 500 Hz: 72 and 82 dB SPL at 20 and 30 dB nHL, respectively; and (2) 2000 Hz: 62, 72, and 82 dB SPL at 30, 40, and 50 dB nHL, respectively. Unsafe levels of white noise would be needed to effectively mask at greater stimulus levels.

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.

Passage comprehension performance in children with cochlear implants and/or hearing aids: the effects of voice quality and multi-talker babble noise in relation to executive function

Purpose: Speech signal degradation such as a voice disorder presented in quiet or in combination with multi-talker babble noise could affect listening comprehension in children with hearing impairment. This study aims to investigate the effects of voice quality and multi-talker babble noise on passage comprehension in children with using cochlear implants (CIs) and/or hearing aids (HAs). It also aims to examine what role executive functioning has for passage comprehension in listening conditions with degraded signals (voice quality and multi-talker babble noise) in children using CI/HA. Methods: Twenty-three children (10 boys and 13 girls; mean age 9 years) using CI and/or HA were tested for passage comprehension in four listening conditions: a typical voice or a (hoarse) dysphonic, voice presented in quiet or in multi-talker babble noise. Results: The results show that the dysphonic voice did not affect passage comprehension in quiet or in noise. Multi-talker babble noise decreased passage comprehension compared to performance in quiet. No interactions with executive function were found. Conclusions: In conclusion, children with CI/HA seem to struggle with comprehension in poor sound environments, which in turn may reduce learning opportunities at school.

Immediate Passage Comprehension and Encoding of Information Into Long-Term Memory in Children With Normal Hearing: The Effect of Voice Quality and Multitalker Babble Noise

PURPOSE

This study examines how voice quality and multitalker babble noise affect immediate passage comprehension and the efficiency of information encoding into long-term memory in children with normal hearing.

METHOD

Eighteen children (mean age = 9 years) with normal hearing participated. Immediate passage comprehension performance and delayed performance (after 5 to 8 days) were assessed for 4 listening conditions: a typical voice in quiet, a typical voice in noise, a dysphonic voice in quiet, and a dysphonic voice in noise.

RESULTS

Multitalker babble noise had a significant effect on immediate and delayed performance. This effect was more pronounced for delayed performance. No significant main effect of voice quality was seen on immediate or delayed performance.

CONCLUSIONS

Multitalker babble noise impairs immediate passage comprehension and encoding of information into long-term memory for later recall in children with normal hearing. In learning situations where competing speech signals are present, background noise may reduce the prerequisites for optimal learning.

Effects of Self-Generated Noise on Estimates of Detection Threshold in Quiet for School-Age Children and Adults

OBJECTIVES

Detection thresholds in quiet become adult-like earlier in childhood for high than low frequencies. When adults listen for sounds near threshold, they tend to engage in behaviors that reduce physiologic noise (e.g., quiet breathing), which is predominantly low frequency. Children may not suppress self-generated noise to the same extent as adults, such that low-frequency self-generated noise elevates thresholds in the associated frequency regions. This possibility was evaluated by measuring noise levels in the ear canal simultaneous with adaptive threshold estimation.

DESIGN

Listeners were normal-hearing children (4.3 to 16.0 years) and adults. Detection thresholds were measured adaptively for 250-, 1000-, and 4000-Hz pure tones using a three-alternative forced-choice procedure. Recordings of noise in the ear canal were made while the listeners performed this task, with the earphone and microphone routed through a single foam insert. Levels of self-generated noise were computed in octave-wide bands. Age effects were evaluated for four groups: 4- to 6-year olds, 7- to 10-year olds, 11- to 16-year olds, and adults.

RESULTS

Consistent with previous data, the effect of child age on thresholds was robust at 250 Hz and fell off at higher frequencies; thresholds of even the youngest listeners were similar to adults' at 4000 Hz. Self-generated noise had a similar low-pass spectral shape for all age groups, although the magnitude of self-generated noise was higher in younger listeners. If self-generated noise impairs detection, then noise levels should be higher for trials associated with the wrong answer than the right answer. This association was observed for all listener groups at the 250-Hz signal frequency. For adults and older children, this association was limited to the noise band centered on the 250-Hz signal. For the two younger groups of children, this association was strongest at the signal frequency, but extended to bands spectrally remote from the 250-Hz signal. For the 1000-Hz signal frequency, there was a broadly tuned association between noise and response only for the two younger groups of children. For the 4000-Hz signal frequency, only the youngest group of children demonstrated an association between responses and noise levels, and this association was particularly pronounced for bands below the signal frequency.

CONCLUSIONS

These results provide evidence that self-generated noise plays a role in the prolonged development of low-frequency detection thresholds in quiet. Some aspects of the results are consistent with the possibility that self-generated noise elevates thresholds via energetic masking, particularly at 250 Hz. The association between behavioral responses and noise spectrally remote from the signal frequency is also consistent with the idea that self-generated noise may also reflect contributions of more central factors (e.g., inattention to the task). Evaluation of self-generated noise could improve diagnosis of minimal or mild hearing loss.

Effects of Simulated Hearing Loss on Bilingual Children's Consonant Recognition in Noise

OBJECTIVE

This study investigated the possible impact of simulated hearing loss on speech perception in Spanish-English bilingual children. To avoid confound between individual differences in hearing-loss configuration and linguistic experience, threshold-elevating noise simulating a mild-to-moderate sloping hearing loss was used with normal-hearing listeners. The hypotheses were that: (1) bilingual children can perform similarly to English-speaking monolingual peers in quiet; (2) for both bilingual and monolingual children, noise and simulated hearing loss would have detrimental impacts consistent with their acoustic characteristics (i.e., consonants with high-frequency cues remain highly intelligible in speech-shaped noise, but suffer from simulated hearing loss more than other consonants); (3) differences in phonology and acquisition order between Spanish and English would have additional negative influence on bilingual children's recognition of some English consonants.

