1
|
Aryal S, Prabhu P. Auditory cortical functioning in individuals with misophonia: an electrophysiological investigation. Eur Arch Otorhinolaryngol 2024; 281:2259-2273. [PMID: 37910210 DOI: 10.1007/s00405-023-08318-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/15/2023] [Accepted: 10/25/2023] [Indexed: 11/03/2023]
Abstract
PURPOSE Misophonia is characterized by a reduced tolerance for specific sound triggers. This aspect has been relatively underexplored in audiology, with limited research from the audiological angle. Our primary objective is to compare the auditory late latency response (ALLR) findings between individuals with misophonia and those without it. METHODS A study compared individuals with significant misophonia to a healthy control group. Thirty misophonia participants were categorized into mild and moderate-to-severe groups based on their Amsterdam Misophonia Scale scores. The latency and amplitude of auditory response peaks were analyzed across the groups using the ALLR. Statistical tests included Shapiro-Wilk for data normality, one-way ANOVA for group differences, and Bonferroni post hoc analysis for detailed variation sources. RESULTS The result showed a significant difference in latency of P1 and N1 peaks (p < 0.05) of ALLR between the groups in both ears. This suggests a deficit in auditory processing at the cortical level in individuals with misophonia. CONCLUSION Our study substantiates the potential utility of the ALLR as a valuable instrument for evaluating misophonia, particularly from the audiological standpoint.
Collapse
Affiliation(s)
- Sajana Aryal
- Department of Audiology, All India Institute of Speech and Hearing, Mysore, 570006, India.
| | - Prashanth Prabhu
- Department of Audiology, All India Institute of Speech and Hearing, Mysore, 570006, India
| |
Collapse
|
2
|
Neacsiu AD, Beynel L, Gerlus N, LaBar KS, Bukhari-Parlakturk N, Rosenthal MZ. An experimental examination of neurostimulation and cognitive restructuring as potential components for Misophonia interventions. J Affect Disord 2024; 350:274-285. [PMID: 38228276 DOI: 10.1016/j.jad.2024.01.120] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/17/2023] [Revised: 12/08/2023] [Accepted: 01/10/2024] [Indexed: 01/18/2024]
Abstract
Misophonia is a disorder of decreased tolerance to certain aversive, repetitive common sounds, or to stimuli associated with these sounds. Two matched groups of adults (29 participants with misophonia and 30 clinical controls with high emotion dysregulation) received inhibitory neurostimulation (1 Hz) over a personalized medial prefrontal cortex (mPFC) target functionally connected to the left insula; excitatory neurostimulation (10 Hz) over a personalized dorsolateral PFC (dlPFC) target; and sham stimulation over either target. Stimulations were applied while participants were either listening or cognitively downregulating emotions associated with personalized aversive, misophonic, or neutral sounds. Subjective units of distress (SUDS) and psychophysiological measurements (e.g., skin conductance response [SCR] and level [SCL]) were collected. Compared to controls, participants with misophonia reported higher distress (∆SUDS = 1.91-1.93, ps < 0.001) when listening to and when downregulating misophonic distress. Both types of neurostimulation reduced distress significantly more than sham, with excitatory rTMS providing the most benefit (Cohen's dSUDS = 0.53; dSCL = 0.14). Excitatory rTMS also enhanced the regulation of emotions associated with misophonic sounds in both groups when measured by SUDS (dcontrol = 1.28; dMisophonia = 0.94), and in the misophonia group alone when measured with SCL (d = 0.20). Both types of neurostimulation were well tolerated. Engaging in cognitive restructuring enhanced with high-frequency neurostimulation led to the lowest misophonic distress, highlighting the best path forward for misophonia interventions.
Collapse
Affiliation(s)
- Andrada D Neacsiu
- Duke University School of Medicine, Durham, NC, USA; Center for Misophonia and Emotional Dysregulation, Durham, NC, USA; Brain Stimulation Research Center, Durham, NC, USA.
| | - Lysianne Beynel
- National Institute for Mental Health, Bethesta, DC, USA; Duke University School of Medicine, Durham, NC, USA.
| | | | - Kevin S LaBar
- Duke University, Durham, NC, USA; Duke Institute for Brain Sciences, Durham, NC, USA.
| | - Noreen Bukhari-Parlakturk
- Duke University, Durham, NC, USA; Duke University School of Medicine, Durham, NC, USA; Duke Institute for Brain Sciences, Durham, NC, USA.
| | - M Zachary Rosenthal
- Duke University, Durham, NC, USA; Duke University School of Medicine, Durham, NC, USA; Center for Misophonia and Emotional Dysregulation, Durham, NC, USA.
| |
Collapse
|
3
|
Patterson RH, Suleiman O, Hapunda R, Wilson B, Chadha S, Tucci D. Towards universal access: A review of global efforts in ear and hearing care. Hear Res 2024; 445:108973. [PMID: 38520900 DOI: 10.1016/j.heares.2024.108973] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/15/2023] [Revised: 01/12/2024] [Accepted: 02/10/2024] [Indexed: 03/25/2024]
Abstract
Hearing loss affects 1.6 billion people worldwide and disproportionately affects those in low- and middle-income countries. Despite being largely preventable or treatable, ear and hearing conditions result in significant and lifelong morbidity such as delayed language development, reduced educational attainment, and diminished social well-being. There is a need to augment prevention, early identification, treatment, and rehabilitation for these conditions. Expanded access to hearing screening, growth of the hearing health workforce, and innovations in ear and hearing care delivery systems are among the changes that are needed. To that end, the World Health Organization has prioritized ear and hearing care as a component of Universal Health Coverage, and recent publications have advanced the priority for ear and hearing care. Efforts are underway at the national levels around the world, as evidenced by countries like Zambia and Nigeria that have integrated ear and hearing care within national health strategies. While significant strides have been made in improving access, a critical need remains for additional research, advocacy, and intervention to ensure that no one is left behind in the goal to achieve universal access to ear and hearing care.
Collapse
Affiliation(s)
- Rolvix H Patterson
- Department of Head and Neck Surgery & Communication Sciences, Duke University School of Medicine, DUMC Box 3805 40 Duke Medicine Circle, Durham, NC 27710, United States; Hubert-Yeargan Center for Global Health, Duke University, 310 Trent Drive, Box 90518, Durham, NC 27710, United States.
| | - Olayinka Suleiman
- Department of Otorhinolaryngology Head and Neck Surgery, Federal Teaching Hospital, Katsina, Nigeria, 820101
| | - Racheal Hapunda
- Department of Surgery - Otolaryngology, University of Zambia, PO Box 32379, Lusaka, Zambia
| | - Blake Wilson
- Department of Head and Neck Surgery & Communication Sciences, Duke University School of Medicine, DUMC Box 3805 40 Duke Medicine Circle, Durham, NC 27710, United States; Departments of Biomedical Engineering and Electrical & Computer Engineering, Duke University Pratt School of Engineering Box 90291, Durham, NC 27708, United States
| | - Shelly Chadha
- Department on Noncommunicable Diseases, World Health Organization, Geneva, Av. Appia 20, 1202 Genève, Switzerland
| | - Debara Tucci
- National Institute on Deafness and Other Communication Disorders, National Institutes of Health, 31 Center Drive, MSC 2320, Bethesda, MD 20892-2320, United States
| |
Collapse
|
4
|
Brennan CR, Lindberg RR, Kim G, Castro AA, Khan RA, Berenbaum H, Husain FT. Misophonia and Hearing Comorbidities in a Collegiate Population. Ear Hear 2024; 45:390-399. [PMID: 37789522 DOI: 10.1097/aud.0000000000001435] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/05/2023]
Abstract
OBJECTIVES Misophonia is a little-understood disorder in which certain sounds cause a strong emotional response in those who experience it. People who are affected by misophonia may find that noises like loud chewing, pen clicking, and/or sniffing trigger intense frustration, anger, or discomfort. The relationship of misophonia with other auditory disorders including loudness hyperacusis, tinnitus, and hearing loss is largely underexplored. This project aimed to investigate the prevalence and hearing-health comorbidities of misophonia in a college-aged population by using an online survey. DESIGN A total of 12,131 undergraduate and graduate students between the ages of 18 and 25 were given the opportunity to answer an in-depth online survey. These students were sampled in a roughly 50 of 50 sex distribution. The survey was created using Qualtrics and included the following components: electronic consent, demographics questionnaire, Misophonia Questionnaire (MQ), Khalfa's Hyperacusis Questionnaire (HQ), Tinnitus and Hearing Survey, and Tinnitus Functional Index (TFI). To be eligible for compensation, answers for each of the above components were required, with the exception of the TFI, which was only presented to students who indicated that they experienced tinnitus. Respondents were determined to have high or possible likelihood of having misophonia if they gave specific answers to the MQ's Emotion and Behavior Scale or the MQ Severity Scale. RESULTS After excluding duplicate responses and age-related outliers, 1,084 responses were included in the analysis. Just over 20% (n = 217) of the sample was determined to have a high or probable likelihood of having misophonia. The sample was primarily White, female, and of mid-to-high socioeconomic status. There was a strong positive correlation between MQ total scores and HQ total scores. High likelihood misophonia status showed a significant relationship with self-reported hearing loss and tinnitus. No statistically significant relationship was found between misophonia and age, ethnicity, or socioeconomic status. MQ total scores differed significantly when separating respondents by sex, self-reported tinnitus, and loudness hyperacusis. White respondents had significantly higher MQ total scores than Asian/Asian American respondents. CONCLUSIONS The estimated prevalence of misophonia was about 8% to 20% of the sample, which agrees with most of the currently published research examining misophonia symptoms in collegiate populations. Results of data analysis suggest that misophonia severity may be related to loudness hyperacusis, sex, and possibly tinnitus. Future studies are needed to further examine the characteristics of these relationships, possibly in populations more optimized to reflect the general population or those with hearing-health disorders.
