Arthur Wingfield

Hearing loss and perceptual effort: Downstream effects on older adults’ memory for speech

A group of older adults with good hearing and a group with mild-to-moderate hearing loss were tested for recall of the final three words heard in a running memory task. Near perfect recall of the final words of the three-word sets by both good- and poor-hearing participants allowed the inference that all three words had been correctly identified. Nevertheless, the poor-hearing group recalled significantly fewer of the nonfinal words than did the better hearing group. This was true even though both groups were matched for age, education, and verbal ability. Results were taken as support for an effortfulness hypothesis: the notion that the extra effort that a hearing-impaired listener must expend to achieve perceptual success comes at the cost of processing resources that might otherwise be available for encoding the speech content in memory.

Hearing Loss in Older Adulthood What It Is and How It Interacts With Cognitive Performance

Adult aging is accompanied by declines in many areas of cognitive functioning, including reduced memory for new information. Potential sources of these declines are well established and include slowed processing, diminished working-memory capacity, and a reduced ability to inhibit interference. In addition, older adults often experience sensory decline, including decreased hearing acuity for high-frequency sounds and deficits in frequency and temporal resolution. These changes add to the challenge faced by older adults in comprehension and memory for everyday rapid speech. Use of contextual information and added perceptual and cognitive effort can partially offset the deleterious effects of these sensory declines. This may, however, come at a cost to resources that might otherwise be available for “downstream” operations such as encoding the speech content in memory. We argue that future research should focus not only on sensory and cognitive functioning as separate domains but also on the dynamics of their interaction.

Aging, Hearing Acuity, and the Attentional Costs of Effortful Listening

A dual-task interference paradigm was used to investigate the effect of perceptual effort on recall of spoken word lists by young and older adults with good hearing and with mild-to-moderate hearing loss. In addition to poorer recall accuracy, listeners with hearing loss, especially older adults, showed larger secondary task costs while recalling the word lists even though the stimuli were presented at a sound intensity that allowed correct word identification. Findings support the hypothesis that extra effort at the sensory-perceptual level attendant to hearing loss has negative consequences to downstream recall, an effect that may be further magnified with increased age.

Response latencies for false memories: Gist-based processes in normal aging.

Three experiments have demonstrated that age-related increases in both probability and speed of false recognitions for word lists depended on the use of a gist-based memory strategy. When test conditions promoted a gist strategy, both younger and older participants were as likely to falsely recognize a thematically associated lure as to correctly recognize a studied item, and both groups were equally fast in making these decisions. However, when test conditions deemphasized a gist-based strategy, older adults were more likely than younger adults, and faster, to falsely recognize both strong and weakly associated lures. These findings suggest an age-related increase in reliance on gist-based processing that may underlie age differences in false memory.

Hearing Loss in Older Adults Affects Neural Systems Supporting Speech Comprehension

Hearing loss is one of the most common complaints in adults over the age of 60 and a major contributor to difficulties in speech comprehension. To examine the effects of hearing ability on the neural processes supporting spoken language processing in humans, we used functional magnetic resonance imaging to monitor brain activity while older adults with age-normal hearing listened to sentences that varied in their linguistic demands. Individual differences in hearing ability predicted the degree of language-driven neural recruitment during auditory sentence comprehension in bilateral superior temporal gyri (including primary auditory cortex), thalamus, and brainstem. In a second experiment, we examined the relationship of hearing ability to cortical structural integrity using voxel-based morphometry, demonstrating a significant linear relationship between hearing ability and gray matter volume in primary auditory cortex. Together, these results suggest that even moderate declines in peripheral auditory acuity lead to a systematic downregulation of neural activity during the processing of higher-level aspects of speech, and may also contribute to loss of gray matter volume in primary auditory cortex. More generally, these findings support a resource-allocation framework in which individual differences in sensory ability help define the degree to which brain regions are recruited in service of a particular task.

Central Presbycusis: A Review and Evaluation of the Evidence

BACKGROUND The authors reviewed the evidence regarding the existence of age-related declines in central auditory processes and the consequences of any such declines for everyday communication. PURPOSE This report summarizes the review process and presents its findings. DATA COLLECTION AND ANALYSIS The authors reviewed 165 articles germane to central presbycusis. Of the 165 articles, 132 articles with a focus on human behavioral measures for either speech or nonspeech stimuli were selected for further analysis. RESULTS For 76 smaller-scale studies of speech understanding in older adults reviewed, the following findings emerged: (1) the three most commonly studied behavioral measures were speech in competition, temporally distorted speech, and binaural speech perception (especially dichotic listening); (2) for speech in competition and temporally degraded speech, hearing loss proved to have a significant negative effect on performance in most of the laboratory studies; (3) significant negative effects of age, unconfounded by hearing loss, were observed in most of the studies of speech in competing speech, time-compressed speech, and binaural speech perception; and (4) the influence of cognitive processing on speech understanding has been examined much less frequently, but when included, significant positive associations with speech understanding were observed. For 36 smaller-scale studies of the perception of nonspeech stimuli by older adults reviewed, the following findings emerged: (1) the three most frequently studied behavioral measures were gap detection, temporal discrimination, and temporal-order discrimination or identification; (2) hearing loss was seldom a significant factor; and (3) negative effects of age were almost always observed. For 18 studies reviewed that made use of test batteries and medium-to-large sample sizes, the following findings emerged: (1) all studies included speech-based measures of auditory processing; (2) 4 of the 18 studies included nonspeech stimuli; (3) for the speech-based measures, monaural speech in a competing-speech background, dichotic speech, and monaural time-compressed speech were investigated most frequently; (4) the most frequently used tests were the Synthetic Sentence Identification (SSI) test with Ipsilateral Competing Message (ICM), the Dichotic Sentence Identification (DSI) test, and time-compressed speech; (5) many of these studies using speech-based measures reported significant effects of age, but most of these studies were confounded by declines in hearing, cognition, or both; (6) for nonspeech auditory-processing measures, the focus was on measures of temporal processing in all four studies; (7) effects of cognition on nonspeech measures of auditory processing have been studied less frequently, with mixed results, whereas the effects of hearing loss on performance were minimal due to judicious selection of stimuli; and (8) there is a paucity of observational studies using test batteries and longitudinal designs. CONCLUSIONS Based on this review of the scientific literature, there is insufficient evidence to confirm the existence of central presbycusis as an isolated entity. On the other hand, recent evidence has been accumulating in support of the existence of central presbycusis as a multifactorial condition that involves age- and/or disease-related changes in the auditory system and in the brain. Moreover, there is a clear need for additional research in this area.

