Psychometric functions for frequency discrimination from listeners with sensorineural hearing loss

Psychometric functions for pulsed pure-tone frequency discrimination were obtained from hearing-impaired listeners at frequencies with normal hearing and at frequencies with mild or moderate hearing losses. The general form of psychometric functions at hearing-impaired frequencies was found to be the same as at normal-hearing frequencies, i.e.,d' was linear with the frequency difference between tones, in Hz. For all but one psychometric function, the addition of an intercept term to the fitting equation did not account for significantly more variance than did the slope term alone. Therefore, it was concluded that psychometric functions for frequency discrimination can be adequately described with only one parameter: the slope of the psychometric function. Deficits in discrimination at hearing-loss frequencies were manifested by more gradual slopes of psychometric functions. Procedures for normalizing psychometric functions are presented, which facilitate comparisons of normal and impaired frequency discrimination data across studies and frequencies. Comparisons of dlf's (difference limen for frequency) obtained with adaptive and fixed procedures show a bias toward larger dlf's with adaptive procedures, but only at higher frequencies. A discussion of equal-interval and equal-ratio adaptive stepping rules indicates that an equal-ratio rule may be preferable.     

Temporal integration of loudness in listeners with hearing losses of primarily cochlear origin.

To investigate how hearing loss of primarily cochlear origin affects the loudness of brief tones, loudness matches between 5- and 200-ms tones were obtained as a function of level for 15 listeners with cochlear impairments and for seven age-matched controls. Three frequencies, usually 0.5, 1, and 4 kHz, were tested in each listener using a two-interval, two--alternative forced--choice (2I, 2AFC) paradigm with a roving-level, up-down adaptive procedure. Results for the normal listeners generally were consistent with published data [e.g., Florentine et al., J. Acoust Soc. Am. 99, 1633-1644 (1996)]. The amount of temporal integration--defined as the level difference between equally loud short and long tones--varied nonmonotonically with level and was largest at moderate levels. No consistent effect of frequency was apparent. The impaired listeners varied widely, but most showed a clear effect of level on the amount of temporal integration. Overall, their results appear consistent with expectations based on knowledge of the general properties of their loudness-growth functions and the equal-loudness-ratio hypothesis, which states that the loudness ratio between equal-SPL long and brief tones is the same at all SPLs. The impaired listeners' amounts of temporal integration at high SPLs often were larger than normal, although it was reduced near threshold. When evaluated at equal SLs, the amount of temporal integration well above threshold usually was in the low end of the normal range. Two listeners with abrupt high-frequency hearing losses (slopes > 50 dB/octave) showed larger-than-normal maximal amounts of temporal integration (40 to 50 dB). This finding is consistent with the shallow loudness functions predicted by our excitation-pattern model for impaired listeners [Florentine et al., in Modeling Sensorineural Hearing Loss, edited by W. Jesteadt (Erlbaum, Mahwah, NJ, 1997), pp. 187-198]. Loudness functions derived from impaired listeners' temporal-integration functions indicate that restoration of loudness in listeners with cochlear hearing loss usually will require the same gain whether the sound is short or long.     

Excess masking among listeners with a sensorineural hearing loss

Three experiments were conducted to determine whether listeners with a sensorineural hearing loss exhibited greater than normal amounts of masking at frequencies above the frequency of the masker. Excess masking was defined as the difference (in dB) between the masked thresholds actually obtained from a hearing-impaired listener and the expected thresholds calculated for the same individual. The expected thresholds were the power sum of the listener's thresholds in quiet and the average masked thresholds obtained from a group of normal-hearing subjects at the test frequency. Hearing-impaired listeners, with thresholds in quiet ranging from approximately 35-70 dB SPL (at test frequencies between 500-3000 Hz), displayed approximately 12-15 dB of maximum excess masking. The maximum amount of excess masking occurred in the region where the threshold in quiet of the hearing-impaired listener and the average normal masked threshold were equal. These findings indicate that listeners with a sensorineural hearing loss display one form of reduced frequency selectivity (i.e., abnormal upward spread of masking) even when their thresholds in quiet are taken into account.     

