Speech perception in noise in the elderly: interactions between cognitive performance, depressive symptoms, and education

Speech perception in noise in the elderly: interactions between cognitive performance, depressive symptoms, and education

Author Araujo de Carvalho, Laura Maria Autor UNIFESP Google Scholar
de Miranda Gonsalez, Elisiane Crestani Google Scholar
Martineli Iorio, Maria Cecilia Autor UNIFESP Google Scholar
Abstract Introduction: The difficulty the elderly experience in understanding speech may be related to several factors including cognitive and perceptual performance. Objective: To evaluate the influence of cognitive performance, depressive symptoms, and education on speech perception in noise of elderly hearing aids users. Methods: The sample consisted of 25 elderly hearing aids users in bilateral adaptation, both sexes, mean age 69.7 years. Subjects underwent cognitive assessment using the Mini-Mental State Examination and the Alzheimer's Disease Assessment Scale-cognitive and depressive symptoms evaluation using the Geriatric Depression Scale. The assessment of speech perception in noise (S/N ratio) was performed in free field using the Portuguese Sentence List test. Statistical analysis included the Spearman correlation calculation and multiple linear regression model, with 95% confidence level and 0.05 significance level. Results: In the study of speech perception in noise (S/N ratio), there was statistically significant correlation between education scores (p = 0.018), as well as with the Mini-Mental State Examination (p = 0.002), Alzheimer's Disease Assessment Scale-cognitive (p = 0.003), and Geriatric Depression Scale (p = 0.022) scores. We found that for a one-unit increase in Alzheimer's Disease Assessment Scale-cognitive score, the S/N ratio increased on average 0.15 dB, and for an increase of one year in education, the S/N ratio decreased on average 0.40 dB. Conclusion: Level of education, cognitive performance, and depressive symptoms influence the speech perception in noise of elderly hearing aids users. The better the cognitive level and the higher the education, the better is the elderly communicative performance in noise. (c) 2016 Associacao Brasileira de Otorrinolaringologia e Cirurgia Cervico-Facial. Published by Elsevier Editora Ltda.
Keywords Cognition
Depression
Elderly
Speech in noise test
xmlui.dri2xhtml.METS-1.0.item-coverage Sao Paulo
Language English
Date 2017
Published in Brazilian Journal Of Otorhinolaryngology. Sao Paulo, v. 83, n. 2, p. 195-200, 2017.
ISSN 1808-8694 (Sherpa/Romeo, impact factor)
Publisher Assoc Brasileira Otorrinolaringologia & Cirurgia Cervicofacial
Extent 195-200
Origin http://dx.doi.org/10.1016/j.bjorl.2016.03.017
Access rights Open access Open Access
Type Article
Web of Science ID WOS:000397985900014
URI https://repositorio.unifesp.br/handle/11600/55040

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