耳鸣患者的噪声中言语感知：自上而下与自下而上的加工过程
Speech Perception in Noise in Individuals With Tinnitus: Top-Down and Bottom-Up Processes.
文献信息
| PMID | 42878672 |
|---|---|
| 原文 | 在 PubMed 查看原文 ↗ |
| 发表日期 | 2026 |
| 作者 | Halime Sümeyra Sevmez |
| 作者单位 | Faculty of Health Sciences, Department of Audiology, Hacettepe University, Ankara, Turkiye. |
| 期刊 | Ear and hearing |
| SCI 分区 | Q1 |
| IF | 3.6 |
| 研究类型 | 临床研究 · 临床 |
| 所属专科 | 耳科 |
中文摘要
目的： 通过考察自上而下和自下而上过程的潜在贡献，评估耳鸣患者的噪声中言语和空间听觉表现。
设计： 31名耳鸣患者和31名年龄匹配的无耳鸣对照者（听力正常参与者），年龄18至60岁，接受了听力学评估。所有参与者完成了空间化噪声聆听通用测试，以评估不同空间条件下的噪声中言语表现，并完成了认知测试（数字序列学习和斯特鲁普测试），以评估注意力和记忆。
结果： 两组之间的听力阈值无显著差异（p > 0.05），尽管观察到频率的显著主效应（p < 0.001）。耳鸣参与者在同侧和空间分离的聆听条件下均表现出比对照组更差的噪声中言语表现[F(1,60) = 12.53, p = 0.001]，而空间优势（t = 1.08, p = 0.28）和认知表现（所有p > 0.05）在两组之间相当。
结论： 耳鸣患者在空间分离和同侧聆听条件下均表现出比对照组更差的噪声中言语表现。空间优势和认知测试表现在两组之间相当，表明两组之间在噪声中言语表现的差异在两种聆听条件下均明显，而非仅限于空间线索利用。
英文摘要
OBJECTIVES: To evaluate speech-in-noise and spatial listening performance in patients with tinnitus by examining the potential contributions of top-down and bottom-up processes.
DESIGN: Thirty-one patients with tinnitus and 31 age-matched controls without tinnitus (participants with normal hearing), aged 18 to 60 years, underwent audiological evaluation. All participants completed the Listening in Spatialized Noise-Universal Test to assess speech-in-noise performance under different spatial conditions and cognitive tests (Serial Digit Learning and Stroop) to assess attention and memory.
RESULTS: Hearing thresholds did not differ significantly between groups (p > 0.05), although a significant main effect of frequency was observed (p < 0.001). Participants with tinnitus demonstrated poorer speech-in-noise performance than controls across both colocated and spatially separated listening conditions [F(1,60) = 12.53, p = 0.001], whereas spatial advantage (t = 1.08, p = 0.28) and cognitive performance (all p > 0.05) were comparable between groups.
CONCLUSIONS: Patients with tinnitus demonstrated poorer speech-in-noise performance than controls in both spatially separated and colocated listening conditions. Spatial advantage and cognitive test performance were comparable between groups, suggesting that the between-group difference in speech-in-noise performance was evident across both listening conditions rather than being limited to spatial cue utilization.