Perceptual coherence in listeners having longstanding childhood hearing losses, listeners with adult-onset hearing losses, and listeners with normal hearing

Perceptual coherence, the process by which the individual elements of complex sounds are bound together, was examined in adult listeners with longstanding childhood hearing losses, listeners with adult-onset hearing losses, and listeners with normal hearing. It was hypothesized that perceptual coherence would vary in strength between the groups due to their substantial differences in hearing history. Bisyllabic words produced by three talkers as well as comodulated three-tone complexes served as stimuli. In the first task, the second formant of each word was isolated and presented for recognition. In the second task, an isolated formant was paired with an intact word and listeners indicated whether or not the isolated second formant was a component of the intact word. In the third task, the middle component of the three-tone complex was presented in the same manner. For the speech stimuli, results indicate normal perceptual coherence in the listeners with adult-onset hearing loss but significantly weaker coherence in the listeners with childhood hearing losses. No differences were observed across groups for the nonspeech stimuli. These results suggest that perceptual coherence is relatively unaffected by hearing loss acquired during adulthood but appears to be impaired when hearing loss is present in early childhood.     

Consonant reception in noise by listeners with mild and moderate sensorineural hearing impairment

The goal of this study was to determine the extent to which the difficulty experienced by impaired listeners in understanding noisy speech can be explained on the basis of elevated tone-detection thresholds. Twenty-one impaired ears of 15 subjects, spanning a variety of audiometric configurations with average hearing losses to 75 dB, were tested for reception of consonants in a speech-spectrum noise. Speech level, noise level, and frequency-gain characteristic were varied to generate a range of listening conditions. Results for impaired listeners were compared to those of normal-hearing listeners tested under the same conditions with extra noise added to approximate the impaired listeners' detection thresholds. Results for impaired and normal listeners were also compared on the basis of articulation indices. Consonant recognition by this sample of impaired listeners was generally comparable to that of normal-hearing listeners with similar threshold shifts listening under the same conditions. When listening conditions were equated for articulation index, there was no clear dependence of consonant recognition on average hearing loss. Assuming that the primary consequence of the threshold simulation in normals is loss of audibility (as opposed to suprathreshold discrimination or resolution deficits), it is concluded that the primary source of difficulty in listening in noise for listeners with moderate or milder hearing impairments, aside from the noise itself, is the loss of audibility.     

Temporal masking functions for listeners with real and simulated hearing loss

A functional simulation of hearing loss was evaluated in its ability to reproduce the temporal masking functions for eight listeners with mild to severe sensorineural hearing loss. Each audiometric loss was simulated in a group of age-matched normal-hearing listeners through a combination of spectrally-shaped masking noise and multi-band expansion. Temporal-masking functions were obtained in both groups of listeners using a forward-masking paradigm in which the level of a 110-ms masker required to just mask a 10-ms fixed-level probe (5-10 dB SL) was measured as a function of the time delay between the masker offset and probe onset. At each of four probe frequencies (500, 1000, 2000, and 4000 Hz), temporal-masking functions were obtained using maskers that were 0.55, 1.0, and 1.15 times the probe frequency. The slopes and y-intercepts of the masking functions were not significantly different for listeners with real and simulated hearing loss. The y-intercepts were positively correlated with level of hearing loss while the slopes were negatively correlated. The ratio of the slopes obtained with the low-frequency maskers relative to the on-frequency maskers was similar for both groups of listeners and indicated a smaller compressive effect than that observed in normal-hearing listeners.     

Discrimination of interaural temporal disparities by normal-hearing listeners and listeners with high-frequency sensorineural hearing loss

Thresholds of ongoing interaural time difference (ITD) were obtained from normal-hearing and hearing-impaired listeners who had high-frequency, sensorineural hearing loss. Several stimuli (a 500-Hz sinusoid, a narrow-band noise centered at 500 Hz, a sinusoidally amplitude-modulated 4000-Hz tone, and a narrow-band noise centered at 4000 Hz) and two criteria [equal sound-pressure level (Eq SPL) and equal sensation level (Eq SL)] for determining the level of stimuli presented to each listener were employed. The ITD thresholds and slopes of the psychometric functions were elevated for hearing-impaired listeners for the two high-frequency stimuli in comparison to: the listener's own low-frequency thresholds; and data obtained from normal-hearing listeners for stimuli presented with Eq SPL interaurally. The two groups of listeners required similar ITDs to reach threshold when stimuli were presented at Eq SLs to each ear. For low-frequency stimuli, the ITD thresholds of the hearing-impaired listener were generally slightly greater than those obtained from the normal-hearing listeners. Whether these stimuli were presented at either Eq SPL or Eq SL did not differentially affect the ITD thresholds across groups.     

A comparison of monotic and dichotic complex-tone pitch perception in listeners with hearing loss.