DESIGN

Listeners were 11 English-dominant, Spanish-English bilingual children (6 to 12 years old) and 12 English-speaking, monolingual age peers. All had normal hearing and age-appropriate nonverbal intelligence and expressive English vocabulary. Listeners performed a listen-and-repeat speech perception task. Targets were 13 American English consonants embedded in vowel-consonant-vowel (VCV) syllables. VCVs were presented in quiet and in speech-shaped noise at signal-to-noise ratios (SNRs) of -5, 0, 5 dB (normal-hearing condition). For the simulated hearing-loss condition, threshold-elevating noise modeling a mild-to-moderate sloping sensorineural hearing loss profile was added to the normal-hearing stimuli for 0, 5 dB SNR, and quiet. Responses were scored for consonant correct. Individual listeners' performance was summarized for average across 13 consonants (overall) and for individual consonants.

RESULTS

Groups were compared for the effects of background noise and simulated hearing loss. As predicted, group performed similarly in quiet. The simulated hearing loss had a considerable detrimental impact on both groups, even in the absence of speech-shaped noise. Contrary to our prediction, no group difference was observed at any SNR in either condition. However, although nonsignificant, the greater within-group variance for the bilingual children in the normal-hearing condition indicated a wider "normal" range than for the monolingual children. Interestingly, although it did not contribute to the group difference, bilingual children's overall consonant recognition in both conditions improved with age, whereas such a developmental trend for monolingual children was observed only in the simulated hearing-loss condition, suggesting possible effects of experience. As for the recognition of individual consonants, the influence of background noise or simulated hearing loss was similar between groups and was consistent with the prediction based on their acoustic characteristics.

CONCLUSIONS

The results demonstrated that school-age, English-dominant, Spanish-English bilingual children can recognize English consonants in a background of speech-shaped noise with similar average accuracy as English-speaking monolingual age peers. The general impact of simulated hearing loss was also similar between bilingual and monolingual children. Thus, our hypothesis that bilingual children's English consonant recognition would suffer from background noise or simulated hearing loss more than the monolingual peers was rejected. However, the present results raise several issues that warrant further investigation, including the possible difference in the "normal" range for bilingual and monolingual children, influence of experience, impact of actual hearing loss on bilingual children, and stimulus quality.

Perceptual Learning of Intonation Contour Categories in Adults and 9- to 11-Year-Old Children: Adults Are More Narrow-Minded

We report on rapid perceptual learning of intonation contour categories in adults and 9- to 11-year-old children. Intonation contours are temporally extended patterns, whose perception requires temporal integration and therefore poses significant working memory challenges. Both children and adults form relatively abstract representations of intonation contours: Previously encountered and novel exemplars are categorized together equally often, as long as distance from the prototype is controlled. However, age-related differences in categorization performance also exist. Given the same experience, adults form narrower categories than children. In addition, adults pay more attention to the end of the contour, while children appear to pay equal attention to the beginning and the end. The age range we examine appears to capture the tail-end of the developmental trajectory for learning intonation contour categories: There is a continuous effect of age on category breadth within the child group, but the oldest children (older than 10;3) are adult-like.

Adults Listen Selectively; Infants Do Not

Infants' auditory detection thresholds are higher than adult thresholds. Since adults listen selectively for an expected test tone frequency, and selective listening improves their detection performance, one hypothesis about why infant thresholds are high is that infants do not listen selectively. This hypothesis was tested by obtaining listening bands from adults and from 7- to 9-month-old infants. The results replicate earlier findings that adults listen selectively but indicate that infants do not. Lack of selective listening likely contributes to infants' high thresholds. Further, the finding that infants and adults have different listening strategies has implications for infants' auditory perception in general.

Development of Basic Auditory Discrimination in Preschool Children

Intensity (loudness), frequency (pitch), and duration discrimination were examined in 41 normal-hearing children, aged 4 to 6 years, and 9 adults. A second study retested 25 of the youngest children 12 to 18 months later. Intensity discrimination showed the least improvement with age and was adultlike by age 5 for most of the children. In contrast, frequency and duration discrimination showed highly significant improvement with age, hut remained poorer than adults' discrimination for many 6-year-olds. Large individual differences were observed within alt tasks and age groups.

Auditory-neurophysiological responses to speech during early childhood: Effects of background noise

Early childhood is a critical period of auditory learning, during which children are constantly mapping sounds to meaning. But this auditory learning rarely occurs in ideal listening conditions-children are forced to listen against a relentless din. This background noise degrades the neural coding of these critical sounds, in turn interfering with auditory learning. Despite the importance of robust and reliable auditory processing during early childhood, little is known about the neurophysiology underlying speech processing in children so young. To better understand the physiological constraints these adverse listening scenarios impose on speech sound coding during early childhood, auditory-neurophysiological responses were elicited to a consonant-vowel syllable in quiet and background noise in a cohort of typically-developing preschoolers (ages 3-5 yr). Overall, responses were degraded in noise: they were smaller, less stable across trials, slower, and there was poorer coding of spectral content and the temporal envelope. These effects were exacerbated in response to the consonant transition relative to the vowel, suggesting that the neural coding of spectrotemporally-dynamic speech features is more tenuous in noise than the coding of static features-even in children this young. Neural coding of speech temporal fine structure, however, was more resilient to the addition of background noise than coding of temporal envelope information. Taken together, these results demonstrate that noise places a neurophysiological constraint on speech processing during early childhood by causing a breakdown in neural processing of speech acoustics. These results may explain why some listeners have inordinate difficulties understanding speech in noise. Speech-elicited auditory-neurophysiological responses offer objective insight into listening skills during early childhood by reflecting the integrity of neural coding in quiet and noise; this paper documents typical response properties in this age group. These normative metrics may be useful clinically to evaluate auditory processing difficulties during early childhood.

Development of auditory selective attention: why children struggle to hear in noisy environments

Children's hearing deteriorates markedly in the presence of unpredictable noise. To explore why, 187 school-age children (4-11 years) and 15 adults performed a tone-in-noise detection task, in which the masking noise varied randomly between every presentation. Selective attention was evaluated by measuring the degree to which listeners were influenced by (i.e., gave weight to) each spectral region of the stimulus. Psychometric fits were also used to estimate levels of internal noise and bias. Levels of masking were found to decrease with age, becoming adult-like by 9-11 years. This change was explained by improvements in selective attention alone, with older listeners better able to ignore noise similar in frequency to the target. Consistent with this, age-related differences in masking were abolished when the noise was made more distant in frequency to the target. This work offers novel evidence that improvements in selective attention are critical for the normal development of auditory judgments.

