Auditory Processing but Not Peripheral Hearing Differs Between Older Adults With and Without Mild Cognitive Impairment.

Purpose: Impairments of hearing and auditory processing (AP) have been indicated as risk factors for dementia, but it remains unclear if persons with clinically diagnosed mild cognitive impairment (MCI) show such impairments. The objective of these analyses was to compare AP between those with and without a clinical diagnosis of MCI using a battery of AP measures.

Method: Data from 274 older adults from the Keys to Staying Sharp randomized clinical trial (NCT03528486) were analyzed.

The Preventing Alzheimer's with Cognitive Training (PACT) randomized clinical trial.

Background: To address the rising prevalence of Alzheimer's disease and related dementias, effective interventions that can be widely disseminated are warranted. The Preventing Alzheimer's with Cognitive Training study (PACT) investigates a commercially available computerized cognitive training program targeting improved Useful Field of View Training (UFOVT) performance. The primary goal is to test the effectiveness of UFOVT to reduce incidence of clinically defined mild cognitive impairment (MCI) or dementia with a secondary objective to examine if effects are moderated by plasma β-amyloid level or apolipoprotein E e4 (APOE e4) allele status.

Cognitive Event-Related Potential Responses Differentiate Older Adults with and without Probable Mild Cognitive Impairment.

: Older adults rarely seek cognitive assessment, but often visit other healthcare professionals (e.g., audiologists).

Are auditory processing and cognitive performance assessments overlapping or distinct? Parsing the auditory behaviour of older adults.

Objective: Auditory processing predicts cognitive decline, including dementia, in older adults. Auditory processing involves the understanding, interpretation, and communication of auditory information. Cognition is linked to auditory processing; however, it is disputed whether auditory processing is a separate construct distinct from cognition.

Cortical auditory evoked potentials in mild cognitive impairment: Evidence from a temporal-spatial principal component analysis.

Mild cognitive impairment (MCI) is considered an intermediate transitional stage for the development of dementia, especially Alzheimer's disease. The identification of neurophysiological biomarkers for MCI will allow improvement in detecting and tracking the progression of cognitive impairment. The primary objective of this study was to compare cortical auditory evoked potentials between older adults with and without probable MCI to identify potential neurophysiological indicators of cognitive impairment.

Keys to staying sharp: A randomized clinical trial of piano training among older adults with and without mild cognitive impairment.

Background: The prevalence of dementia, the most expensive medical condition (Kirschstein, 2000 and Hurd et al., 2013 [1,2]), and its precursor, mild cognitive impairment (MCI) are increasing [3]. Finding effective intervention strategies to prevent or delay dementia is imperative to public health.

Comparison of Subjective and Objective Measures of Hearing, Auditory Processing, and Cognition Among Older Adults With and Without Mild Cognitive Impairment.

Purpose: The aims of the study were to compare the Cognitive Self-Report Questionnaire (CSRQ; Spina, Ruff, & Mahncke, 2006) Hearing and Cognitive subscale ratings among older adults with and without probable mild cognitive impairment (MCI) and to examine whether self-report, as measured by the CSRQ, is associated with objective measures of hearing, auditory processing, and cognition.

Method: Data analyses included 97 older adults of ages 61-91 years. Participants completed the CSRQ self-report measure as well as a battery of objective measures, including pure-tone audiometry, degraded speech understanding, temporal processing, and memory.

Can Cognitive Speed of Processing Training Improve Everyday Functioning Among Older Adults With Psychometrically Defined Mild Cognitive Impairment?

Objective: The aim of these secondary analyses was to examine cognitive speed of processing training (SPT) gains in cognitive and everyday functioning among older adults with psychometrically defined mild cognitive impairment (MCI).

Method: A subgroup of participants from the Staying Keen in Later Life (SKILL) study with psychometrically defined MCI ( N = 49) were randomized to either the SPT intervention or an active control group of cognitive stimulation. Outcome measures included the Useful Field of View (UFOV), Road Sign Test, and Timed Instrumental Activities of Daily Living (IADL) Test.

Cognitive Training Enhances Auditory Attention Efficiency in Older Adults.

Auditory cognitive training (ACT) improves attention in older adults; however, the underlying neurophysiological mechanisms are still unknown. The present study examined the effects of ACT on the P3b event-related potential reflecting attention allocation (amplitude) and speed of processing (latency) during stimulus categorization and the P1-N1-P2 complex reflecting perceptual processing (amplitude and latency). Participants completed an auditory oddball task before and after 10 weeks of ACT ( = 9) or a no contact control period ( = 15).

Auditory Processing of Older Adults With Probable Mild Cognitive Impairment.

Purpose: Studies suggest that deficits in auditory processing predict cognitive decline and dementia, but those studies included limited measures of auditory processing. The purpose of this study was to compare older adults with and without probable mild cognitive impairment (MCI) across two domains of auditory processing (auditory performance in competing acoustic signals and temporal aspects of audition).

Method: The Montreal Cognitive Assessment (Nasreddine et al.

Mechanisms of the Hearing-Cognition Relationship.

This review provides a description of age-related changes in hearing and cognition, the relationship between hearing and cognition, and several potential mechanisms that underlie the relationship. Several studies have shown a significant relationship between peripheral hearing loss and cognitive impairment/decline but other studies have not. Furthermore, poor performance on measures of central auditory processing has been significantly associated with cognitive impairment.

Attention demands of language production in adults who stutter.

Objective: We investigated whether language production is atypically resource-demanding in adults who stutter (AWS) versus typically-fluent adults (TFA).