Collapse
Affiliation(s)
- Caroline R Brennan
- Department of Speech and Hearing Science, University of Illinois Urbana-Champaign, Champaign, IL, USA
- The Beckman Institute for Advanced Science and Technology, University of Illinois Urbana-Champaign, Champaign, IL, USA
| | - Ragnar R Lindberg
- Department of Speech and Hearing Science, University of Illinois Urbana-Champaign, Champaign, IL, USA
- The Beckman Institute for Advanced Science and Technology, University of Illinois Urbana-Champaign, Champaign, IL, USA
| | - Gibbeum Kim
- Department of Speech and Hearing Science, University of Illinois Urbana-Champaign, Champaign, IL, USA
- The Beckman Institute for Advanced Science and Technology, University of Illinois Urbana-Champaign, Champaign, IL, USA
| | - Ariana A Castro
- Department of Psychology, University of Illinois Urbana-Champaign, Champaign, IL, USA
| | - Rafay A Khan
- The Neuroscience Program, University of Illinois Urbana-Champaign, Champaign, IL, USA
- The Beckman Institute for Advanced Science and Technology, University of Illinois Urbana-Champaign, Champaign, IL, USA
| | - Howard Berenbaum
- Department of Psychology, University of Illinois Urbana-Champaign, Champaign, IL, USA
| | - Fatima T Husain
- Department of Speech and Hearing Science, University of Illinois Urbana-Champaign, Champaign, IL, USA
- The Neuroscience Program, University of Illinois Urbana-Champaign, Champaign, IL, USA
- The Beckman Institute for Advanced Science and Technology, University of Illinois Urbana-Champaign, Champaign, IL, USA
| |
Collapse
|
5
|
Guetta RE, Siepsiak M, Shan Y, Frazer-Abel E, Rosenthal MZ. Misophonia is related to stress but not directly with traumatic stress. PLoS One 2024; 19:e0296218. [PMID: 38386641 PMCID: PMC10883556 DOI: 10.1371/journal.pone.0296218] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2023] [Accepted: 12/08/2023] [Indexed: 02/24/2024] Open
Abstract
The relationship between misophonia, stress, and traumatic stress has not been well characterized scientifically. This study aimed to explore the relationships among misophonia, stress, lifetime traumatic events, and traumatic stress. A community sample of adults with self-reported misophonia (N = 143) completed structured diagnostic interviews and psychometrically validated self-report measures. Significant positive correlations were observed among perceived stress, traumatic stress, and misophonia severity. However, multivariate analyses revealed that perceived stress significantly predicted misophonia severity, over and above traumatic stress symptoms. The number of adverse life events was not associated with misophonia severity. Among symptom clusters of post-traumatic stress disorder, only hyperarousal was associated with misophonia severity. These findings suggest that transdiagnostic processes related to stress, such as perceived stress and hyperarousal, may be important phenotypic features and possible treatment targets for adults with misophonia.
Collapse
Affiliation(s)
- Rachel E. Guetta
- Center for Misophonia and Emotion Regulation, Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, North Carolina, United States of America
- Department of Psychology and Neuroscience, Duke University, Durham, North Carolina, United States of America
| | - Marta Siepsiak
- Center for Misophonia and Emotion Regulation, Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, North Carolina, United States of America
- Department of Psychology, University of Warsaw, Warsaw, Poland
| | - Yanyan Shan
- Center for Misophonia and Emotion Regulation, Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, North Carolina, United States of America
| | - Emily Frazer-Abel
- Center for Misophonia and Emotion Regulation, Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, North Carolina, United States of America
| | - M. Zachary Rosenthal
- Center for Misophonia and Emotion Regulation, Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, North Carolina, United States of America
- Department of Psychology and Neuroscience, Duke University, Durham, North Carolina, United States of America
| |
Collapse
|
6
|
Murphy N, Lijffijt M, Guzick AG, Cervin M, Clinger J, Smith EEA, Draper I, Rast CE, Goodman WK, Schneider S, Storch EA. Alterations in attentional processing in youth with misophonia: A phenotypical cross-comparison with anxiety patients. J Affect Disord 2024; 347:429-436. [PMID: 38042307 DOI: 10.1016/j.jad.2023.11.088] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/22/2023] [Revised: 11/13/2023] [Accepted: 11/21/2023] [Indexed: 12/04/2023]
Abstract
BACKGROUND Misophonia is a complex condition characterized by extreme emotional distress in response to specific sounds or specific visual stimuli. Despite a growing body of clinical and neuroscientific literature, the etiology of this condition remains unclear. Hyperarousal, that is, a state of heightened alertness and disinhibition, as a core feature of misophonia is supported by behavioral and neuroimaging literature and might represent a viable clinical target for the development of both behavioral and pharmacological interventions. The aim of this study was to investigate how hyperarousal might be linked to neurocognitive processes associated with vigilance and stimulus discrimination in youth with misophonia. METHODS We compared 72 children and adolescents with misophonia (13.74 ± 2.44 years) (64 % female) and 89 children and adolescents with anxiety (12.35 ± 2.57 years) (58.4 % female) on behavioral and signal detection performance of the immediate memory task (IMT). Anxiety patients were used as a clinical control group to distinguish attentional processes specific for misophonia. RESULTS Both groups demonstrated similar behavioral performance, including response rate and reaction time. However, misophonia was associated with elevated stimulus discrimination (d prime), which in turn was positively correlated with the severity of misophonia trigger reports. CONCLUSIONS Our findings are in line with previous cognitive and neuroimaging studies, and support an arousal-based model of misophonia, where individuals with misophonia experience a state of heightened vigilance, being more aware of stimuli in the environment. Our findings provide a neurocognitive basis for future study of neurochemical imaging that might further progress towards clinical targets.
Collapse
Affiliation(s)
- Nicholas Murphy
- Baylor College of Medicine, Menninger Department of Psychiatry and Behavioral Sciences, Houston, TX, USA.
| | - Marijn Lijffijt
- Baylor College of Medicine, Menninger Department of Psychiatry and Behavioral Sciences, Houston, TX, USA; Sage Therapeutics, USA
| | - Andrew G Guzick
- Baylor College of Medicine, Menninger Department of Psychiatry and Behavioral Sciences, Houston, TX, USA; Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA
| | - Matti Cervin
- Baylor College of Medicine, Menninger Department of Psychiatry and Behavioral Sciences, Houston, TX, USA; Department of Clinical Sciences Lund, Lund University, Sweden
| | - Jane Clinger
- Baylor College of Medicine, Menninger Department of Psychiatry and Behavioral Sciences, Houston, TX, USA
| | - Eleanor E A Smith
- Baylor College of Medicine, Menninger Department of Psychiatry and Behavioral Sciences, Houston, TX, USA
| | | | - Catherine E Rast
- Baylor College of Medicine, Menninger Department of Psychiatry and Behavioral Sciences, Houston, TX, USA
| | - Wayne K Goodman
- Baylor College of Medicine, Menninger Department of Psychiatry and Behavioral Sciences, Houston, TX, USA
| | - Sophie Schneider
- Baylor College of Medicine, Menninger Department of Psychiatry and Behavioral Sciences, Houston, TX, USA
| | - Eric A Storch
- Baylor College of Medicine, Menninger Department of Psychiatry and Behavioral Sciences, Houston, TX, USA
| |
Collapse
|
7
|
Hey M, Dambon J, Synowitz M, Ambrosch P. [Retrocochlear diagnostics for acute hearing loss and successful therapy]. HNO 2024; 72:44-50. [PMID: 37615685 PMCID: PMC10781830 DOI: 10.1007/s00106-023-01351-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/20/2023] [Indexed: 08/25/2023]
Abstract
A 41-year-old female patient presented due to acute onset of unilateral hearing loss 3 months previously and persistent since then. Systemic therapy with oral glucocorticoids in decreasing doses had been performed beforehand, but did not lead to any improvement. In the course of audiological diagnostics, based on subjective and objective methods, a retrocochlear hearing disorder was suspected. A meningioma was diagnosed by diagnostic imaging. Subsequent surgical removal achieved a significant hearing improvement.
Collapse
Affiliation(s)
- Matthias Hey
- Klinik für Hals-Nasen-Ohren-Heilkunde, Kopf- und Halschirurgie, UKSH Campus Kiel, Arnold-Heller-Straße 14, 24105, Kiel, Deutschland.
| | - Jan Dambon
- Klinik für Hals-Nasen-Ohren-Heilkunde, Kopf- und Halschirurgie, UKSH Campus Kiel, Arnold-Heller-Straße 14, 24105, Kiel, Deutschland
| | | | - Petra Ambrosch
- Klinik für Hals-Nasen-Ohren-Heilkunde, Kopf- und Halschirurgie, UKSH Campus Kiel, Arnold-Heller-Straße 14, 24105, Kiel, Deutschland
| |
Collapse
|
8
|
Ash PA, Benzaquén E, Gander PE, Berger JI, Kumar S. Mimicry in misophonia: A large-scale survey of prevalence and relationship with trigger sounds. J Clin Psychol 2024; 80:186-197. [PMID: 37850971 DOI: 10.1002/jclp.23605] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2023] [Revised: 09/07/2023] [Accepted: 09/30/2023] [Indexed: 10/19/2023]
Abstract
BACKGROUND Misophonia is often referred to as a disorder that is characterized by excessive negative emotional responses, including anger and anxiety, to "trigger sounds" which are typically day-to-day sounds, such as those generated from people eating, chewing, and breathing. Misophonia (literally "hatred of sounds") has commonly been understood within an auditory processing framework where sounds cause distress due to aberrant processing in the auditory and emotional systems of the brain. However, a recent proposal suggests that it is the perceived action (e.g., mouth movement in eating/chewing sounds as triggers) of the trigger person, and not the sounds per se, that drives the distress in misophonia. Since observation or listening to sounds of actions of others are known to prompt mimicry in perceivers, we hypothesized that mimicking the action of the trigger person may be prevalent in misophonia. Apart from a few case studies and anecdotal information, a relation between mimicking and misophonia has not been systematically evaluated. METHOD In this work, we addressed this limitation by collecting data on misophonia symptoms and mimicry behavior using online questionnaires from 676 participants. RESULTS Analysis of these data shows that (i) more than 45% of individuals with misophonia reported mimicry, indicating its wide prevalence, (ii) the tendency to mimic varies in direct proportion to misophonia severity, (iii) compared to other human and environmental sounds, trigger sounds of eating and chewing are more likely to trigger mimicking, and (iv) the act of mimicking provides some degree of relief from distress to people with misophonia. CONCLUSION This study shows prevalence of mimicry and its relation to misophonia severity and trigger types. The theoretical framework of misophonia needs to incorporate the phenomenon of mimicry and its effect on management of misophonia distress.