Does noise affect learning? A short review on noise effects on cognitive performance in children

The present paper provides an overview of research concerning both acute and chronic effects of exposure to noise on children's cognitive performance. Experimental studies addressing the impact of acute exposure showed negative effects on speech perception and listening comprehension. These effects are more pronounced in children as compared to adults. Children with language or attention disorders and second-language learners are still more impaired than age-matched controls. Noise-induced disruption was also found for non-auditory tasks, i.e., serial recall of visually presented lists and reading. The impact of chronic exposure to noise was examined in quasi-experimental studies. Indoor noise and reverberation in classroom settings were found to be associated with poorer performance of the children in verbal tasks. Regarding chronic exposure to aircraft noise, studies consistently found that high exposure is associated with lower reading performance. Even though the reported effects are usually small in magnitude, and confounding variables were not always sufficiently controlled, policy makers responsible for noise abatement should be aware of the potential impact of environmental noise on children's development.

The bad taste of medicines: overview of basic research on bitter taste

BACKGROUND

Many active pharmaceutical ingredients taste bitter and thus are aversive to children as well as many adults. Encapsulation of the medicine in pill or tablet form, an effective method for adults to avoid the unpleasant taste, is problematic for children. Many children cannot or will not swallow solid dose forms.

OBJECTIVE

This review highlights basic principles of gustatory function, with a special focus on the science of bitter taste, derived from studies of animal models and human psychophysics. We focus on the set of genes that encode the proteins that function as bitter receptors as well as the cascade of events that leads to multidimensional aspects of taste function, highlighting the role that animal models played in these discoveries. We also summarize psychophysical approaches to studying bitter taste in adult and pediatric populations, highlighting evidence of the similarities and differences in bitter taste perception and acceptance between adults and children and drawing on useful strategies from animal models.

RESULTS

Medicine often tastes bitter, and because children are more bitter-sensitive than are adults, this creates problems with compliance. Bitter arises from stimulating receptors in taste receptor cells, with signals processed in the taste bud and relayed to the brain. However, there are many gaps in our understanding of how best to measure bitterness and how to ameliorate it, including whether it is more efficiently addressed at the level of receptor and sensory signaling, at the level of central processing, or by masking techniques. All methods of measuring responsiveness to bitter ligands-in animal models through human psychophysics or with "electronic tongues"-have limitations.

CONCLUSIONS

Better-tasting medications may enhance pediatric adherence to drug therapy. Sugars, acids, salt, and other substances reduce perceived bitterness of several pharmaceuticals, and although pleasant flavorings may help children consume some medicines, they often are not effective in suppressing bitter tastes. Further development of psychophysical tools for children will help us better understand their sensory worlds. Multiple testing strategies will help us refine methods to assess acceptance and compliance by various pediatric populations. Research involving animal models, in which the gustatory system can be more invasively manipulated, can elucidate mechanisms, ultimately providing potential targets. These approaches, combined with new technologies and guided by findings from clinical studies, will potentially lead to effective ways to enhance drug acceptance and compliance in pediatric populations.

Maturation of the auditory t-complex brain response across adolescence

Adolescence is a time of great change in the brain in terms of structure and function. It is possible to track the development of neural function across adolescence using auditory event-related potentials (ERPs). This study tested if the brain's functional processing of sound changed across adolescence. We measured passive auditory t-complex peaks to pure tones and consonant-vowel (CV) syllables in 90 children and adolescents aged 10-18 years, as well as 10 adults. Across adolescence, Na amplitude increased to tones and speech at the right, but not left, temporal site. Ta amplitude decreased at the right temporal site for tones, and at both sites for speech. The Tb remained constant at both sites. The Na and Ta appeared to mature later in the right than left hemisphere. The t-complex peaks Na and Tb exhibited left lateralization and Ta showed right lateralization. Thus, the functional processing of sound continued to develop across adolescence and into adulthood.

Infants born very preterm react to variations of the acoustic environment in their incubator from a minimum signal-to-noise ratio threshold of 5 to 10 dBA

INTRODUCTION

Very early preterm infants (VPIs) are exposed to unpredictable noise in neonatal intensive care units. Their ability to perceive moderate acoustic environmental changes has not been fully investigated.

RESULTS

Physiological values of the 598 isolated sound peaks (SPs) that were 5-10 and 10-15 dB slow-response A (dBA) above background noise levels and that occurred during infants' sleep varied significantly, indicating that VPIs detect them. Exposure to 10-15 dBA SPs during active sleep significantly increased mean heart rate and decreased mean respiratory rate and mean systemic and cerebral oxygen saturations relative to baseline.

DISCUSSION

VPIs are sensitive to changes in their nosocomial acoustic environment, with a minimal signal-to-noise ratio (SNR) threshold of 5-10 dBA. These acoustic changes can alter their well-being.

METHODS

In this observational study, we evaluated their differential auditory sensitivity to sound-pressure level (SPL) increments below 70-75 dBA equivalent continuous level in their incubators. Environmental (SPL and audio recording), physiological, cerebral, and behavioral data were prospectively collected over 10 h in 26 VPIs (GA 28 (26-31) wk). SPs emerging from background noise levels were identified and newborns' arousal states at the time of SPs were determined. Changes in parameters were compared over 5-s periods between baseline and the 40 s following the SPs depending on their SNR thresholds above background noise.

Sensitivity of school-aged children to pitch-related cues

Two experiments investigated the ability of 17 school-aged children to process purely temporal and spectro-temporal cues that signal changes in pitch. Percentage correct was measured for the discrimination of sinusoidal amplitude modulation rate (AMR) of broadband noise in experiment 1 and for the discrimination of fundamental frequency (F0) of broadband sine-phase harmonic complexes in experiment 2. The reference AMR was 100 Hz as was the reference F0. A child-friendly interface helped listeners to remain attentive to the task. Data were fitted using a maximum-likelihood technique that extracted threshold, slope, and lapse rate. All thresholds were subsequently standardized to a common d' value equal to 0.77. There were relatively large individual differences across listeners: eight had relatively adult-like thresholds in both tasks and nine had higher thresholds. However, these individual differences did not vary systematically with age, over the span of 6-16 yr. Thresholds were correlated across the two tasks and were about nine times finer for F0 discrimination than for AMR discrimination as has been previously observed in adults.