Methods: Fifteen TFA and 15 AWS named pictures overlaid with printed Semantic, Phonological or Unrelated Distractor words while monitoring frequent low tones versus rare high tones. Tones were presented at a short or long Stimulus Onset Asynchrony (SOA) relative to picture onset.

Association of Hearing Impairment and Subsequent Driving Mobility in Older Adults.

Purpose Of The Study: Hearing impairment (HI) is associated with driving safety (e.g., increased crashes and poor on-road driving performance).

Cortical auditory evoked responses of older adults with and without probable mild cognitive impairment.

Objective: Hearing loss has been well-documented as a risk factor for cognitive impairment, but the simple presence of hearing loss is not a sufficient predictor of cognitive decline. Although auditory behavioral research has not revealed an effective indicator of early cognitive impairment, a limited number of studies using cortical auditory evoked potentials (CAEPs) have shown promising evidence of an auditory neurophysiological indicator of early-stage cognitive impairment. The purpose of this study was to examine the P1-N1-P2 complex for indicators of cognitive impairment.

Interaction of Musicianship and Aging: A Comparison of Cortical Auditory Evoked Potentials.

Objective: The goal of this study was to begin to explore whether the beneficial auditory neural effects of early music training persist throughout life and influence age-related changes in neurophysiological processing of sound.

Design: Cortical auditory evoked potentials (CAEPs) elicited by harmonic tone complexes were examined, including P1-N1-P2, mismatch negativity (MMN), and P3a.

Study Sample: Data from older adult musicians (n = 8) and nonmusicians (n = 8) (ages 55-70 years) were compared to previous data from young adult musicians (n = 40) and nonmusicians (n = 20) (ages 18-33 years).

Perceptual and cognitive neural correlates of the useful field of view test in older adults.

The Useful Field of View Test (UFOV) is often used as a behavioral assessment of age-related decline in visual perception and cognition. Poor performance may reflect slowed processing speed, difficulty dividing attention, and difficulty ignoring irrelevant information. However, the underlying neural correlates of UFOV performance have not been identified.

Peripheral Hearing and Cognition: Evidence From the Staying Keen in Later Life (SKILL) Study.

Objectives: Research has increasingly suggested a consistent relationship between peripheral hearing and selected measures of cognition in older adults. However, other studies yield conflicting findings. The primary purpose of the present study was to further elucidate the relationship between peripheral hearing and three domains of cognition and one measure of global cognitive status.

The Efficacy of InSight Cognitive Training to Improve Useful Field of View Performance: A Brief Report.

Objective: It is well established that cognitive speed of processing training (SOPT) improves Useful Field of View (UFOV) performance and transfers to enhanced performance of instrumental activities of daily living, including driving. InSight is a recently developed version of SOPT formatted for self-administration by older adults with exercises translated into a gaming format. The goal was to examine whether InSight training improves UFOV performance.

Cognitive training and selective attention in the aging brain: an electrophysiological study.

Objective: Age-related deficits in selective attention are hypothesized to result from decrements in inhibition of task-irrelevant information. Speed of processing (SOP) training is an adaptive cognitive intervention designed to enhance processing speed for attention tasks. The effectiveness of SOP training to improve cognitive and everyday functional performance is well documented.

An examination of mediators of the transfer of cognitive speed of processing training to everyday functional performance.

The purpose of these analyses was to examine mediators of the transfer of cognitive speed of processing training to improved everyday functional performance (J. D. Edwards, V.

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.

Auditory evoked response to gaps in noise: older adults.

Objective: The objective of this study was to describe the auditory evoked response to silent gaps for a group of older adults using stimulus conditions identical to those used in psychophysical studies of gap detection.

Design: The P1-N1-P2 response to the onsets of stimuli (markers) defining a silent gap for within-channel (spectrally identical markers) and across-channel (spectrally different markers) conditions was examined using four perceptually-equated gap durations.

Study Sample: A group of 24 older adults (mean age = 63 years) with normal hearing or minimal hearing loss participated.

An adaptive clinical test of temporal resolution: within-channel and across-channel gap detection.

Objective: Several methods exist to measure temporal resolution in a clinical setting. The Adaptive Tests of Temporal Resolution (ATTR©) are unique in that they incorporate an adaptive psychophysical procedure to present stimuli via computer sound card. The purpose of this study was to determine if ATTR gap detection thresholds (GDTs) were stable across presentation levels (80 dB SPL, listener-selected level) and sound cards (high-end, inexpensive).

An adaptive clinical test of temporal resolution: age effects.

Objective: Children with auditory processing disorder, as well as older adults with and without hearing loss, often report difficulty understanding speech in the presence of noise. There is evidence that deficient temporal resolution contributes to this difficulty. The purpose of this study was to establish within-channel (WC) and across-channel (AC) gap detection thresholds (GDTs) for participants ages 7 to 84 years.

Preattentive cortical-evoked responses to pure tones, harmonic tones, and speech: influence of music training.

Objective: Cortical auditory evoked potentials, including mismatch negativity (MMN) and P3a to pure tones, harmonic complexes, and speech syllables, were examined across groups of trained musicians and nonmusicians. Because of the extensive formal and informal auditory training received by musicians throughout their lifespan, it was predicted that these electrophysiological indicators of preattentive pitch discrimination and involuntary attention change would distinguish musicians from nonmusicians and provide insight regarding the influence of auditory training and experience on central auditory function.

Design: A total of 102 (67 trained musicians, 35 nonmusicians) right-handed young women with normal hearing participated in three auditory stimulus conditions: pure tones (25 musicians/15 nonmusicians), harmonic tones (42 musicians/20 nonmusicians), and speech syllables (26 musicians/15 nonmusicians).