Collapse
Affiliation(s)
- Paris A Ash
- School of Psychology, University of Sunderland, Sunderland, UK
| | - Ester Benzaquén
- Newcastle University Medical School, Newcastle Upon Tyne, Tyne and Wear, UK
| | - Phillip E Gander
- Department of Radiology, University of Iowa, Iowa City, Iowa, USA
- Department of Neurosurgery, University of Iowa, Iowa City, Iowa, USA
| | - Joel I Berger
- Department of Neurosurgery, University of Iowa, Iowa City, Iowa, USA
| | - Sukhbinder Kumar
- Department of Neurosurgery, University of Iowa, Iowa City, Iowa, USA
| |
Collapse
|
9
|
Gregory J, Graham T, Hayes B. Targeting beliefs and behaviours in misophonia: a case series from a UK specialist psychology service. Behav Cogn Psychother 2024; 52:33-48. [PMID: 37855114 PMCID: PMC7615577 DOI: 10.1017/s1352465823000462] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2023]
Abstract
BACKGROUND Misophonia, a disorder of decreased sound tolerance, can cause significant distress and impairment. Cognitive behavioural therapy (CBT) may be helpful for improving symptoms of misophonia, but the key mechanisms of the disorder are not yet known. AIMS This case series aimed to evaluate individual, formulation-driven CBT for patients with misophonia in a UK psychology service. METHOD A service evaluation of one-to-one therapy for patients with misophonia (n=19) was conducted in a specialist psychology service. Patients completed an average of 13 hours of therapy with a focus on the meaning applied to their reactions to sounds and associated behaviours. Primary outcome measures were the Misophonia Questionnaire (MQ) and the Amsterdam Misophonia Scale (A-MISO-S). Repeated measures t-tests were used to compare scores from pre-treatment to follow-up, and reliable and clinically significant change on the MQ was calculated. RESULTS Scores significantly improved on both misophonia measures, with an average of 38% change on the MQ and 40% change on the A-MISO-S. From pre-treatment to follow-up, 78% of patients showed reliable improvement on the MQ and 61% made clinically significant change. CONCLUSIONS Limitations included a lack of control group, small sample size, and the use of an outcome measure that had not been thoroughly validated for a treatment-seeking sample. These results suggest that one-to-one, formulation-driven CBT for misophonia is worth exploring further using experimental design. Potential mechanisms to explore further include feared consequences of escalating reactions, the role of safety-seeking behaviours and the impact of early memories associated with reactions to sounds.
Collapse
Affiliation(s)
- Jane Gregory
- Department of Experimental Psychology, University of Oxford
- Oxford Health NHS Foundation Trust
- South London and Maudsley NHS Foundation Trust
| | - Tom Graham
- Oxford Health NHS Foundation Trust
- South London and Maudsley NHS Foundation Trust
| | - Brett Hayes
- South London and Maudsley NHS Foundation Trust
- Salomons Institute for Applied Psychology, Canterbury Christ Church University
| |
Collapse
|
10
|
Cebulla M, Stürzebecher E, Shehata-Dieler W, Harte JM. Do cochlear microphonics evoked by narrow-band chirp stimuli affect the objective detection of auditory steady-state responses? Int J Audiol 2023; 62:1129-1136. [PMID: 36206202 DOI: 10.1080/14992027.2022.2124199] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/18/2022] [Accepted: 08/26/2022] [Indexed: 11/05/2022]
Abstract
OBJECTIVE It has recently been discussed whether hearing screening and hearing threshold assessment can accurately be completed using automated ASSR methods for children with auditory neuropathy spectrum disorder (ANSD). Possible causes for the claimed potential failures were investigated here. DESIGN The study is based on the analysis of stored ASSR raw data. STUDY SAMPLE This study reviewed raw ASSR data from 274 patients with a total of 5809 individual recordings. RESULTS Cochlear microphonics (CM) were found in 18 of the 274 patient records. Four of these 18 were obtained from patients with ANSD. One patient with ANSD without click auditory brainstem responses up to 100 dBnHL demonstrated clear ASSR responses from 65 dBnHL upwards. Where click stimulation suggests an auditory nerve defect, narrow-band chirps were shown to evoke ASSR in certain patients. CMs are elicited by narrow-band chirps in the same way as by broadband stimuli. CM residuals as well as a presumed enlarged wave I with absent neural responses, always accompanied by CM, were found as possible causes of misinterpretation at high stimulus levels. A CM detector was created. CONCLUSIONS The CM detector, indicating the presence of CM, will prevent misinterpretation of clinical ASSR results.
Collapse
Affiliation(s)
- Mario Cebulla
- Comprehensive Hearing Center (CHC), Department of Otorhinolaryngology, Plastic, Aesthetic and Reconstructive Head and Neck Surgery, University Hospital of Würzburg, Würzburg, Germany
| | | | - Wafaa Shehata-Dieler
- Comprehensive Hearing Center (CHC), Department of Otorhinolaryngology, Plastic, Aesthetic and Reconstructive Head and Neck Surgery, University Hospital of Würzburg, Würzburg, Germany
| | | |
Collapse
|
11
|
Hirschfelder A, Hahn LE. [Language and Hearing Disorders in Adolescents]. Laryngorhinootologie 2023; 102:818-823. [PMID: 37918384 DOI: 10.1055/a-2144-4018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2023]
Abstract
Communicative impairments during adolescence pose a serious barrier to participation and personality development. The article summarizes relevant disorders of language and hearing in this vulnerable phase of life. A case study exemplifies challenges and potentials in the clinical practice with adolescent patients.
Collapse
Affiliation(s)
- Anke Hirschfelder
- Campus Virchow Klinkum, Klinik für Audiologie und Phoniatrie, Charite, Berlin
| | | |
Collapse
|
12
|
Obeidat FS, Alghwiri AA, Whitney SL. Predictors of Dizziness and Hearing Disorders in People with Long COVID. Medicina (Kaunas) 2023; 59:1901. [PMID: 38003950 PMCID: PMC10673595 DOI: 10.3390/medicina59111901] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/29/2023] [Revised: 10/21/2023] [Accepted: 10/24/2023] [Indexed: 11/26/2023]
Abstract
Background and Objectives: Individuals report persistent symptoms after becoming infected by SARS-CoV-2 (COVID-19) that last for >4 weeks (long-COVID syndrome). Dizziness and hearing loss have been reported among long-COVID symptoms. However, little is known about the potential predictors of dizziness and hearing loss in individuals with long COVID. This study aimed to explore the presence and correlates of dizziness and hearing loss in a sample of people with long-COVID syndrome. Materials and Methods: Individuals aged 18 years and older who were infected with COVID-19 at least 8 weeks prior to the start of the study were included if they were not diagnosed with dizziness or hearing loss before getting COVID-19. Demographics and COVID-19-related information were collected. Participants completed the Dizziness Handicap Inventory (DHI), Activities-Specific Balance Confidence (ABC) scale, Falls Efficacy Scale International (FES-I), Modified Fatigue Impact Scale (MFIS), and Medical Outcomes Study Short Form 12 (SF-12). Finally, hearing was assessed using pure-tone audiometry (PTA) in a subsample. Results: Two hundred and nine individuals (66% female) with a mean (SD) age of 27 (9) participated in the study. Perceived dizziness and hearing loss were reported in 26 and 15.3% of the sample, respectively. Logistic regression was conducted to identify potential predictors of dizziness and hearing loss separately. After controlling for age and severity of dizziness, female sex and high fatigue severity were associated with an increased likelihood of reporting dizziness (R2 = 31%). The severity of dizziness and neurological symptoms during the acute stage of COVID-19 were associated with an increased likelihood of reporting hearing loss (R2 = 10.4%) after controlling for age. Conclusions: Dizziness and hearing loss present in long COVID and can be disabling. Females with high levels of fatigue should be questioned about persistent dizziness. Hearing loss should be considered in individuals with neurological symptoms and severe dizziness as a consequence of long COVID.