Relationship between bitter-taste receptor genotype and solid medication formulation usage among young children: a retrospective analysis

BACKGROUND

Children often refuse to take medication in liquid formulation because of its unpleasant taste. Recent advances in taste genetics have provided some insight into individual differences in taste among children: due to their genotype, some prefer more intense sweetness and are more sensitive to bitter tastes and thus may have different needs for medication formulation.

OBJECTIVE

The aims of this study were to: (1) test the a priori hypothesis that children with the bitter-sensitive genotypes are more likely to have experienced solid medication formulations than those with the bitter-insensitive genotype; and (2) conduct post hoc analyses to examine the relationship between genotype and most preferred level of sucrose in water because sweeteners are a common component of liquid formulations.

METHODS

The following data were obtained from healthy, 3- to 10-year-old children who participated in 1 of 5 taste-research studies: taste genotype for alleles of the bitter-taste receptor TAS2R38; data from retrospective reports of solid medication formulation usage and favorite beverage; and most preferred level of sucrose in water, as determined psychophysically.

RESULTS

Data from 448 children were included (245 girls, 203 boys; mean age, 7.8 years). Children with ≥1 bitter-sensitive allele (TAS2R38 PP or AP genotype) were more likely to have taken medication in solid formulation than were bitter-insensitive (AA genotype) children. Children with the PP genotype preferred higher concentrations of sucrose in water, and their favorite beverage contained more grams of sugar compared with children with the AA genotype.

CONCLUSIONS

Taste genotype was associated with experience with solid medication formulations and preference for more intense sweetness. This finding suggests that taste genetics might be an important factor in formulation choice and compliance in the pediatric population.

Effective masking levels for bone conduction auditory steady state responses in infants and adults with normal hearing

OBJECTIVE

To obtain ear-specific bone conduction thresholds, masking of the nontest ear is often required. Bone conduction masking has not been formally investigated for infants assessed physiologically. The objective of this study was to determine effective masking levels (EMLs) for auditory steady state responses (ASSRs) elicited by bone-conducted stimuli in a group of normal-hearing infants and adults.

DESIGN

Participants were 15 infants younger than 6 mo and 15 adults, all with normal hearing. EML was defined as the lowest level of a binaural air-conducted masker that resulted in absent bone conduction ASSRs. Stimuli were single bone-conducted tones that were 100% amplitude modulated and 25% frequency modulated at 85 and 101 for 1000 and 4000 Hz, respectively. The stimuli were calibrated in dB HL (ANSI S3.6-1996) and expressed in dB HL or dB SL (dB relative to mean bone conduction ASSR thresholds reported in a previous study). The maskers were 1 and 4 kHz narrowband noise generated by a clinical audiometer. Unmasked and masked ASSRs were obtained for each participant. Real ear-to-coupler differences (RECDs) were also obtained for each participant and were used to convert masker dB SPL measured in the coupler to dB SPL in the individual ear canal.

RESULTS

Infant EMLs for ASSRs elicited to bone-conducted stimuli in dB HL were 6 to 7 dB higher and 8 to 10 dB lower for 1000 and 4000 Hz, respectively, compared with adults. When masker was adjusted for RECDs, infant EMLs were 12 dB higher at 1000 Hz and similar at 4000 Hz compared with adults. When the stimulus levels were corrected for the mean differences in ASSR bone conduction thresholds between infants and adults and the masker levels adjusted for RECDs, infants had lower EMLs at 1000 Hz and equal EMLs at 4000 Hz, in comparison to adults. Frequency- and level-dependent effects on ASSR amplitude due to masking were found and differed between infants and adults.

CONCLUSIONS

Our findings indicate that there are frequency- and level-dependent infant-adult differences in EMLs for bone conduction ASSRs and confirm that a 1000 Hz stimulus is 12 dB more effective for infants compared with adults. The following infant preliminary masking levels for bone conduction stimuli are recommended: (i) 1000 Hz: 48 and 58 dB SPL at 15 and 25 dB HL, respectively, and (ii) 4000 Hz: 40 and 45 dB SPL at 25 and 35 dB HL, respectively.

Binaural masking level difference in skilled reading children and children with dyslexia

BACKGROUND

Combining stimuli arriving at both ears makes it possible to locate sounds in the environment and to better detect signals or understand speech in noise when the sound sources are separated spatially. The sensitivity of the binaural system to interaural differences in time and amplitude can be investigated by means of the binaural masking level difference (BMLD). The age at which the BMLD reaches adult levels appears to depend partly upon masker bandwidth. Less is known about the effect of masker's level on the development of BMLD in children. In the present study we assessed the effect of masker level on the BMLD of 3rd and 5th grade skilled reading children. In view of possible binaural hearing effects in dyslexia, the BMLD of a group of 5th grade children with reading difficulties was measured.

METHODS

Detection thresholds of 500 Hz pure tone were measured at noise levels of 40 dBHL, 50 dBHL and 60 dBHL.

RESULTS

All subjects presented increased MLD values with the rise of noise intensity between 40 dBHL and 60 dBHL. Among the skilled readers the results showed that younger children had smaller BMLDs than older children at all masker levels. However, a significant group-by-intensity interaction indicated that although the reading disabled group had reduced BMLD values than older skilled readers at noise levels of 50 dBHL and 60 dBHL, no difference was found between their BMLD values and those of the young skilled readers at noise levels of 50 dBHL and 60 dBHL. Moreover, their BMLD values at noise level of 40 dBHL were higher than those of the 3rd grade typically reading students while no difference was found between them and 5th grade efficient readers.

CONCLUSIONS

These results support the existence of both quantitative and qualitative differences in binaural hearing of children with developmental dyslexia.

Measuring sound detection and reaction time in infant and toddler cochlear implant recipients using an observer-based procedure: a first report

OBJECTIVES

First, to establish the feasibility of the observer-based psychophysical procedure (OPP) in measuring sound detection in infant and toddler cochlear implant (CI) recipients. Second, to measure the psychometric function for detection (PFD) from individual subjects. Third, to determine whether reaction time (RT) provides information about the auditory sensitivity of young CI users.

