[Patient-reported outcome measures-use in diagnosing depression, anxiety, and stress].

Patient-reported outcome measures (PROMs) is an umbrella term for various self-report instruments used to assess subjective health-related impressions and treatment success from the patient's perspective. In psychosomatic medicine, PROMs are often used to record subjective symptoms, psychosocial distress, and changes in health status, particularly in patients with comorbid (affective) disorders and frequent contact with physicians, but also in preventive health care and to monitor the effectiveness of treatment. In otolaryngology (ENT), self-report questionnaires (PROMs) are used, among other things, to assess the impact of hearing, speech, swallowing, and breathing disorders on patients' quality of life.

Short- and Long-Term Outcomes of e-Health and Internet-Based Psychological Interventions for Chronic Tinnitus: A Systematic Review and Meta-Analysis.

: e-Health or web-based systems in the field of tinnitus have gained increasing interest. Cognitive behavioral therapy (CBT) delivered via the internet is currently witnessing a surge in both attention and offerings. This systematic review analyzed the efficacy and sustainability of internet-based therapies aimed at reducing tinnitus distress and comorbidities such as anxiety, depression, and sleep disorders.

Aging Makes the Heart Grow Fonder: Age Influences Hearing Ability and Interactions between Psychological Phenomena in Patients with Chronic Tinnitus.

(1) Background: Risk factors for chronic tinnitus comprise interactions of individuals' hearing difficulties and psychological distress-including anxiety, depression, and perceived stress levels. Both groups of factors likely become more pronounced with age, although mixed literature has also suggested increases in psychological resilience over time. To this end, only a few studies have delineated direct and indirect effects of age on audiological and psychological variables that might influence tinnitus-related distress in patients with chronic tinnitus.

No evidence for a benefit from masker harmonicity in the perception of speech in noise.

When assessing the intelligibility of speech embedded in background noise, maskers with a harmonic spectral structure have been found to be much less detrimental to performance than noise-based interferers. While spectral "glimpsing" in between the resolved masker harmonics and reduced envelope modulations of harmonic maskers have been shown to contribute, this effect has primarily been attributed to the proposed ability of the auditory system to cancel harmonic maskers from the signal mixture. Here, speech intelligibility in the presence of harmonic and inharmonic maskers with similar spectral glimpsing opportunities and envelope modulation spectra was assessed to test the theory of harmonic cancellation.

A direct comparison of voice pitch processing in acoustic and electric hearing.

In single-sided deafness patients fitted with a cochlear implant (CI) in the affected ear and preserved normal hearing in the other ear, acoustic and electric hearing can be directly compared without the need for an external control group. Although poor pitch perception is a crucial limitation when listening through CIs, it remains unclear how exactly the cortical processing of pitch information differs between acoustic and electric hearing. Hence, we separately presented both ears of 20 of these patients with vowel sequences in which the pitch contours were either repetitive or variable, while simultaneously recording functional near-infrared spectroscopy (fNIRS) and EEG data.

Cortical activity evoked by voice pitch changes: A combined fNIRS and EEG study.

Functional near-infrared spectroscopy (fNIRS) and electroencephalography (EEG) data were simultaneously obtained from normal-hearing listeners presented with continuous natural vowel sequences to study the interrelation of the haemodynamic and electrophysiological cortical responses evoked by voice pitch changes. fNIRS topographies and distributed ERP source reconstructions both indicated additional activity in the right superior temporal cortex if the prosodic contours varied between successive vowels, rather than being the same throughout the sequences. The source-level ERPs furthermore revealed two temporally and spatially separable adaptation processes in superior temporal cortex: Firstly, the early P1 component was bilaterally attenuated when vowels with the same prosodic contours were presented repeatedly, reflecting sensory adaptation.

Auditory cortex activity measured using functional near-infrared spectroscopy (fNIRS) appears to be susceptible to masking by cortical blood stealing.