The perception of fundamental pitch for two-harmonic complex tones was examined in musically experienced listeners with cochlear-based high-frequency hearing loss. Performance in a musical interval identification task was measured as a function of the average rank of the lowest harmonic for both monotic and dichotic presentation of the harmonics at 14 dB Sensation Level. Listeners with hearing loss demonstrated excellent musical interval identification at low fundamental frequencies and low harmonic numbers, but abnormally poor identification at higher fundamental frequencies and higher average ranks. The upper frequency limit of performance in the listeners with hearing loss was similar in both monotic and dichotic conditions. These results suggest that something other than frequency resolution per se limits complex-tone pitch perception in listeners with hearing loss.     

Level discrimination of tones as a function of duration

Difference limens for level [delta Ls (dB) = 20 log[p + delta p)/p), where p is the pressure] were measured as a function of duration for tones at 250, 500, and 8000 Hz. Stimulus durations ranged from 2 ms to 2 s, and the stimulus power was held constant. Rise and fall times were 1 ms. The interstimulus interval was 250 ms. At each frequency, three levels were tested: 85, 65, and approximately 40 dB SPL. An adaptive two-alternative forced-choice procedure with feedback was used. For three normal listeners, delta Ls decreased as duration increased, up to at least 2 s, except at 250 Hz. At 250 Hz, delta L stopped decreasing at durations between 0.5 and 1 s. In a double logarithmic plot of delta L versus duration, the rate of decrease is generally well fitted by a sloping line. The average slope is -0.28; it is steeper at high levels than at low levels. Because the average slope is shallower than the -0.5 slope predicted for an optimum detector, it may be that fast adaptation of auditory-nerve activity and/or memory effects interfere with level discrimination of long-duration tones. Finally, the delta Ls at 8 kHz decreased nonmonotonically with increasing level.     

Psychometric functions for level discrimination

To determine the form of psychometric functions for 2I,2AFC level discrimination (commonly called intensity discrimination), ten increment levels were presented in random order within blocks of 100 trials. Stimuli were chosen to encompass a wide range of conditions and difference limens: eight 10-ms tones had frequencies of 0.25, 1, 8, or 14 kHz and levels of 30, 60, or 90 dB SPL; two 500-ms stimuli also were tested: a 1-kHz tone at 90 dB SPL and broadband noise at 63 dB SPL. For each condition, at least 20 blocks were presented in mixed order. Results for five normal listeners show that the sensitivity, d', is nearly proportional to delta L (= 20 log [(p + delta p)/p], where p is sound pressure) over the entire range of difference limens. When d' is plotted against Weber fractions for sound pressure, delta p/p, or intensity, delta I/I, exponents of the best-fitting power functions decrease with increasing difference limens and are less than unity for large difference limens. The approximately proportional relation between d' and delta L agrees with modern multichannel models of level discrimination and with psychometric functions derived for single auditory-nerve fibers. The results also support the notion that the difference limen, expressed as delta LDL and plotted on a logarithmic scale, is an appropriate representation of performance in level-discrimination experiments.     

Level discrimination of single tones in a multitone complex by normal-hearing and hearing-impaired listeners

A conditional-on-a-single-stimulus (COSS) analysis procedure [B. G. Berg, J. Acoust. Soc. Am. 86, 1743-1746 (1989)] was used to estimate how well normal-hearing and hearing-impaired listeners selectively attend to individual spectral components of a broadband signal in a level discrimination task. On each trial, two multitone complexes consisting of six octave frequencies from 250 to 8000 Hz were presented to listeners. The levels of the individual tones were chosen independently and at random on each presentation. The target tone was selected, within a block of trials, as the 250-, 1000-, or 4000-Hz component. On each trial, listeners were asked to indicate which of the two complex sounds contained the higher level target. As a group, normal-hearing listeners exhibited greater selectivity than hearing-impaired listeners to the 250-Hz target, while hearing-impaired listeners showed greater selectivity than normal-hearing listeners to the 4000-Hz target, which is in the region of their hearing loss. Both groups of listeners displayed large variability in their ability to selectively weight the 1000-Hz target. Trial-by-trial analysis showed a decrease in weighting efficiency with increasing frequency for normal-hearing listeners, but a relatively constant weighting efficiency across frequency for hearing-impaired listeners. Interestingly, hearing-impaired listeners selectively weighted the 4000-Hz target, which was in the region of their hearing loss, more efficiently than did the normal-hearing listeners.     