Collapse
Affiliation(s)
- Faten S. Obeidat
- Department of Hearing and Speech Sciences, School of Rehabilitation Sciences, University of Jordan, Amman 11942, Jordan
| | - Alia A. Alghwiri
- Department of Physiotherapy, School of Rehabilitation Sciences, University of Jordan, Amman 11942, Jordan
| | - Susan L. Whitney
- Department of Physical Therapy, School of Health and Rehabilitation Sciences, University of Pittsburgh, Pittsburgh, PA 15260, USA
- Department of Otolaryngology, School of Medicine, University of Pittsburgh, Pittsburgh, PA 15260, USA
| |
Collapse
|
13
|
Lai CYY, Ng PS, Chan AHD, Wong FCK. Effects of Auditory Training in Older Adults. J Speech Lang Hear Res 2023; 66:4137-4149. [PMID: 37656601 DOI: 10.1044/2023_jslhr-22-00621] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 09/03/2023]
Abstract
PURPOSE This study examines the effects of an auditory training program on the auditory and cognitive abilities of older adults. Auditory rehabilitation programs are generally designed for hearing aid users, and studies have demonstrated benefits for them. In this study, we seek to understand whether such a training program can also benefit older adults who do not wear hearing aids. We also examined if cognitive benefits can indeed be observed as a result of the training. METHOD Sixty-four older adults were recruited and assigned into three groups: the experimental group (n = 20), the active control group (n = 21), and the no-training control group (n = 23). The experimental group underwent an auditory training program (Listening and Communication Enhancement [LACE]) during the training phase. Meanwhile, the active control group listened to short audio clips and the no-training control group did not participate in any program. An auditory test (Quick Speech-in-Noise [QuickSIN]) and a battery of cognitive tests were conducted before and after the training to examine the participants' performance on auditory ability, short-term memory, and attention. RESULTS The results showed improvements in auditory and cognitive abilities during the training period. When assessing the training effects by comparing the pre- and the posttraining performances, a significant improvement on the QuickSIN task was found in the training group but not in the other two groups. However, other cognitive tests did not show any significant improvement. That is, the LACE training did not benefit short-term memory and attention. The improved performance on short-term memory during the training was not maintained in the posttraining session. CONCLUSION Overall, the study has extended the auditory benefit from the LACE training to the typical aging population in terms of improved communication ability, but the effect of training on auditory abilities did not transfer to gains in cognitive abilities.
Collapse
Affiliation(s)
- C-Y Yvonne Lai
- Linguistics and Multilingual Studies, School of Humanities, Nanyang Technological University, Singapore
- Institute of Population Health Sciences, National Health Research Institutes, Taiwan
| | - P S Ng
- Linguistics and Multilingual Studies, School of Humanities, Nanyang Technological University, Singapore
| | - Alice H D Chan
- Linguistics and Multilingual Studies, School of Humanities, Nanyang Technological University, Singapore
| | - Francis C K Wong
- Linguistics and Multilingual Studies, School of Humanities, Nanyang Technological University, Singapore
| |
Collapse
|
14
|
Andermane N, Bauer M, Simner J, Ward J. A symptom network model of misophonia: From heightened sensory sensitivity to clinical comorbidity. J Clin Psychol 2023; 79:2364-2387. [PMID: 37341653 DOI: 10.1002/jclp.23552] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2023] [Revised: 05/11/2023] [Accepted: 05/31/2023] [Indexed: 06/22/2023]
Abstract
OBJECTIVES Misophonia-an unusually strong intolerance of certain sounds-can cause significant distress and disruption to those who have it but is an enigma in terms of our scientific understanding. A key challenge for explaining misophonia is that, as with other disorders, it is likely to emerge from an interaction of traits that also occur in the general population (e.g., sensory sensitivity and anxiety) and that are transdiagnostic in nature (i.e., shared with other disorders). METHODS In this preregistered study with a large sample of participants (N = 1430), we performed a cluster analysis (based on responses to questions relating to misophonia) and identified two misophonia subgroups differing in severity, as well as a third group without misophonia. A subset of this sample (N = 419) then completed a battery of measures designed to assess sensory sensitivity and clinical comorbidities. RESULTS Clinical symptoms were limited to the most severe group of misophonics (including autistic traits, migraine with visual aura, anxiety sensitivity, obsessive-compulsive traits). Both the moderate and severe groups showed elevated attention-to-detail and hypersensitivity (across multiple senses). A novel symptom network model of the data shows the presence of a central hub linking misophonia to sensory sensitivity which, in turn, connects to other symptoms in the network (relating to autism, anxiety, etc.). CONCLUSION The core features of misophonia are sensory-attentional in nature with severity linked strongly to comorbidities.
Collapse
Affiliation(s)
- Nora Andermane
- School of Psychology, University of Sussex, Brighton, UK
| | - Mathilde Bauer
- School of Psychology, University of Sussex, Brighton, UK
| | - Julia Simner
- School of Psychology, University of Sussex, Brighton, UK
| | - Jamie Ward
- School of Psychology, University of Sussex, Brighton, UK
| |
Collapse
|
15
|
Mahady A, Takac M, De Foe A. What is autonomous sensory meridian response (ASMR)? A narrative review and comparative analysis of related phenomena. Conscious Cogn 2023; 109:103477. [PMID: 36806854 DOI: 10.1016/j.concog.2023.103477] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2022] [Revised: 01/16/2023] [Accepted: 01/25/2023] [Indexed: 02/17/2023]
Abstract
A narrative review of autonomous sensory meridian response (ASMR) was carried out. Definitional factors relevant to ASMR were canvassed. Related, but distinctly unique, sensorial phenomena, including frisson, synaesthesia, and misophonia were considered. Finally, the status of literature with respect to clinical outcomes, individual differences, and current research applications was evaluated. ASMR is a nascent phenomenon that has rapidly progressed in scope and depth of study throughout the past decade; a notable shift from brief-form studies to an increase in formalised trials is noted. Yet, critical questions remain unaddressed, including expectancy and placebo effects, that future research should interrogate.
Collapse
Affiliation(s)
- Aidan Mahady
- School of Health and Biomedical Sciences, RMIT University, Australia
| | - Marcel Takac
- School of Health and Biomedical Sciences, RMIT University, Australia.
| | | |
Collapse
|
16
|
Puthiyamadam MR, Charlton JA, Hak S, Minio F, Panchmatia J. Falls and Death in Dual Sensory Impairment. Am Fam Physician 2023; 107:83-84. [PMID: 36689978] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/25/2023]
Affiliation(s)
| | | | - Sokkha Hak
- Northwell Health, Phelps Hospital, Sleepy Hollow, New York
| | - Frank Minio
- Northwell Health, Phelps Hospital, Sleepy Hollow, New York
| | | |
Collapse
|
17
|
Van Wilderode M, Vermaete E, Francart T, Wouters J, van Wieringen A. Effectiveness of Auditory Training in Experienced Hearing-Aid Users, and an Exploration of Their Health-Related Quality of Life and Coping Strategies. Trends Hear 2023; 27:23312165231198380. [PMID: 37709273 PMCID: PMC10503297 DOI: 10.1177/23312165231198380] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2023] [Revised: 08/01/2023] [Accepted: 08/13/2023] [Indexed: 09/16/2023] Open
Abstract
Hearing aids (HA) are a fundamental component in restoring auditory function; however, they cannot completely alleviate all problems encountered by adults with hearing impairment. The aim of this study is twofold. Firstly, we assess the health-related quality of life and coping strategies of experienced HA users. Secondly, we assess whether HA users can benefit from auditory training. To this end, 40 participants who had worn HAs for more than 6 months participated in this study. Half of the participants received auditory training, while the other half served as a passive control. The training consisted of a personalized training scheme, with outcome measures including speech in noise perception in free-field and via direct streaming to the HA, phoneme identification, cognitive control, and health-related quality of life. Results showed that experienced HA users reported a relatively good quality of life. Health-related quality of life was correlated with aided speech perception in noise, but not with aided pure tone audiometry. Coping strategies were adaptive, leading to improved communication. Participants showed improvements in trained tasks, consonant identification, and speech in noise perception. While both groups yielded improved speech in noise perception at the end, post hoc analysis following a three-way interaction showed a significantly larger pre-post difference for the trained group in the streaming condition. Although training showed some improvements, the study suggests that the training paradigm was not sufficiently challenging for HA users. To optimize daily life listening, we recommend that future training should incorporate more exercises in noise and focus on cognitive control.
Collapse
Affiliation(s)
- Mira Van Wilderode
- Department of Neurosciences, Research Group Experimental ORL, Leuven, Belgium
| | - Ellen Vermaete
- Department of Otorhinolaryngology, Head and Neck Surgery, University Hospitals Leuven, Leuven, Belgium
| | - Tom Francart
- Department of Neurosciences, Research Group Experimental ORL, Leuven, Belgium
| | - Jan Wouters
- Department of Neurosciences, Research Group Experimental ORL, Leuven, Belgium
| | - Astrid van Wieringen
- Department of Neurosciences, Research Group Experimental ORL, Leuven, Belgium
- Department of Special Needs Education, University of Oslo, Oslo, Norway
| |
Collapse
|
18
|
Sheffield SW, Wheeler HJ, Brungart DS, Bernstein JGW. The Effect of Sound Localization on Auditory-Only and Audiovisual Speech Recognition in a Simulated Multitalker Environment. Trends Hear 2023; 27:23312165231186040. [PMID: 37415497 PMCID: PMC10331332 DOI: 10.1177/23312165231186040] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2022] [Revised: 06/13/2023] [Accepted: 06/17/2023] [Indexed: 07/08/2023] Open
Abstract
Information regarding sound-source spatial location provides several speech-perception benefits, including auditory spatial cues for perceptual talker separation and localization cues to face the talker to obtain visual speech information. These benefits have typically been examined separately. A real-time processing algorithm for sound-localization degradation (LocDeg) was used to investigate how spatial-hearing benefits interact in a multitalker environment. Normal-hearing adults performed auditory-only and auditory-visual sentence recognition with target speech and maskers presented from loudspeakers at -90°, -36°, 36°, or 90° azimuths. For auditory-visual conditions, one target and three masking talker videos (always spatially separated) were rendered virtually in rectangular windows at these locations on a head-mounted display. Auditory-only conditions presented blank windows at these locations. Auditory target speech (always spatially aligned with the target video) was presented in co-located speech-shaped noise (experiment 1) or with three co-located or spatially separated auditory interfering talkers corresponding to the masker videos (experiment 2). In the co-located conditions, the LocDeg algorithm did not affect auditory-only performance but reduced target orientation accuracy, reducing auditory-visual benefit. In the multitalker environment, two spatial-hearing benefits were observed: perceptually separating competing speech based on auditory spatial differences and orienting to the target talker to obtain visual speech cues. These two benefits were additive, and both were diminished by the LocDeg algorithm. Although visual cues always improved performance when the target was accurately localized, there was no strong evidence that they provided additional assistance in perceptually separating co-located competing speech. These results highlight the importance of sound localization in everyday communication.