DESIGN

Twelve CI recipients, 11 to 32 mo old, participated in our study. Initially, tones were presented in sound field, and children learned to respond when they heard tones but not at other times. Once an 80% correct criterion was met in sound field, a novel stimulation paradigm was used to present stimuli to a single electrode while the child listened to acoustic input on most other electrodes using their usual map. The PFD and RT were measured using this single-electrode stimulation paradigm.

RESULTS

Eleven subjects met criterion, 6 within the minimum possible number of trials. For eight subjects, the asymptotic level of detecting single-electrode stimuli averaged 86% correct, similar to levels achieved by normal-hearing infants and toddlers detecting pure tones. The PFD slope of infant and toddler CI recipients was less than or equal to the slope for adult CI users reported in previous studies. RT decreased significantly with stimulus level in four children.

CONCLUSIONS

These preliminary results suggest that psychophysical detection data can be obtained from infant and toddler CI recipients using OPP. The PFD of young CI users may be shallower than that of adult CI users. Relatively good asymptotic detection performance implies that young CI users are more attentive to sound than has been suggested in previous studies. RT tended to be a less reliable measure of detection, but methodological changes could improve its utility.

Sound localization, sound lateralization, and binaural masking level differences in young children with normal hearing

OBJECTIVES

In this study, procedures for measuring sound localization, sound lateralization, and binaural masking level differences (BMLDs) in young children were developed. Sensitivity for these tasks was assessed in large groups of children between 4 and 9 yr of age to investigate potential developmental trends.

DESIGN

Sound localization was measured in the sound field, with a broadband bell-ring presented from one of nine loudspeakers positioned in the frontal horizontal field. A group of 33 children between 4 and 6 yr of age and 5 adults took part in this experiment. Sound lateralization based on interaural time differences was measured with headphones in 49 children between 4 and 9 yr of age and 10 adults. A low-frequency stimulus containing harmonics 2 to 5 from a click train with a rate of 160 Hz was used. In the BMLD test, the same filtered click train was presented diotically or dichotically (phase reversed or time delayed) in a broadband (200 to 1000 Hz) frozen noise to 23 children between 4 and 6 yr of age and 10 adults. For comparison with literature, additional measurements with a 500-Hz sinusoid were administered to adults. All tasks were adapted to the interest and attention span of young children.

RESULTS

Children of 5 yr of age did not perform significantly different from adults on the sound localization task, but mean absolute errors were larger for the 4-yr-olds. Also on the BMLD task, 5-yr-old children performed at the adult level, whereas the 4-yr-old children obtained significantly less binaural unmasking compared with the adults. Concerning sound lateralization, a small but significant difference between adults and children existed, but no age effects were apparent in the 4- to 9-yr-old group. Overall, the variation was relatively large in the 4-yr-old group, with some of the children performing at adult level, in all three tasks.

CONCLUSIONS

The results of this study show that the modified procedures are suitable for testing children from the age of 4 to 5 yr. Furthermore, it seems that binaural hearing capacities of the 5-yr-olds are similar to those of adults. Several observations led to the hypothesis that the observed age differences between 4-yr-olds and older subjects on localization and BMLD or between those 4- to 9-yr old and adults on lateralization, were attributable to both a development in binaural hearing and to nonauditory factors, such as task comprehension, attention, and testing conditions. It is possible that the developmental process is more obvious and prolonged in other aspects of binaural hearing, which require more dynamic or more central processing.

The effect of a movie soundtrack on auditory event-related potentials in children, adolescents, and adults

OBJECTIVE

To determine if an audible movie soundtrack has a degrading effect on the auditory P1, N1, P2, N2, or mismatch negativity (MMN) event-related potentials (ERPs) in children, adolescents, or adults.

METHODS

The auditory ERPs of 36 children, 32 young adolescents, 19 older adolescents, and 10 adults were measured while they watched a movie in two conditions: with an audible soundtrack and with a silent soundtrack.

RESULTS

In children and adolescents, the audible movie soundtrack had a significant impact on amplitude, latency or split-half reliability of the N1, P2, N2, and MMN ERPs. The audible soundtrack had minimal impact on the auditory ERPs of adults.

CONCLUSIONS

These findings challenge previous claims that an audible soundtrack does not degrade the auditory ERPs of children. Further, the reliability of the MMN is poorer than P1, N1, P2, and N2 peaks in both sound-off and sound-on conditions.

SIGNIFICANCE

Researchers should be cautious about using an audible movie soundtrack when measuring auditory ERPs in younger listeners.

Individual differences and age effects in a dichotic informational masking paradigm

Sixty normally-hearing listeners, ages 5 to 61 years, participated in a monaural speech understanding task designed to assess the impact of a single-talker speech masker presented to the opposite ear. The speech targets were masked by ipsilateral speech-spectrum noise. Masker level was fixed and target level was varied to estimate psychometric functions. The target/masker ratio that led to 51% correct performance in this task was taken as the baseline threshold. The impact of a modulated speech-spectrum noise, a male talker, or a female talker presented at a fixed level to the contralateral ear was quantified by the change in the baseline threshold and was assumed to reflect informational masking. The modulated-noise masker produced no informational masking across the entire age range. Speech maskers produced as much as 20 dB of informational masking for children aged 5-8 years and only 4 dB for adults. In contrast with previous studies using ipsilateral speech maskers, the male and female contralateral speech maskers produced comparable informational masking. Analyses of the developmental rate of change for informational masking and of the patterns of individual differences suggest that the informational masking produced by contralateral and ipsilateral maskers may be mediated by different mechanisms or processes.

Age modifies the genotype-phenotype relationship for the bitter receptor TAS2R38

BACKGROUND

The purpose of this study was to investigate the effect of TAS2R38 haplotypes and age on human bitter taste perception.