Process and strategy in memory for speech among younger and older adults.

Younger and older adults listened to and immediately recalled short passages of speech that varied in the rate of presentation and in the degree of linguistic and prosodic curing. Although older adults showed a differential decrease in recall performance as a function of increasing speech rate, age differences in recall were reduced by the presence of linguistic and prosodic cues. Under conditions of optimum linguistic redundancy, older adults were also found to add more words and to make more meaning-producing reconstructions in recall. Differences in overall performance are accounted for in terms of age-related changes in working memory processing and strategy utilization.

Overt propositional speech in chronic nonfluent aphasia studied with the dynamic susceptibility contrast fMRI method.

This study examined activation levels in the left (L) supplementary motor area (SMA) and the right (R) SMA (separately), and activation in nine R perisylvian language homologues during overt, propositional speech in chronic nonfluent aphasia patients. Previous functional imaging studies with a variety of chronic aphasia patients have reported activation in these regions during different language tasks, however, overt propositional speech has not been examined. In the present research, four nonfluent aphasia patients were studied during overt elicited propositional speech at 4-9 years post-single L hemisphere stroke, which spared the SMA. The dynamic susceptibility contrast (DSC) method of functional MRI was used to calculate relative cerebral blood volume (relCBV) for cortical regions of interest (ROIs) during the first-pass bolus of gadolinium during two conditions: (1) pattern (silent viewing of checkerboard patterns) and (2) story (overt, elicited propositional speech describing sequential pictures, which formed a story). During the story condition, controls had significantly higher relCBV in L SMA than in R SMA; aphasics, however, had significantly higher relCBV in R SMA than in L SMA. During the pattern condition, no significant differences were observed between the L SMA and the R SMA for either controls or aphasics. In addition, aphasics had significantly higher relCBV in the R sensorimotor mouth during story than pattern. This R sensorimotor mouth relCBV was also significantly higher in aphasics than controls during story, and the two groups did not differ during pattern. The overall mean relCBV for the nine R perisylvian ROIs was significantly higher for aphasics than controls during both story and pattern. These results suggest that poor modulation, including possible over-activation of R sensorimotor mouth and other R perisylvian language homologues may underlie in part, the hesitant, poorly articulated, agrammatic speech associated with nonfluent aphasia.

At the interface of sensory and motor dysfunctions and Alzheimer's disease

Recent evidence indicates that sensory and motor changes may precede the cognitive symptoms of Alzheimers disease (AD) by several years and may signify increased risk of developing AD. Traditionally, sensory and motor dysfunctions in aging and AD have been studied separately. To ascertain the evidence supporting the relationship between age‐related changes in sensory and motor systems and the development of AD and to facilitate communication between several disciplines, the National Institute on Aging held an exploratory workshop titled “Sensory and Motor Dysfunctions in Aging and AD.” The scientific sessions of the workshop focused on age‐related and neuropathologic changes in the olfactory, visual, auditory, and motor systems, followed by extensive discussion and hypothesis generation related to the possible links among sensory, cognitive, and motor domains in aging and AD. Based on the data presented and discussed at this workshop, it is clear that sensory and motor regions of the central nervous system are affected by AD pathology and that interventions targeting amelioration of sensory‐motor deficits in AD may enhance patient function as AD progresses.

How much do working memory deficits contribute to age differences in discourse memory

Abstract Younger and older adults listened to and recalled a series of expository passages that were systematically varied in terms of propositional density and prose length. The working memory processing efficiency of these subjects was also estimated using a sentence span task that estimated their ability to hold verbal items in memory during language processing, and a word span task that estimated their ability to simply hold items in working memory without a simultaneous processing load. Older adults demonstrated lower levels of recall than younger adults. Additionally, age differences in recall were slightly exaggerated by increased propositional density, but not by increased passage length. In a correlational analysis, age was found to be a strong predictor of recall performance. For simpler texts, these age effects could be accounted for in terms of individual differences in working memory storage capacity. For more difficult passages, however, age effects could not be completely explained in terms...