Collapse
Affiliation(s)
- Sterling W. Sheffield
- Department of Speech, Language, and Hearing Sciences, University of Florida, Gainesville, FL, USA
| | - Harley J. Wheeler
- Department of Speech-Language-Hearing Sciences, University of Minnesota, Minneapolis, MN, USA
| | - Douglas S. Brungart
- National Military Audiology and Speech Pathology Center, Walter Reed National Military Medical Center, Bethesda, MD, USA
| | - Joshua G. W. Bernstein
- National Military Audiology and Speech Pathology Center, Walter Reed National Military Medical Center, Bethesda, MD, USA
| |
Collapse
|
19
|
Bohn V, Morata TC, Roggia S, Zucki F, Pouyatos B, Venet T, Krieg E, José MR, de Lacerda ABM. Temporary and Permanent Auditory Effects Associated with Occupational Coexposure to Low Levels of Noise and Solvents. Int J Environ Res Public Health 2022; 19:9894. [PMID: 36011533 PMCID: PMC9408218 DOI: 10.3390/ijerph19169894] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 06/28/2022] [Revised: 08/05/2022] [Accepted: 08/06/2022] [Indexed: 06/15/2023]
Abstract
This study aimed to assess temporary and permanent auditory effects associated with occupational coexposure to low levels of noise and solvents. Cross-sectional study with 25 printing industry workers simultaneously exposed to low noise (<80 dBA TWA) and low levels of solvents. The control group consisted of 29 industry workers without the selected exposures. Participants answered a questionnaire and underwent auditory tests. Auditory fatigue was measured by comparing the acoustic reflex threshold before and after the workday. Workers coexposed to solvents and noise showed significantly worse results in auditory tests in comparison with the participants in the control group. Auditory brainstem response results showed differences in III−V interpeak intervals (p = 0.046 in right ear; p = 0.039 in left ear). Mean dichotic digits scores (exposed = 89.5 ± 13.33; controls = 96.40 ± 4.46) were only different in the left ear (p = 0.054). The comparison of pre and postacoustic reflex testing indicated mean differences (p = 0.032) between the exposed (4.58 ± 6.8) and controls (0 ± 4.62) groups. This study provides evidence of a possible temporary effect (hearing fatigue) at the level of the acoustic reflex of the stapedius muscle. The permanent effects were identified mainly at the level of the high brainstem and in the auditory ability of binaural integration.
Collapse
Affiliation(s)
- Vanessa Bohn
- Post Graduate Program of Communication Disorders, University Tuiuti of Paraná, Curitiba 82010-330, Brazil
| | - Thais C. Morata
- National Institute for Occupational Safety and Health (NIOSH), Cincinnati, OH 45226, USA
| | - Simone Roggia
- Department of Audiology and Speech Therapy, Federal University of Santa Catarina, Florianopolis 88030-300, Brazil
| | - Fernanda Zucki
- Department of Audiology and Speech Therapy, Federal University of Santa Catarina, Florianopolis 88030-300, Brazil
| | - Benoît Pouyatos
- Institut National de Recherche et Sécurité (INRS), 54519 Vandoeuvre-lès-Nancy, France
| | - Thomas Venet
- Institut National de Recherche et Sécurité (INRS), 54519 Vandoeuvre-lès-Nancy, France
| | - Edward Krieg
- National Institute for Occupational Safety and Health (NIOSH), Cincinnati, OH 45226, USA
| | - Maria Renata José
- Post Graduate Program of Communication Disorders, University Tuiuti of Paraná, Curitiba 82010-330, Brazil
| | - Adriana B. M. de Lacerda
- Audiology Department, Speech Language and Audiology School, Medicine Faculty, University of Montréal, Montreal, QC H3C 3J7, Canada
| |
Collapse
|
20
|
Quinn KJ, Coelho DH. The Curious Rise and Incomplete Fall of "Paracusis Willisii". Otol Neurotol 2022; 43:137-143. [PMID: 34619730 DOI: 10.1097/mao.0000000000003368] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
In 1672, Dr. Thomas Willis, a founder of the Royal Society and accomplished anatomist, described a peculiar phenomenon he had heard about "from a Credible Person" wherein two people with hearing loss appreciated some recovery of hearing when in the presence of increased background noise. Over time, this clinical entity came to bear his name, and Paracusis of Willis (or Paracusis Willisii) became a subject of both clinical interest as well as contention. In the early 1900s, a burgeoning appreciation for the diseases of the middle and inner ear heralded a boom in the study of paracuses, with many incorporating it as one of the diagnostic criteria of otosclerosis. At its peak interest, several potential etiologies were hypothesized in an effort to explain this puzzling entity-some plausible by today's understanding, many not. In the 1950s, however, its prominence in medical literature began to decline, though over the subsequent six decades it has yet to completely disappear. References to this peculiar phenomenon can still be found in prominent textbooks, review articles, and teaching resources. The fascinating story arc of paracusis of Willis serves as an illustration of how and why other questionable eponymic clinical descriptions can persist in conventional wisdom.
Collapse
Affiliation(s)
- Kevin J Quinn
- Department of Otolaryngology-Head & Neck Surgery, Virginia Commonwealth University School of Medicine, Richmond, Virginia
| | | |
Collapse
|
21
|
Zimmermann M, Mostowski P, Rutkowski P, Tomaszewski P, Krzysztofiak P, Jednoróg K, Marchewka A, Szwed M. The Extent of Task Specificity for Visual and Tactile Sequences in the Auditory Cortex of the Deaf and Hard of Hearing. J Neurosci 2021; 41:9720-9731. [PMID: 34663627 PMCID: PMC8612642 DOI: 10.1523/jneurosci.2527-20.2021] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2020] [Revised: 09/23/2021] [Accepted: 09/27/2021] [Indexed: 11/21/2022] Open
Abstract
It has been proposed that the auditory cortex in the deaf humans might undergo task-specific reorganization. However, evidence remains scarce as previous experiments used only two very specific tasks (temporal processing and face perception) in visual modality. Here, congenitally deaf/hard of hearing and hearing women and men were enrolled in an fMRI experiment as we sought to fill this evidence gap in two ways. First, we compared activation evoked by a temporal processing task performed in two different modalities, visual and tactile. Second, we contrasted this task with a perceptually similar task that focuses on the spatial dimension. Additional control conditions consisted of passive stimulus observation. In line with the task specificity hypothesis, the auditory cortex in the deaf was activated by temporal processing in both visual and tactile modalities. This effect was selective for temporal processing relative to spatial discrimination. However, spatial processing also led to significant auditory cortex recruitment which, unlike temporal processing, occurred even during passive stimulus observation. We conclude that auditory cortex recruitment in the deaf and hard of hearing might involve interplay between task-selective and pluripotential mechanisms of cross-modal reorganization. Our results open several avenues for the investigation of the full complexity of the cross-modal plasticity phenomenon.SIGNIFICANCE STATEMENT Previous studies suggested that the auditory cortex in the deaf may change input modality (sound to vision) while keeping its function (e.g., rhythm processing). We investigated this hypothesis by asking deaf or hard of hearing and hearing adults to discriminate between temporally and spatially complex sequences in visual and tactile modalities. The results show that such function-specific brain reorganization, as has previously been demonstrated in the visual modality, also occurs for tactile processing. On the other hand, they also show that for some stimuli (spatial) the auditory cortex activates automatically, which is suggestive of a take-over by a different kind of cognitive function. The observed differences in processing of sequences might thus result from an interplay of task-specific and pluripotent plasticity.
Collapse
Affiliation(s)
- M Zimmermann
- Institute of Psychology, Jagiellonian University, 30-060 Krakow, Poland
| | - P Mostowski
- Section for Sign Linguistics, University of Warsaw, 00-927 Warsaw, Poland
| | - P Rutkowski
- Section for Sign Linguistics, University of Warsaw, 00-927 Warsaw, Poland
| | - P Tomaszewski
- Polish Sign Language and Deaf Communication Research Laboratory, Faculty of Psychology, University of Warsaw, 00-183 Warsaw, Poland
| | - P Krzysztofiak
- Faculty of Psychology, University of Social Sciences and Humanities, 03-815 Warsaw, Poland
| | - K Jednoróg
- Laboratory of Language Neurobiology, Nencki Institute for Experimental Biology, 02-093 Warsaw, Poland
| | - A Marchewka
- Laboratory of Brain Imaging, Nencki Institute for Experimental Biology, 02-093 Warsaw, Poland
| | - M Szwed
- Institute of Psychology, Jagiellonian University, 30-060 Krakow, Poland
| |
Collapse
|
22
|
Tarnowska KA, Dispoto BC, Conragan J. Explainable AI-based clinical decision support system for hearing disorders. AMIA Jt Summits Transl Sci Proc 2021; 2021:595-604. [PMID: 34457175 PMCID: PMC8378626] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Abstract
In clinical system design, human-computer interaction and explainability are important topics of research. Clinical systems need to provide users with not only results but also an account of their behaviors. In this research, we propose a knowledge-based clinical decision support system (CDSS) for the diagnosis and therapy of hearing disorders, such as tinnitus, hyperacusis, and misophonia. Our prototype eTRT system offers an explainable output that we expect to increase its trustworthiness and acceptance in the clinical setting. Within this paper, we: (1) present the problem area of tinnitus and its treatment; (2) describe our data-driven approach based on machine learning, such as association- and action rule discovery; (3) present the evaluation results from the inference on the extracted rule-based knowledge and chosen test cases of patients; (4) discuss advantages of explainable output incorporated into a graphical user interface; (5) conclude with the results achieved and directions for future work.