RESULTS

Children (3 to 10 yrs), adolescents (11 to 19 yrs) and adults (mostly mothers, 20 to 55 yrs (N = 980) were measured for bitter taste thresholds for 6-n-propylthiouracil (PROP) and genotyped for three polymorphisms of the AS2R38 gene (A49P, V262A, I296V). Subjects were grouped by haplotype and age, as well as sex and race/ethnicity, and compared for PROP thresholds. Subjects with the same haplotype were similar in bitter threshold regardless of race/ethnicity (all ages) or sex (children and adolescents; all p-values > 0.05) but age was a modifier of the genotype-phenotype relationship. Specifically, AVI/PAV heterozygous children could perceive a bitter taste at lower PROP concentrations than could heterozygous adults, with the thresholds of heterozygous adolescents being intermediate (p < 0.001). Similar age effects were not observed for subjects with the PAV/PAV or AVI/AVI homozygous haplotypes (p > 0.05) perhaps because there is less variation in taste perception among these homozygotes.

CONCLUSIONS

These data imply that the change in PROP bitter sensitivity which occurs over the lifespan (from bitter sensitive to less so) is more common in people with a particular haplotype combination, i.e., AVI/PAV heterozygotes.

Diagnosing cochlear dead regions in children

OBJECTIVE

A dead region (DR) is defined as a region in the cochlea where inner hair cells and/or neurons are functioning so poorly that a tone producing peak vibration in this region is detected by off-frequency listening, i.e., via a place on the basilar membrane with a characteristic frequency different from that of the tone. The presence of a DR can have a significant effect on the perception of speech. People with and without DRs may differ in the benefit obtained from amplification and require different hearing aid settings. The Threshold Equalizing Noise (TEN) test and psychophysical tuning curves (PTCs) are two procedures used to identify a DR in adults. Because diagnosing a DR involves measuring masked thresholds, and there are reports in the literature that young children perform poorly compared with adults in background noise, it may be possible that the criteria used with adults may not be appropriate when testing children. Therefore, the aim of this study was to evaluate the consistency of the fast-PTC and TEN tests in diagnosing a DR in hearing-impaired children. In addition, the masked thresholds for normal-hearing children were measured with different TEN levels to assess whether any age-related effect in children compared with adults may occur.

DESIGN

Participants were divided into two groups: eight normal-hearing children (16 ears) and 12 hearing-impaired children (21 ears), aged 7 to 13 yr. TEN is based on measuring masked threshold in TEN. For normal-hearing participants, the masked thresholds were measured for five levels of noise (30, 40, 50, 60, and 70 dB per averaged equivalent rectangular bandwidth). For hearing-impaired participants, the level of the TEN was selected separately for each ear based on the highest acceptable level minus 5 dB. The TEN test results in hearing-impaired children were further validated by measuring fast-PTCs. The fast-PTC technique involves measuring the level of the narrowband noise masker needed to mask the signal. The center frequency of the masker sweeps across the required frequency range.

RESULTS

The masked thresholds in TEN measured for normal-hearing children were usually below and never higher than 5 dB above TEN level per averaged equivalent rectangular bandwidth. This suggests that no age-related effect on masked threshold in children compared with adults was observed. All hearing-impaired children were able to perform the TEN test and fast-PTCs. The results of the two tests were consistent in 17 of 21 ears (81%): eight ears did not show evidence of a DR and nine ears did. In three ears, the criteria for a DR were met on the TEN test, but there was no evidence of a DR on the fast-PTC test. In one ear, the TEN test did not show evidence of DRs at two frequencies, whereas fast-PTCs did.

CONCLUSIONS

The results of this study suggest that DRs can be detected in children using the fast-PTC technique and the TEN test interpreted with the adult criteria, which are the most appropriate in terms of specificity and sensitivity. However, in cases in which the masked threshold is 10 to 15 dB above the TEN level, it is recommended to confirm DR diagnosis with fast-PTC measurement.

Infants' listening in multitalker environments: effect of the number of background talkers

Infants are often spoken to in the presence of background sounds, including speech from other talkers. In the present study, we compared 5- and 8.5-month-olds' abilities to recognize their own names in the context of three different types of background speech: that of a single talker, multitalker babble, and that of a single talker played backward. Infants recognized their names at a 10-dB signal-to-noise ratio in the multiple-voice condition but not in the single-voice (nonreversed) condition, a pattern opposite to that of typical adult performance. Infants similarly failed to recognize their names when the background talker's voice was reversed--that is, unintelligible, but with speech-like acoustic properties. These data suggest that infants may have difficulty segregating the components of different speech streams when those streams are acoustically too similar. Alternatively, infants' attention may be drawn to the time-varying acoustic properties associated with a single talker's speech, causing difficulties when a single talker is the competing sound.

The human auditory system: A timeline of development

This review traces the structural maturation of the human auditory system, and compares the timeline of anatomical development with cotemporaneous physiological and behavioral events. During the embryonic period, there is formation of basic structure at all levels of the system, i.e. the inner ear, the brainstem pathway, and the cortex. The second trimester is a time of rapid growth and development, and by the end of this period, the cochlea has acquired a very adult-like configuration. During the perinatal period, the brainstem reaches a mature state, and brainstem activity is reflected in behavioral responses to sound, including phonetic discrimination, and in evoked brainstem and early middle latency responses. The perinatal period is also the time of peak development of brainstem input to the cortex through the marginal layer, and of the long latency cortical potentials, the N(2) and mismatch negativity. In early childhood, from the sixth post-natal month to age five, there is progressive maturation of the thalamic projections to the cortex and of the longer latency Pa and P(1) evoked potentials. Later childhood, from six to twelve years, is the time of maturation of the superficial cortical layers and their intracortical connections, accompanied by appearance of the N(1) potential and improved linguistic discriminative abilities. Some consideration is given to the potential negative effects of deafness-induced sound deprivation during the perinatal period and childhood.

