Pure-Tone-Spondee Threshold Relationships in Functional Hearing Loss: A Test of Loudness Contribution. 2017

Robert S Schlauch, and Heekyung J Han, and Tzu-Ling J Yu, and Edward Carney
University of Minnesota, Minneapolis.

The purpose of this article is to examine explanations for pure-tone average-spondee threshold differences in functional hearing loss. Loudness magnitude estimation functions were obtained from 24 participants for pure tones (0.5 and 1.0 kHz), vowels, spondees, and speech-shaped noise as a function of level (20-90 dB SPL). Participants listened monaurally through earphones. Loudness predictions were obtained for the same stimuli by using a computational, dynamic loudness model. When evaluated at the same SPL, speech-shaped noise was judged louder than vowels/spondees, which were judged louder than tones. Equal-loudness levels were inferred from fitted loudness functions for the group. For the clinical application, the 2.1-dB difference between spondees and tones at equal loudness became a 12.1-dB difference when the stimuli were converted from SPL to HL. Nearly all of the pure-tone average-spondee threshold differences in functional hearing loss are attributable to references for calibration for 0 dB HL for tones and speech, which are based on detection and recognition, respectively. The recognition threshold for spondees is roughly 9 dB higher than the speech detection threshold; persons feigning a loss, who base loss magnitude on loudness, do not consider this difference. Furthermore, the dynamic loudness model was more accurate than the static model.

UI MeSH Term Description Entries
D007600 Judgment The process of discovering or asserting an objective or intrinsic relation between two objects or concepts; a faculty or power that enables a person to make judgments; the process of bringing to light and asserting the implicit meaning of a concept; a critical evaluation of a person or situation. Judgement,Judgements,Judgments
D008144 Loudness Perception The perceived attribute of a sound which corresponds to the physical attribute of intensity. Loudness Perceptions,Perception, Loudness,Perceptions, Loudness
D008297 Male Males
D005260 Female Females
D006315 Hearing Loss, Functional Hearing loss without a physical basis. Often observed in patients with psychological or behavioral disorders. Hearing Loss, Nonorganic,Hearing Loss, Psychogenic,Functional Hearing Loss,Nonorganic Hearing Loss,Psychogenic Hearing Loss
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000161 Acoustic Stimulation Use of sound to elicit a response in the nervous system. Auditory Stimulation,Stimulation, Acoustic,Stimulation, Auditory
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D001309 Auditory Threshold The audibility limit of discriminating sound intensity and pitch. Auditory Thresholds,Threshold, Auditory,Thresholds, Auditory
D013018 Sound Spectrography The graphic registration of the frequency and intensity of sounds, such as speech, infant crying, and animal vocalizations. Sonography, Speech,Sonography, Sound,Speech Sonography,Sonographies, Sound,Sound Sonographies,Sound Sonography,Spectrography, Sound

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