Collapse
|
23
|
Utoomprurkporn N, Hardy CJD, Stott J, Costafreda SG, Warren J, Bamiou DE. "The Dichotic Digit Test" as an Index Indicator for Hearing Problem in Dementia: Systematic Review and Meta-Analysis. J Am Acad Audiol 2020; 31:646-655. [PMID: 33296935 DOI: 10.1055/s-0040-1718700] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
Abstract
BACKGROUND Patients with dementia commonly have problems processing speech in the presence of competing background speech or noise. This difficulty can be present from the very early stages of dementia, and may be a preclinical feature of Alzheimer's disease. PURPOSE This study investigates whether people with dementia perform worse on the dichotic digit test (DDT), an experimental probe of speech processing in the presence of competing speech, and whether test performance may predict dementia onset. RESEARCH DESIGN Systematic review and meta-analysis. DATA COLLECTION AND ANALYSIS A literature search was conducted in Medline, Embase, Scopus, and Psycinfo. We included (1) studies that included people with a diagnosis of dementia and a healthy control group with no cognitive impairment; (2) studies that reported results from a DDT in a free-recall response task; and (3) studies that had the dichotic digit mean correct percentage score or right-ear advantage, as outcome measurements. RESULTS People with dementia had a lower DDT total score, with a pooled mean difference of 18.6% (95% confidence interval [CI]: 21.2-15.9). Patients with dementia had an increased right-ear advantage relative to controls with a pooled difference of 24.4% (95% CI: 21.8-27.0). CONCLUSION The DDT total scores are lower and the right-ear advantage increased in cognitively impaired versus normal control participants. The findings also suggest that the reduction of dichotic digit total score and increase of right-ear advantage progress as cognitive impairment increases. Whether abnormalities in dichotic digit scores could predict subsequent dementia onset should be examined in further longitudinal studies.
Collapse
Affiliation(s)
- Nattawan Utoomprurkporn
- UCL Ear Institute, Faculty of Brain Science, University College London, London, United Kingdom
- Department of Otolaryngology, Faculty of Medicine, Chulalongkorn University, Pathumwan, Bangkok, Thailand
| | - Chris J D Hardy
- Dementia Research Centre, Faculty of Brain Science, University College London, London, United Kingdom
| | - Joshua Stott
- Division of Psychology and Language Science, Faculty of Brain Sciences, University College London, Gower Street, United Kingdom
| | - Sergi G Costafreda
- Division of Psychiatry, Faculty of Brain Sciences, University College London, Gower Street, United Kingdom
| | - Jason Warren
- Dementia Research Centre, Faculty of Brain Science, University College London, London, United Kingdom
| | - Doris Eva Bamiou
- UCL Ear Institute, Faculty of Brain Science, University College London, London, United Kingdom
- NIHR Biomedical Research Centre Hearing and Deafness, London, United Kingdom
| |
Collapse
|
24
|
Pontes-Madruga TDC, Filgueiras HVC, Silva DMSD, Silva LSD, Testa JRG. Fibrous dysplasia: rare manifestation in the temporal bone. Braz J Otorhinolaryngol 2020; 88:235-242. [PMID: 32800741 PMCID: PMC9422534 DOI: 10.1016/j.bjorl.2020.05.027] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/07/2020] [Revised: 05/08/2020] [Accepted: 05/28/2020] [Indexed: 11/17/2022] Open
Abstract
INTRODUCTION Fibrous dysplasia is a benign disorder, in which normal bone is replaced by fibrosis and immature bone trabeculae, showing a similar distribution between the genders, and being more prevalent in the earlier decades of life. Fibrous dysplasia of the temporal bone is a rare condition, and there is no consensus as to whether it is more common in monostotic or polyostotic forms. External auditory meatus stenosis and conductive dysacusis are the most common manifestations, with cholesteatoma being a common complication, whereas the involvement of the otic capsule is an unusual one. Surgical treatment is indicated to control pain or dysacusis, otorrhea, cholesteatoma, and deformity. OBJECTIVES To describe the clinical experience of a tertiary referral hospital with cases of fibrous dysplasia of the temporal bone. METHODS Sampling of patients diagnosed with fibrous dysplasia of the temporal bone, confirmed by tomography, treated at the pediatric otology and otorhinolaryngology outpatient clinics, between 2015 and 2018. The assessed variables were age, gender, laterality, external auditory meatus stenosis, deformity, hearing loss, presence of secondary cholesteatoma of the external auditory meatus, lesion extension and management. RESULTS Five patients were included, four females and one male, with age ranging from 13 to 34 years. Three had the polyostotic form and two the monostotic form of fibrous dysplasia of the temporal bone. Four patients had local deformity and external auditory meatus stenosis, two of which progressed to cholesteatoma. All patients showed some degree of hearing impairment. All had preserved otic capsule at the tomography. Two patients are currently undergoing clinical observation; two were submitted to tympanomastoidectomy due to secondary cholesteatoma; one was submitted to lesion resection, aiming to control the dysacusis progression. CONCLUSION Five cases of fibrous dysplasia of the temporal bone were described, a rare disorder of which the otologist should be aware.
Collapse
Affiliation(s)
| | | | | | - Leonardo Sales da Silva
- Universidade Federal de São Paulo (UNIFESP), Escola Paulista de Medicina, São Paulo, SP, Brazil
| | | |
Collapse
|
25
|
Brown HK, Chen S, Guttmann A, Havercamp SM, Parish S, Ray JG, Tarasoff LA, Vigod SN, Carty A, Lunsky Y. Rates of recognized pregnancy in women with disabilities in Ontario, Canada. Am J Obstet Gynecol 2020; 222:189-192. [PMID: 31689381 DOI: 10.1016/j.ajog.2019.10.096] [Citation(s) in RCA: 40] [Impact Index Per Article: 10.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/25/2019] [Accepted: 10/29/2019] [Indexed: 11/18/2022]
Affiliation(s)
- Hilary K Brown
- Interdisciplinary Centre for Health & Society, University of Toronto Scarborough, Scarborough, Canada; ICES, Toronto, Ontario, Canada; Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada; Women's College Research Institute, Women's College Hospital, Toronto, Ontario, Canada.
| | | | - Astrid Guttmann
- ICES, Toronto, Ontario, Canada; Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada; Department of Pediatrics, University of Toronto, Toronto, Ontario, Canada; Hospital for Sick Children, Toronto, Ontario, Canada
| | - Susan M Havercamp
- Center for Psychiatry and Behavioral Health, Wexner Medical Center, Ohio State University, Columbus, OH
| | - Susan Parish
- College of Health Professions, Virginia Commonwealth University, Richmond, VA
| | - Joel G Ray
- ICES, Toronto, Ontario, Canada; Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada; Li Ka Shing Knowledge Institute, St Michael's Hospital, Toronto, Ontario, Canada
| | - Lesley A Tarasoff
- Interdisciplinary Centre for Health & Society, University of Toronto Scarborough, Toronto, Ontario, Canada; Azrieli Adult Neurodevelopmental Centre, Centre for Addiction and Mental Health, Toronto, Ontario, Canada
| | - Simone N Vigod
- Department of Psychiatry, Toronto, Ontario, Canada; Dalla Lana School of Public Health, Toronto, Ontario, Canada; ICES, University of Toronto, Toronto, Ontario, Canada; Women's College Research Institute, Women's College Hospital, Toronto, Ontario, Canada
| | - Adele Carty
- Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada
| | - Yona Lunsky
- ICES, Toronto, Ontario, Canada; Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada; Azrieli Adult Neurodevelopmental Centre, Centre for Addiction and Mental Health, Toronto, Ontario, Canada
| |
Collapse
|
26
|
Zuurmond M, Mactaggart I, Kannuri N, Murthy G, Oye JE, Polack S. Barriers and Facilitators to Accessing Health Services: A Qualitative Study Amongst People with Disabilities in Cameroon and India. Int J Environ Res Public Health 2019; 16:ijerph16071126. [PMID: 30934813 PMCID: PMC6480147 DOI: 10.3390/ijerph16071126] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 02/14/2019] [Revised: 03/15/2019] [Accepted: 03/21/2019] [Indexed: 11/22/2022]
Abstract
Background: Article 25 of the UNCRPD stipulates the right of people with disabilities to the highest attainable standard of health, and the timely uptake of appropriate health and rehabilitation services. This study seeks to explore the factors which influence access to health care among adults with disabilities in Cameroon and India. Methods: A total of 61 semi-structured interviews were conducted with a purposive sample of adults with vision, hearing or musculoskeletal impairments, using data from an earlier cross-sectional disability survey. In addition, 30 key informants were interviewed to provide contextual information about the local services and context. Results: Key themes included individual-level factors, understanding and beliefs about an impairment, and the nature of the impairment and interaction with environmental factors. At the community and household level, key themes were family dynamics and attitudes, economic factors, social inclusion and community participation. Intersectionality with gender and age were cross-cutting themes. Trust and acceptability of health service providers in India and poor understanding of referral processes in both countries were key service-level themes. Conclusions: The interaction of environmental and personal factors with the impairment and their levels of participation and inclusion in community structures, all contributed to the take up of services. This study illustrated the need for a multi-faceted response to improve access to health services for people with disabilities.