Sample discrimination of frequency by hearing-impaired and normal-hearing listeners

In a multiple observation, sample discrimination experiment normal-hearing (NH) and hearing-impaired (HI) listeners heard two multitone complexes each consisting of six simultaneous tones with nominal frequencies spaced evenly on an ERB(N) logarithmic scale between 257 and 6930 Hz. On every trial, the frequency of each tone was sampled from a normal distribution centered near its nominal frequency. In one interval of a 2IFC task, all tones were sampled from distributions lower in mean frequency and in the other interval from distributions higher in mean frequency. Listeners had to identify the latter interval. Decision weights were obtained from multiple regression analysis of the between- interval frequency differences for each tone and listeners' responses. Frequency difference limens (an index of sensorineural resolution) and decision weights for each tone were used to predict the sensitivity of different decision-theoretic models. Results indicate that low-frequency tones were given much greater perceptual weight than high-frequency tones by both groups of listeners. This tendency increased as hearing loss increased and as sensorineural resolution decreased, resulting in significantly less efficient weighting strategies for the HI listeners. Overall, results indicate that HI listeners integrated frequency information less optimally than NH listeners, even after accounting for differences in sensorineural resolution.     

Temporal modulation transfer functions obtained using sinusoidal carriers with normally hearing and hearing-impaired listeners

Temporal modulation transfer functions were obtained using sinusoidal carriers for four normally hearing subjects and three subjects with mild to moderate cochlear hearing loss. Carrier frequencies were 1000, 2000 and 5000 Hz, and modulation frequencies ranged from 10 to 640 Hz in one-octave steps. The normally hearing subjects were tested using levels of 30 and 80 dB SPL. For the higher level, modulation detection thresholds varied only slightly with modulation frequency for frequencies up to 80 Hz, but decreased for high modulation frequencies. The decrease can be attributed to the detection of spectral sidebands. For the lower level, thresholds varied little with modulation frequency for all three carrier frequencies. The absence of a decrease in the threshold for large modulation frequencies can be explained by the low sensation level of the spectral sidebands. The hearing-impaired subjects were tested at 80 dB SPL, except for two cases where the absolute threshold at the carrier frequency was greater than 70 dB SPL; in these cases a level of 90 dB was used. The results were consistent with the idea that spectral sidebands were less detectable for the hearing-impaired than for the normally hearing subjects. For the two lower carrier frequencies, there were no large decreases in threshold with increasing modulation frequency, and where decreases did occur, this happened only between 320 and 640 Hz. For the 5000-Hz carrier, thresholds were roughly constant for modulation frequencies from 10 to 80 or 160 Hz, and then increased monotonically, becoming unmeasurable at 640 Hz. The results for this carrier may reflect "pure" effects of temporal resolution, without any influence from the detection of spectral sidebands. The results suggest that temporal resolution for deterministic stimuli is similar for normally hearing and hearing-impaired listeners.     

Temporal integration of trains of tone pulses by normal and by cochlearly impaired listeners

Two experiments investigated the temporal integration of trains of tone pulses by normal and by cochlearly impaired listeners. In the first experiment, thresholds were measured for a single 5-ms, 4-kHz tone pulse, and for ten such tone pulses as a function of interpulse interval (delta t). For normal listeners, temporal integration, defined as the threshold difference between one and ten pulses, was about 8 dB for delta t less than 20 ms, and about 5 dB at longer delta t's. For impaired listeners, temporal integration was only about 2-3 dB across the range of delta t's (5-160 ms) studied. A second experiment measured psychometric functions (log d' versus log signal power) for a single pulse and for ten pulses with delta t's of 5 ms and 80 ms. The normal listeners' functions had slopes close to unity in all three conditions, with a few exceptions. The impaired listeners' functions had slopes close to unity for ten pulses with delta t = 5 ms, but had slopes significantly greater than unity for delta t = 80 ms, and for a single pulse. At delta t = 80 ms, the increase in d' relative to the condition with a single tone was similar (a factor of square root of 10) for both impaired and normal listeners, but the threshold difference was smaller for the impaired listeners due to their steeper psychometric functions. For impaired listeners, then, temporal integration at delta t = 80 ms was normal in terms of a change in d' but abnormal when measured as a threshold difference.(ABSTRACT TRUNCATED AT 250 WORDS)     

Frequency dependence of binaural performance in listeners with impaired binaural hearing.

Binaural performance was measured as a function of stimulus frequency for four impaired listeners, each with bilaterally symmetric audiograms. The subjects had various degrees and configurations of audiometric losses: two had high-frequency, sensorineural losses; one had a flat sensorineural loss; and one had multiple sclerosis with normal audiometric thresholds. Just noticeable differences (jnd's) in interaural time, interaural intensity, and interaural correlation as well as detection thresholds for NoSo and NoS pi conditions were obtained for narrow-band noise stimuli at octave frequencies from 250-4000 Hz. Performance of the impaired listeners was generally poorer than that of normal-hearing listeners, although it was comparable to normal in a few instances. The patterns of binaural performance showed no apparent relation to the audiometric patterns; even the two subjects with similar degree and configuration of hearing loss have very different binaural performance, both in the level and frequency dependence of their performance. The frequency dependence of performance on individual tests is irregular enough that one cannot confidently interpolate between octaves. In addition, it appears that no subset of the measurements is adequate to characterize the performance in the rest of the measurements with the exception that, within limits, interaural correlation discrimination and NoS pi detection performance are related.     