To validate the use of functional near-infrared spectroscopy (fNIRS) in auditory perception experiments, combined fNIRS and electroencephalography (EEG) data were obtained from normal-hearing subjects passively listening to speech-like stimuli without linguistic content. The fNIRS oxy-haemoglobin (HbO) results were found to be inconsistent with the deoxy-haemoglobin (HbR) and EEG data, as they were dominated by increasingly more negative responses along a diagonal axis running in posterior-superior to anterior-inferior direction. This large-scale bilateral gradient in the HbO data masked the right-lateralised neural activity in the auditory cortex that was clearly evident in the HbR data and EEG source reconstructions and is most likely due to cerebral blood stealing.

Predicting the effects of periodicity on the intelligibility of masked speech: An evaluation of different modelling approaches and their limitations.

Four existing speech intelligibility models with different theoretical assumptions were used to predict previously published behavioural data. Those data showed that complex tones with pitch-related periodicity are far less effective maskers of speech than aperiodic noise. This so-called masker-periodicity benefit (MPB) far exceeded the fluctuating-masker benefit (FMB) obtained from slow masker envelope fluctuations.

The role of envelope periodicity in the perception of masked speech with simulated and real cochlear implants.

In normal hearing, complex tones with pitch-related periodic envelope modulations are far less effective maskers of speech than aperiodic noise. Here, it is shown that this is diminished in noise-vocoder simulations of cochlear implants (CIs) and further reduced with real CIs. Nevertheless, both listener groups still benefitted significantly from masker periodicity, despite the lack of salient spectral pitch cues.

Effects of acoustic periodicity and intelligibility on the neural oscillations in response to speech.

Although several studies have investigated neural oscillations in response to acoustically degraded speech, it is still a matter of debate which neural frequencies reflect speech intelligibility. Part of the problem is that effects of acoustics and intelligibility have so far not been considered independently. In the current electroencephalography (EEG) study the amount of acoustic periodicity (i.

Effects of acoustic periodicity, intelligibility, and pre-stimulus alpha power on the event-related potentials in response to speech.

Magneto- and electroencephalographic (M/EEG) signals in response to acoustically degraded speech have been examined by several recent studies. Unambiguously interpreting the results is complicated by the fact that speech signal manipulations affect acoustics and intelligibility alike. In the current EEG study, the acoustic properties of the stimuli were altered and the trials were sorted according to the correctness of the listeners' spoken responses to separate out these two factors.

Are the literacy difficulties that characterize developmental dyslexia associated with a failure to integrate letters and speech sounds?

The 'automatic letter-sound integration hypothesis' (Blomert, ) proposes that dyslexia results from a failure to fully integrate letters and speech sounds into automated audio-visual objects. We tested this hypothesis in a sample of English-speaking children with dyslexic difficulties (N = 13) and samples of chronological-age-matched (CA; N = 17) and reading-age-matched controls (RA; N = 17) aged 7-13 years. Each child took part in two priming experiments in which speech sounds were preceded by congruent visual letters (congruent condition) or Greek letters (baseline).

Auditory event-related responses to diphthongs in different attention conditions.

The modulation of auditory event-related potentials (ERP) by attention generally results in larger amplitudes when stimuli are attended. We measured the P1-N1-P2 acoustic change complex elicited with synthetic overt (second formant, F2Δ=1000Hz) and subtle (F2Δ=100Hz) diphthongs, while subjects (i) attended to the auditory stimuli, (ii) ignored the auditory stimuli and watched a film, and (iii) diverted their attention to a visual discrimination task. Responses elicited by diphthongs where F2 values rose and fell were found to be different and this precluded their combined analysis.

The role of periodicity in perceiving speech in quiet and in background noise.

The ability of normal-hearing listeners to perceive sentences in quiet and in background noise was investigated in a variety of conditions mixing the presence and absence of periodicity (i.e., voicing) in both target and masker.