Collapse
Affiliation(s)
- Maria Zuurmond
- Department of Clinical Research, Faculty of Infectious and Tropical Diseases, London School of Hygiene & Tropical Medicine, London WC1E 7HT, UK.
| | - Islay Mactaggart
- Department of Clinical Research, Faculty of Infectious and Tropical Diseases, London School of Hygiene & Tropical Medicine, London WC1E 7HT, UK.
| | - Nanda Kannuri
- Indian Institute of Public Health, Hyderabad 122002, India.
| | - Gudlavalleti Murthy
- Department of Clinical Research, Faculty of Infectious and Tropical Diseases, London School of Hygiene & Tropical Medicine, London WC1E 7HT, UK.
- Indian Institute of Public Health, Hyderabad 122002, India.
| | | | - Sarah Polack
- Department of Clinical Research, Faculty of Infectious and Tropical Diseases, London School of Hygiene & Tropical Medicine, London WC1E 7HT, UK.
| |
Collapse
|
27
|
Oleson JJ, Brown GD, McCreery R. Essential Statistical Concepts for Research in Speech, Language, and Hearing Sciences. J Speech Lang Hear Res 2019; 62:489-497. [PMID: 30950745 PMCID: PMC6802903 DOI: 10.1044/2018_jslhr-s-astm-18-0239] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/15/2018] [Revised: 09/17/2018] [Accepted: 11/20/2018] [Indexed: 05/27/2023]
Abstract
Purpose Clinicians depend on the accuracy of research in the speech, language, and hearing sciences to improve assessment and treatment of patients with communication disorders. Although this work has contributed to great advances in clinical care, common statistical misconceptions remain, which deserve closer inspection in the field. Challenges in applying and interpreting traditional statistical methods with behavioral data from humans have led to difficulties with replication and reproducibility in other allied scientific fields, including psychology and medicine. The importance of research in our fields of study for advancing science and clinical care for our patients means that the choices of statistical methods can have far-reaching, real-world implications. Method The goal of this article is to provide an overview of fundamental statistical concepts and methods that are used in the speech, language, and hearing sciences. Results We reintroduce basic statistical terms such as the p value and effect size, as well as recommended procedures for model selection and multiple comparisons. Conclusions Research in the speech, language, and hearing sciences can have a profound positive impact on the lives of individuals with communication disorders, but the validity of scientific findings in our fields is enhanced when data are analyzed using sound statistical methods. Misunderstanding or misinterpretation of basic statistical principles may erode public trust in research findings. Recommendations for practices that can help minimize the likelihood of errors in statistical inference are provided. Supplemental Material https://doi.org/10.23641/asha.7849223.
Collapse
Affiliation(s)
| | - Grant D. Brown
- Department of Biostatistics, University of Iowa, Iowa City
| | | |
Collapse
|
28
|
Oleson JJ, Brown GD, McCreery R. The Evolution of Statistical Methods in Speech, Language, and Hearing Sciences. J Speech Lang Hear Res 2019; 62:498-506. [PMID: 30950732 PMCID: PMC6802898 DOI: 10.1044/2018_jslhr-h-astm-18-0378] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/17/2018] [Revised: 11/19/2018] [Accepted: 11/20/2018] [Indexed: 05/20/2023]
Abstract
Purpose Scientists in the speech, language, and hearing sciences rely on statistical analyses to help reveal complex relationships and patterns in the data collected from their research studies. However, data from studies in the fields of communication sciences and disorders rarely conform to the underlying assumptions of many traditional statistical methods. Fortunately, the field of statistics provides many mature statistical techniques that can be used to meet today's challenges involving complex studies of behavioral data from humans. In this review article, we highlight several techniques and general approaches with promising application to analyses in the speech and hearing sciences. Method The goal of this review article is to provide an overview of potentially underutilized statistical methods with promising application in the speech, language, and hearing sciences. Results We offer suggestions to identify when alternative statistical approaches might be advantageous when analyzing proportion data and repeated measures data. We also introduce the Bayesian paradigm and statistical learning and offer suggestions for when a scientist might consider those methods. Conclusion Modern statistical techniques provide more flexibility and enable scientists to ask more direct and informative research questions.
Collapse
Affiliation(s)
| | - Grant D. Brown
- Department of Biostatistics, University of Iowa, Iowa City
| | | |
Collapse
|
29
|
Merlin É, Desvignes V, Rousset M. [Follow-up of an infant, a child and a normal teenager. Screening for orthopedic abnormalities, visual and auditory disorders. Mandatory health examinations. School medicine. Infant mortality and morbidity]. Rev Prat 2018; 68:e199-e204. [PMID: 30869438] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Affiliation(s)
- Étienne Merlin
- Service de pédiatrie générale multidisciplinaire, CHU Estaing, Clermont-Ferrand, France
| | - Véronique Desvignes
- Service de pédiatrie générale multidisciplinaire, CHU Estaing, Clermont-Ferrand, France
| | - Marie Rousset
- Service de pédiatrie générale multidisciplinaire, CHU Estaing, Clermont-Ferrand, France
| |
Collapse
|
30
|
Abstract
Applicants to medical schools who are deaf and hard of hearing (DHoH) or who have other disabilities face significant barriers to medical school admission. One commonly cited barrier to admission is medical schools' technical standards (TS) for admission, advancement, and graduation. Ethical values of diversity and equity support altering the technical standards to be more inclusive of people with disabilities. Incorporating these values into admissions, advancement, and graduation considerations for DHoH and other students with disabilities can contribute to the physician workforce being more representative of the diverse patients it serves and better able to care for them.
Collapse
Affiliation(s)
- Michael Argenyi
- First-year resident in family medicine at McGaw Medical Center of Northwestern University in Chicago
| |
Collapse
|
31
|
Abstract
Our purpose was to determine the extent to which a predetermined set of modifiable impairments predicted progression of disability. Method: We conducted a 3-year follow-up of two community-based cohorts of older adults. The impairment areas included lower extremity, upper extremity, hearing, vision, and affect. Home management and social or productive activities were the domains of function investigated. Results: All five impairments were of at least borderline significance in predicting decline in both functional domains in both cohorts with the exception of hearing for home management activities. The five impairments together explained from 17% to 23% of the decline seen in the functional outcomes (partial R2s 0.17 to 0.23). Discussion: Five prevalent and potentially modifiable impairments explained much of the progressive disability experienced. Given the priority that older patients place on function as a health outcome, these impairments should be routinely assessed and modified.
Collapse
Affiliation(s)
- Mary E Tinetti
- Section of Geriatrics, Department of Internal Medicine, Yale School of Medicine, New Haven, CT 06504, USA.
| | | | | | | |
Collapse
|
32
|
|
33
|
|
34
|
|
35
|
|
36
|
|
37
|
|
38
|
|
39
|
|
40
|
|
41
|
Mariani M, Decimi V, Bettini LR, Maitz S, Gervasini C, Masciadri M, Ajmone P, Kullman G, Dinelli M, Panceri R, Cereda A, Selicorni A. Adolescents and adults affected by Cornelia de Lange syndrome: A report of 73 Italian patients. Am J Med Genet C Semin Med Genet 2016; 172:206-13. [PMID: 27164219 DOI: 10.1002/ajmg.c.31502] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/17/2023]
Abstract
Cornelia de Lange syndrome (CdLS) is a rare genetic condition related to mutation of various cohesion complex related genes. Its natural history is quite well characterized as regard pediatric age. Relatively little information is available regarding the evolution of the disease in young-adult age. In medical literature, only one specific study has been published on this topic. We report on our experience on 73 Italian CdLS patients (40 males and 33 females) with and age range from 15 to 49 years. Our results confirm the previous study indicating that gastroesophageal reflux disease (GERD) is the main medical problem of these patients in childhood and young-adult age. Other medical features that should be considered in the medical follow-up are tendency to overweight/frank obesity, constipation, discrepancy of limbs' length, epilepsy, hearing, and visual problems. Behavioral problems are particularly frequent as well. For this reason, every source of hidden pain should be actively searched for in evaluating a patient showing such a disorder. Finally, recommendations for medical follow-up in adult age are discussed. © 2016 Wiley Periodicals, Inc.
Collapse
|
42
|
Fowler JR, Eggleston JL, Reavis KM, McMillan GP, Reiss LAJ. Effects of Removing Low-Frequency Electric Information on Speech Perception With Bimodal Hearing. J Speech Lang Hear Res 2016; 59:99-109. [PMID: 26535803 PMCID: PMC4862739 DOI: 10.1044/2015_jslhr-h-15-0247] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/15/2015] [Revised: 09/03/2015] [Accepted: 10/06/2015] [Indexed: 06/05/2023]
Abstract
PURPOSE The objective was to determine whether speech perception could be improved for bimodal listeners (those using a cochlear implant [CI] in one ear and hearing aid in the contralateral ear) by removing low-frequency information provided by the CI, thereby reducing acoustic-electric overlap. METHOD Subjects were adult CI subjects with at least 1 year of CI experience. Nine subjects were evaluated in the CI-only condition (control condition), and 26 subjects were evaluated in the bimodal condition. CIs were programmed with 4 experimental programs in which the low cutoff frequency (LCF) was progressively raised. Speech perception was evaluated using Consonant-Nucleus-Consonant words in quiet, AzBio sentences in background babble, and spondee words in background babble. RESULTS The CI-only group showed decreased speech perception in both quiet and noise as the LCF was raised. Bimodal subjects with better hearing in the hearing aid ear (< 60 dB HL at 250 and 500 Hz) performed best for words in quiet as the LCF was raised. In contrast, bimodal subjects with worse hearing (> 60 dB HL at 250 and 500 Hz) performed similarly to the CI-only group. CONCLUSIONS These findings suggest that reducing low-frequency overlap of the CI and contralateral hearing aid may improve performance in quiet for some bimodal listeners with better hearing.