Application of the TEN test to hearing-impaired teenagers with severe-to-profound hearing loss: Aplicación de la prueba TEN en adolescentes con hipoacusias severas a profundas

Hearing impairment is often associated with damage to the hair cells of the cochlea. An area of the cochlea with complete loss of function of inner hair cells is known as a 'dead region'. Dead regions can be identified by measuring detection thresholds for pure tones in quiet and in threshold-equalizing noise (TEN). So far, the TEN test has only been used to identify dead regions in adults with moderate-to-severe hearing impairment. The aim of this study was to assess problems in applying the TEN test to teenagers with longstanding severe-to-profound sensorineural hearing impairment, and to assess the prevalence of dead regions in this population. The subjects had a mean age of 14 years, and there were 13 females and 20 males. The stimuli for the TEN test were derived from a CD, whose output was routed via a GSI-16 audiometer and an amplifier to Sennheiser HD580 earphones. For each ear of each subject, both absolute thresholds and masked thresholds in the TEN were measured. For the majority of ears, the results were in-conclusive at some frequencies, due to the maximum output of the audiometer being reached when measuring the absolute or masked threshold. In almost all cases, the diagnosis was uncertain at some frequencies because the TEN could not be made sufficiently intense to produce significant masking. However, for 23 (70%) subjects, the criteria for a dead region at medium or high frequencies were met in at least one ear. For eight (35%) of these subjects, the criteria were only just met. Sixteen of the 24 subjects with a congenital hearing impairment, and four of the five subjects with an acquired impairment, met the criteria for a dead region. The results suggest that dead regions are relatively common among teenagers with a longstanding hearing impairment.

Effects of age and degree of hearing loss on the agreement and correlation between sound field audiometric thresholds and tone burst auditory brainstem response thresholds in infants and young children

BACKGROUND/PURPOSE

Early hearing rehabilitation programs eventually require measurement of the hearing threshold cutoff values over the whole range of speech frequencies. With tone burst auditory brainstem responses, excellent agreement and correlation between evoked-potential and behavioral thresholds have been demonstrated by previous studies. This study investigated the effects of different ages and degrees of hearing loss on the agreement and correlation in a large series of infants and young children in Taiwan.

METHODS

Medical records were reviewed from a large series of 1281 infants and young children aged from 3 months to 3 years who had undergone diagnostic audiometry, including sound field audiometry and tone burst auditory brainstem response measurements. The effects of age and hearing loss on the agreement and correlation between two measured thresholds were studied.

RESULTS

Significant correlations (p < 0.001) were seen between the two measured thresholds across groups of different ages and different degrees of hearing loss greater than 20 dB HL. However, the degree of correlation deteriorated at lower degrees of hearing loss. Correlations for hearing thresholds less than 20 dB HL were not significant at 1000, 2000 and 4000 Hz.

CONCLUSION

The evoked-potentials test, properly obtained and interpreted with respect to the effects of age and degree of hearing loss, may provide a very informative hearing threshold reference to help in behavioral audiometric evaluation in infants and young children with hearing loss.

Effects of temporal uncertainty and temporal expectancy on infants' auditory sensitivity

Adults are more sensitive to a sound if they know when the sound will occur. In the present experiment, the effects of temporal uncertainty and temporal expectancy on infants' and adults' detection of a 1 kHz tone in a broadband noise were examined. In one experiment, masked sensitivity was measured with an acoustic cue and without an acoustic cue to possible tone presentation times. Adults' sensitivity was greater for the cue than for the no-cue condition, while infants' sensitivity did not differ significantly between the cue and no-cue conditions. In a second experiment, the effect of temporal expectancy was investigated. The detection advantage for sounds occurring at an expected (most frequent) time, over sounds occurring at unexpected (less frequent) times, was examined. Both infants and adults detected a tone better when it occurred before or at an expected time following a cue than when it occurred at a later time. Thus, despite the fact that the auditory cue did not improve infants' sensitivity, it nonetheless provided the basis for temporal expectancies. Infants, like adults, are more sensitive to sounds that are consistent with temporal expectancy.

Psychometric functions for pure tone intensity discrimination: slope differences in school-aged children and adults

Previous work on pure tone intensity discrimination in school-aged children concluded that children might have higher levels of internal noise than adults for this task [J. Acoust. Soc. Am. 120, 2777-2788 (2006)]. If true, this would imply that psychometric function slopes are shallower for children than adults, a prediction that was tested in the present experiment. Normal hearing children (5-9 yr) and adults were tested in a two-stage protocol. The first stage used a tracking procedure to estimate 71% correct for intensity discrimination with a gated 500 Hz pure tone and a 65 dB sound pressure level standard level. The mean and standard deviation of these tracks were used to identify a set of five signal levels for each observer. In the second stage of the experiment percent correct was estimated at these five levels. Psychometric functions fitted to these data were significantly shallower for children than adults, as predicted by the internal noise hypothesis. Data from both stages of testing are consistent with a model wherein performance is based on a stable psychometric function, with sensitivity limited by psychometric function slope. Across observers the relationship between slope and threshold conformed closely to predictions of a simple signal detection model.

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.

The effect of amplitude modulation on intelligibility of time-varying sinusoidal speech in children and adults

Although researchers are currently studying auditory object formation in adults, little is known about the development of this phenomenon in children. Amplitude modulation has been suggested as one of the characteristics of the speech signal that allows auditory grouping. In this experiment, we evaluated children (4 to 13 years of age) and adults to examine whether children's ability to use amplitude modulation (AM) in perception of time-varying sinusoidal (TVS) sentences is different from that of adults, and whether there are developmental changes. We evaluated performance on recognition of TVS sentences (unmodulated, amplitude-comodulated at 25, 50, 100, and 200 Hz, and amplitude-modulated using conflicting frequencies). Overall, the youngest children performed more poorly than did older children and adults. However, difference scores, defined as the percentage of phonemes correct in a given modulation condition minus the percentage correct for the unmodulated condition, showed no significant effects of age. Unlike the findings of previous studies (Carrell & Opie, 1992), these results support the ability of modulation with conflicting frequencies to improve intelligibility. The present study provides evidence that children and adults receive the same benefits (or decrements) from amplitude modulation.

Issues in human auditory development

The human auditory system is often portrayed as precocious in its development. In fact, many aspects of basic auditory processing appear to be adult-like by the middle of the first year of postnatal life. However, processes such as attention and sound source determination take much longer to develop. Immaturity of higher-level processes limits the processing of both simple and complex sounds by infants and children. Young listeners with impaired hearing may be at a particular disadvantage, in that they must make sense of sounds on the basis of a degraded representation using immature perceptual strategies.