Inferred basilar-membrane response functions for listeners with mild to moderate sensorineural hearing loss

Psychophysical estimates of cochlear function suggest that normal-hearing listeners exhibit a compressive basilar-membrane (BM) response. Listeners with moderate to severe sensorineural hearing loss may exhibit a linearized BM response along with reduced gain, suggesting the loss of an active cochlear mechanism. This study investigated how the BM response changes with increasing hearing loss by comparing psychophysical measures of BM compression and gain for normal-hearing listeners with those for listeners who have mild to moderate sensorineural hearing loss. Data were collected from 16 normal-hearing listeners and 12 ears from 9 hearing-impaired listeners. The forward masker level required to mask a fixed low-level, 4000-Hz signal was measured as a function of the masker-signal interval using a masker frequency of either 2200 or 4000 Hz. These plots are known as temporal masking curves (TMCs). BM response functions derived from the TMCs showed a systematic reduction in gain with degree of hearing loss. Contrary to current thinking, however, no clear relationship was found between maximum compression and absolute threshold.     

Perception of roughness by listeners with sensorineural hearing loss

The perception of auditory roughness presumably results from imperfect spectral or temporal resolution. Sensorineural hearing loss, by affecting spectral resolution, may therefore alter roughness perception. In this study, normal-hearing and hearing-impaired listeners estimated the roughness of amplitude-modulated tones varying in carrier frequency, modulation rate, and modulation depth. Their judgments were expected to reflect effects of impaired spectral resolution. Instead, their judgments were similar, in most respects, to those of normally-hearing listeners, except at very slow modulation rates. Results suggest that mild-to-moderate sensorineural hearing loss increases the roughness of slowly fluctuating signals.     

Minimum stimulus levels for temporal gap resolution in listeners with sensorineural hearing loss

The minimum sensation levels required for optimal temporal gap resolution were measured in five listeners with moderately severe degrees of sensorineural hearing loss. The stimuli were three continuous octave-band noises centered at 0.5, 2.0, and 4.0 kHz. Subjects used a Békésy tracking procedure to determine the minimum signal levels needed to resolve periodic temporal gaps of fixed durations. Analysis of data across subjects and signal revealed only a weak correlation between this minimum SL and the corresponding HLs; most listeners resolved threshold gaps at minimum levels of 25-35 dB SL, independent of degree of hearing loss. The results differ from those of normal subjects with masking-induced hearing loss [Fitzgibbons, Percept. Psychophys. 35, 446-450 (1984)], which showed an inverse relationship between HL and the SLs required for gap threshold. The findings indicate that assessment of optimal gap resolution in listeners with cochlear impairment requires stimulus presentation levels of at least 25-35 dB SL. Even with sufficient stimulus intensity, each of the hearing-impaired listeners exhibited abnormal gap resolution for each octave-band signal.     

Effects of age and frequency disparity on gap discrimination

Temporal discrimination was measured using a gap discrimination paradigm for three groups of listeners with normal hearing: (1) ages 18-30, (2) ages 40-52, and (3) ages 62-74 years. Normal hearing was defined as pure-tone thresholds < or = 25 dB HL from 250 to 6000 Hz and < or = 30 dB HL at 8000 Hz. Silent gaps were placed between 1/4-octave bands of noise centered at one of six frequencies. The noise band markers were paired so that the center frequency of the leading marker was fixed at 2000 Hz, and the center frequency of the trailing marker varied randomly across experimental runs. Gap duration discrimination was significantly poorer for older listeners than for young and middle-aged listeners, and the performance of the young and middle-aged listeners did not differ significantly. Age group differences were more apparent for the more frequency-disparate stimuli (2000-Hz leading marker followed by a 500-Hz trailing marker) than for the fixed-frequency stimuli (2000-Hz lead and 2000-Hz trail). The gap duration difference limens of the older listeners increased more rapidly with frequency disparity than those of the other listeners. Because age effects were more apparent for the more frequency-disparate conditions, and gap discrimination was not affected by differences in hearing sensitivity among listeners, it is suggested that gap discrimination depends upon temporal mechanisms that deteriorate with age and stimulus complexity but are unaffected by hearing loss.