Collapse
Affiliation(s)
| | | | - Kelly M. Reavis
- National Center for Rehabilitative Auditory Research, VA Rehabilitation Research & Development, Portland, OR
| | - Garnett P. McMillan
- National Center for Rehabilitative Auditory Research, VA Rehabilitation Research & Development, Portland, OR
| | | |
Collapse
|
43
|
Gann CJ, Gaines SE, Antia SD, Umbreit J, Liaupsin CJ. Evaluating the Effects of Function-Based Interventions With Deaf or Hard-of-Hearing Students. J Deaf Stud Deaf Educ 2015; 20:252-265. [PMID: 25869966 DOI: 10.1093/deafed/env011] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/14/2014] [Accepted: 03/06/2015] [Indexed: 06/04/2023]
Abstract
This study examined the effectiveness of function-based interventions with students who are deaf or hard of hearing (D/HH). The participants were 3 elementary-aged males attending a center school for the deaf who exhibited chronic off-task behaviors throughout the school day. This study was conducted across 2 phases: (a) a descriptive functional behavior assessment (FBA) was conducted for each participant and (b) individualized function-based interventions were developed based on the results of the FBAs, followed by the implementation of the interventions in each classroom using a single-subject, ABAB reversal design. The function-based interventions significantly improved each participant's on-task behavior in his classroom environment. Furthermore, social validity ratings by each teacher revealed that the interventions were effective, easy to implement, and appropriate for each participant. Implications for application of the procedures used in this study with the D/HH population, limitations, and directions for future research are discussed.
Collapse
|
44
|
Karapolat H, Celebisoy N, Kirazli Y, Ozgen G, Gode S, Gokcay F, Bilgen C, Kirazli T. Is vestibular rehabilitation as effective in bilateral vestibular dysfunction as in unilateral vestibular dysfunction? Eur J Phys Rehabil Med 2014; 50:657-663. [PMID: 24755774] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
BACKGROUND Bilateral vestibular dysfunction causes serious disabilities and handicaps. Patients with bilateral dysfunction often restrict their activities and tend to be unsocial. AIM To compare the effects of vestibular rehabilitation on disability, balance, and postural stability in patients with unilateral and bilateral vestibular dysfunction. DESIGN Retrospective study. SETTING Outpatient rehabilitation center. POPULATION Patients with unilateral (group 1, N.=42) and bilateral vestibular dysfunction (group 2, N.=19). METHODS All patients were evaluated before and after eight weeks of customized vestibular rehabilitation for disability (Dizziness Handicap Inventory [DHI], Activities-specific Balance Confidence Scale [ABC]), dynamic balance (Timed Up and Go Test [TUG], Dynamic Gait Index [DGI]), and postural stability (static posturography). RESULTS The differences between DHI, TUG, DGI, and falling index (as assessed by static posturography) scores before and after the exercise program were statistically significant in both groups (P<0.05). There were no significant intergroup differences in any of the parameters evaluated (P>0.05). CONCLUSION In this study, vestibular rehabilitation was found to be equally effective in unilateral and bilateral vestibular dysfunction patients for improving disability, dynamic balance, and postural stability. CLINICAL REHABILITATION IMPACT Patients with bilateral dysfunction, causing more disability and greater handicap may indeed regain their functions as in patients with unilateral vestibular dysfunction by receiving appropriate and adequate vestibular rehabilitation.
Collapse
Affiliation(s)
- H Karapolat
- Physical Medicine and Rehabilitation Department Medical Faculty, Ege University, Bornova, Izmir, Turkey
| | | | | | | | | | | | | | | |
Collapse
|
45
|
|
46
|
|
47
|
|
48
|
Giallo R, Roberts R, Emerson E, Wood C, Gavidia-Payne S. The emotional and behavioural functioning of siblings of children with special health care needs across childhood. Res Dev Disabil 2014; 35:814-825. [PMID: 24508296 DOI: 10.1016/j.ridd.2014.01.017] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/15/2013] [Revised: 01/13/2014] [Accepted: 01/17/2014] [Indexed: 06/03/2023]
Abstract
This study examined the emotional and behavioural functioning of siblings of children with special health care needs identified in the Longitudinal Study of Australian Children (LSAC). Of the 106 siblings identified, 15-52% had emotional and behavioural difficulties in the at-risk or clinical range on the parent-reported Strengths and Difficulties Questionnaire (SDQ) subscales when aged 4-5 (wave 1), 6-7 (wave 2), 8-9 (wave 3) and 10-11 years (wave 4). After controlling for differences in socio-economic position, siblings had significantly higher difficulties on all subscales than their peers without a brother or sister with a special health care need at most time points. Latent growth modelling revealed little change in emotional and behavioural symptoms for siblings across childhood, while behavioural symptoms decreased for their peers. These findings suggest that some siblings are at heightened risk of emotional and behavioural difficulties across childhood, underscoring the importance of assessing and promoting the wellbeing of all family members when providing services to children with special health care needs.
Collapse
Affiliation(s)
- Rebecca Giallo
- Parenting Research Centre, 5/232 Victoria Parade, East Melbourne, Victoria 3002, Australia; RMIT University, GPO Box 2476, Melbourne, Victoria 3001, Australia; Murdoch Childrens Research Institute, Royal Children's Hospital, Flemington Road, Parkville, Victoria 3052, Australia.
| | - Rachel Roberts
- School of Psychology, The University of Adelaide, Level 4, Hughes Building, South Australia 5005, Australia
| | - Eric Emerson
- Centre for Disability Research and Policy, The University of Sydney, Sydney, New South Wales 2006, Australia
| | - Catherine Wood
- Swinburne University of Technology, PO Box 218, Hawthorn, Victoria 3122, Australia
| | | |
Collapse
|
49
|
Federal Communications Commission. Structure and practices of the video relay service program; telecommunications relay services and speech-to-speech services for individuals with hearing and speech disabilities. Final rule. Fed Regist 2013; 78:40581-617. [PMID: 23833810] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
Abstract
In this document, the Commission adopts further measures to improve the structure, efficiency, and quality of the video relay service (VRS) program, reducing the inefficiencies in the program, as well as reducing the risk of waste, fraud, and abuse, and ensuring that the program makes full use of advances in commercially-available technology. These measures involve a fundamental restructuring of the program to support innovation and competition, drive down ratepayer and provider costs, eliminate incentives for waste that have burdened the Telecommunications Relay Services (TRS) Fund in the past, and further protect consumers. The Commission adopts several measures in order to: ensure that VRS users can easily select their provider of choice by promoting the development of interoperability and portability standards; enable consumers to use off-the-shelf devices and deploying a VRS application to work with these devices; create a centralized TRS User Registration Database to ensure VRS user eligibility; encourage competition and innovation in VRS call handling services; spur research and development on VRS services by entering into a Memorandum of Understanding with the National Science Foundation; and pilot a National Outreach Program to educate the general public about relay services. In this document, the Commission also adopts new VRS compensation rates that move these rates toward actual costs over the next four years which will better approximate the actual, reasonable costs of providing VRS, and will reduce the costs of operating the program. The Commission takes these steps to ensure the integrity of the TRS Fund while providing stability and certainty to providers.
Collapse
|
50
|
Mamhidir AG, Wimo A, Kihlgren A. Fewer referrals to Swedish emergency departments among nursing home patients with dementia, comprehensive cognitive decline and multicomorbidity. J Nutr Health Aging 2012; 16:891-7. [PMID: 23208028 DOI: 10.1007/s12603-012-0069-1] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
OBJECTIVES The objective was to describe the extent to which nursing home patients had cognitive impairments and were diagnosed with dementia. Furthermore, to describe and compare multicomorbidity, health status and drug use in the three subgroups; dementia diagnosis/not referred, dementia diagnosis/referred and no dementia diagnosis/not referred to an emergency department (ED) over a one-year period. METHODS A cross-sectional follow-up study was carried out in Sweden. RAI/MDS assessments were conducted on 719 patients in 24 nursing homes, of whom 209 were referred to EDs during a one-year period, accounting for 314 visits. This study involved an extensive examination of the population. RESULTS The 719 patients were reported to suffer from comprehensive cognitive impairments, which not accorded with the dementia diagnoses, they were significantly fewer. Cognitive decline or dementia diagnosis contributed to a significant decrease of referrals to EDs. Patients with dementia diagnosis/not referred had difficulties understanding others, as well as impaired vision and hearing. Patients with dementia diagnosis/referred usually understood messages. Low BMI, daily pain, multicomorbidity and high drug consumption occurred in all groups. Patients with no dementia diagnosis/not referred had significantly less multicomorbidity. Neuroleptica was significantly more prevalent among those with dementia diagnosis. CONCLUSION Dementia remains undetected. Patients with cognitive decline and dementia are probably as sick as or even worse than others but may, due to low priority be undertreated or referrals avoided with the objective to provide good care in the setting. Observational studies are needed to identify what is done and could be done in referral situations.
Collapse
Affiliation(s)
- A G Mamhidir
- Department of Health and Caring Sciences, University of Gävle, Gävle, Sweden.
| | | | | |
Collapse
|