LEARNING OUTCOMES

(1) Readers will be able to describe three stages of human auditory development. (2) Readers will be able to describe how experience with sound is important in auditory development. (3) Readers will be able to describe the role of attention and other higher-level processes in early audition.

Development and the role of internal noise in detection and discrimination thresholds with narrow band stimuli

The experiments reported here examine the role of internal noise in the detection of a tone in narrow band noise and intensity discrimination for narrow band stimuli in school-aged children as compared to adults. Experiment 1 used 20-Hz wide bands of Gaussian and low-fluctuation noise centered at 500 Hz to assess the role of stimulus fluctuation in detection of a 500-Hz pure tone. Additional conditions tested whether performance was based on level and/or level-independent cues. Children's thresholds were elevated with respect to adults, and whereas adults benefited from the reduced fluctuation of low-fluctuation noise, children did not. Results from both groups were consistent with the use of a level cue. Experiment 2 estimated intensity increment thresholds for a narrow band Gaussian noise or a pure tone, either with or without a presentation-by-presentation level rove, an additional source of level variability. Stimulus variability was found to have a larger effect on performance of adults as compared to children, a rather counterintuitive finding if one thinks of children as more prone to informational masking introduced by stimulus variability. Both tone-in-noise and intensity discrimination data were consistent with the hypothesis that children's performance is limited by greater levels of internal noise.

The development of temporal resolution: between-channel gap detection in infants and adults

PURPOSE

Infants have a good ability to detect brief silent gaps between 2 short identical sound markers (within-channel gap detection), with thresholds between 2 and 11 ms. The present experiment traces the development of temporal resolution for between-channel gaps (i.e., gaps delineated by spectrally disparate markers). This ability appears crucial for the perception of complex stimuli such as speech and is thought to reflect more central auditory processing.

METHOD

Infants age 6-7.5 months and adults were tested in a between-channel gap detection task using a conditioned head-turn procedure. Gaps were marked by 1- and 4-kHz Gaussian-enveloped sine-tone markers.

RESULTS

Infant gap thresholds were between 30 and 40 ms under conditions in which adult thresholds were between 10 and 20 ms.

CONCLUSIONS

Unlike within-channel gap detection, the central temporal processing required for between-channel gap detection is still immature at 6 months of age.

Informational masking of speech in children: auditory-visual integration

The focus of this study was the release from informational masking that could be obtained in a speech task by viewing a video of the target talker. A closed-set speech recognition paradigm was used to measure informational masking in 23 children (ages 6-16 years) and 10 adults. An audio-only condition required attention to a monaural target speech message that was presented to the same ear with a time-synchronized distracter message. In an audiovisual condition, a synchronized video of the target talker was also presented to assess the release from informational masking that could be achieved by speechreading. Children required higher target/distracter ratios than adults to reach comparable performance levels in the audio-only condition, reflecting a greater extent of informational masking in these listeners. There was a monotonic age effect, such that even the children in the oldest age group (12-16.9 years) demonstrated performance somewhat poorer than adults. Older children and adults improved significantly in the audiovisual condition, producing a release from informational masking of 15 dB or more in some adult listeners. Audiovisual presentation produced no informational masking release for the youngest children. Across all ages, the benefit of a synchronized video was strongly associated with speechreading ability.

Development of auditory saltation and its relationship to reading and phonological processing

PURPOSE

The temporal offset of auditory saltation is thought to be reflective of the limits of temporal resolution, and has recently been used to compare dyslexic and control adults and children, with mixed results (R. Hari & P. Kiesilä, 1996; M. Kronbichler, F. Hutzler, & H. Wimmer, 2002). This study sought to document and understand normative changes in saltation thresholds as a function of age, and examine the relationship of saltation thresholds to reading and phonological processing across development.

METHOD

This study used a cross-sectional developmental design. Groups of 7-8-, 9-10-, and 11-13-year-old children, and adults, undertook a 2-alternative forced-choice saltation task, along with standard tests of reading and phonological processing.

RESULTS

Significantly higher and more variable saltation thresholds were evident in the 7-8-year-old group. Group distributions were skewed: Only a few young children obtained poor thresholds while most showed adult-like performance. Saltation thresholds were not related to reading or phonological processing skills at any stage of development.

CONCLUSIONS

The temporal offset of saltation is unlikely to reflect the true limits of temporal resolution in young children, but rather the conflation of perceptual and nonperceptual factors (such as poor short-term memory, inattention, and confusion) to task performance. Effort should be made to minimize such nonperceptual factors, particularly when using saltation as a measure of temporal resolution in participants with dyslexia.

Informational masking of speech in children: effects of ipsilateral and contralateral distracters

Using a closed-set speech recognition paradigm thought to be heavily influenced by informational masking, auditory selective attention was measured in 38 children (ages 4-16 years) and 8 adults (ages 20-30 years). The task required attention to a monaural target speech message that was presented with a time-synchronized distracter message in the same ear. In some conditions a second distracter message or a speech-shaped noise was presented to the other ear. Compared to adults, children required higher target/distracter ratios to reach comparable performance levels, reflecting more informational masking in these listeners. Informational masking in most conditions was confirmed by the fact that a large proportion of the errors made by the listeners were contained in the distracter message(s). There was a monotonic age effect, such that even the children in the oldest age group (13.6-16 years) demonstrated poorer performance than adults. For both children and adults, presentation of an additional distracter in the contralateral ear significantly reduced performance, even when the distracter messages were produced by a talker of different sex than the target talker. The results are consistent with earlier reports from pure-tone masking studies that informational masking effects are much larger in children than in adults.

Learning problems, delayed development, and puberty

Language-based learning disorders such as dyslexia affect millions of people, but there is little agreement as to their cause. New evidence from behavioral measures of the ability to hear tones in the presence of background noise indicates that the brains of affected individuals develop more slowly than those of their unaffected counterparts. In addition, it seems that brain changes occurring at approximately 10 years of age, presumably associated with puberty, may prematurely halt this slower-than-normal development when improvements would normally continue into adolescence. The combination of these ideas can account for a wide range of previous results, suggesting that delayed brain development, and its interaction with puberty, may be key factors contributing to learning problems.