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Using a multi-feature paradigm to measure mismatch responsesto minimal sound contrasts in children with cochlear implantsand hearing aids
Karolinska University Hospital and Karolinska Institutet (CLINTEC), Stockholm, Sweden.
Karolinska University Hospital and Karolinska Institutet (CLINTEC), Stockholm, Sweden.
Stockholm University, Stockholm, Sweden.
Linköping University, Linköping, Sweden.ORCID iD: 0000-0002-3535-8489
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2017 (English)In: Scandinavian Journal of Psychology, ISSN 0036-5564, E-ISSN 1467-9450, Vol. 58, no 5, p. 409-421Article in journal (Refereed) Published
Abstract [en]

Our aim was to explore whether a multi-feature paradigm (Optimum-1) for eliciting mismatch negativity (MMN) would objectively capture difficulties in perceiving small sound contrasts in children with hearing impairment (HI) listening through their hearing aids (HAs) and/or cochlear implants (CIs). Children aged 5-7 years with HAs, CIs and children with normal hearing (NH) were tested in a free-field setting using a multi-feature paradigm with deviations in pitch, intensity, gap, duration, and location. There were significant mismatch responses across all subjects that were positive (p-MMR) for the gap and pitch deviants (F(1,43) = 5.17, p = 0.028 and F(1,43) = 6.56, p = 0.014, respectively) and negative (MMN) for the duration deviant (F(1,43) = 4.74, p = 0.035). Only the intensity deviant showed a significant group interaction with MMN in the HA group and p-MMR in the CI group (F(2,43) = 3.40, p = 0.043). The p-MMR correlated negatively with age, with the strongest correlation in the NH subjects. In the CI group, the late discriminative negativity (LDN) was replaced by a late positivity with a significant group interaction for the location deviant. Children with severe HI can be assessed through their hearing device with a fast multi-feature paradigm. For further studies a multi-feature paradigm including more complex speech sounds may better capture variation in auditory processing in these children.

Place, publisher, year, edition, pages
England: John Wiley & Sons, 2017. Vol. 58, no 5, p. 409-421
Keyword [en]
Mismatch negativity (MMN) children cochlear implant hearing aid hearing impairment multi-feature paradigm
National Category
Otorhinolaryngology
Research subject
Oto-Rhino-Laryngology
Identifiers
URN: urn:nbn:se:uu:diva-338113DOI: 10.1111/sjop.12391OAI: oai:DiVA.org:uu-338113DiVA, id: diva2:1171435
Projects
Computer-assisted reading intervention with a phonics approach for deaf and hard of hearing children using cochlear implants or hearing aids
Available from: 2018-01-07 Created: 2018-01-07 Last updated: 2018-01-17Bibliographically approved

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