Next Article in Journal
Value Propositions of Public Adult Hearing Rehabilitation in Denmark
Next Article in Special Issue
An Interprofessional Approach to Aural Rehabilitation for Adults with Hearing Loss and Cognitive Concerns
Previous Article in Journal
Self-Reported Hearing-Aid Use Patterns in an Adult Danish Population
 
 
Font Type:
Arial Georgia Verdana
Font Size:
Aa Aa Aa
Line Spacing:
Column Width:
Background:
Article

Neuropsychological Functions and Audiological Findings in Elderly Cochlear Implant Users: The Role of Attention in Postoperative Performance

by
Ilaria Giallini
1,
Bianca Maria Serena Inguscio
1,2,3,
Maria Nicastri
1,2,
Ginevra Portanova
1,2,
Andrea Ciofalo
1,
Annalisa Pace
1,4,
Antonio Greco
1,
Hilal Dincer D’Alessandro
5 and
Patrizia Mancini
1,*
1
Department of Sense Organs, University Sapienza of Rome, Policlinico Umberto I, Viale dell’Università 31, 00161 Rome, Italy
2
Department of Human Neuroscience, Sapienza University of Rome, Viale dell’Università 30, 00161 Rome, Italy
3
BrainSigns Srl, Via Tirso 14, 00198 Rome, Italy
4
Advanced Surgical Technologies PhD Program, University Sapienza of Rome, 00185 Rome, Italy
5
Department of Audiology, Faculty of Health Sciences, Hacettepe University, 06230 Ankara, Turkey
*
Author to whom correspondence should be addressed.
Audiol. Res. 2023, 13(2), 236-253; https://doi.org/10.3390/audiolres13020022
Submission received: 8 December 2022 / Revised: 17 March 2023 / Accepted: 20 March 2023 / Published: 27 March 2023
(This article belongs to the Special Issue Cognitive Decline within the Audiology Scope of Practice)

Abstract

Objectives: The present study aimed to investigate in a group of elderly CI users working memory and attention, conventionally considered as predictors of better CI performance and to try to disentangle the effects of these cognitive domains on speech perception, finding potential markers of cognitive decline related to audiometric findings. Methods Thirty postlingually deafened CI users aged >60 underwent an audiological evaluation followed by a cognitive assessment of attention and verbal working memory. A correlation analysis was performed to evaluate the associations between cognitive variables while a simple regression investigated the relationships between cognitive and audiological variables. Comparative analysis was performed to compare variables on the basis of subjects’ attention performance. Results: Attention was found to play a significant role in sound field and speech perception. Univariate analysis found a significant difference between poor and high attention performers, while regression analysis showed that attention significantly predicted recognition of words presented at Signal/Noise +10. Further, the high attention performers showed significantly higher scores than low attentional performers for all working memory tasks. Conclusion: Overall findings confirmed that a better cognitive performance may positively contribute to better speech perception outcomes, especially in complex listening situations. WM may play a crucial role in storage and processing of auditory-verbal stimuli and a robust attention may lead to better performance for speech perception in noise. Implementation of cognitive training in auditory rehabilitation of CI users should be investigated in order to improve cognitive and audiological performance in elderly CI users.
Keywords: cochlear implantation; cognition; older adults; speech perception; attention; working memory cochlear implantation; cognition; older adults; speech perception; attention; working memory

Share and Cite

MDPI and ACS Style

Giallini, I.; Inguscio, B.M.S.; Nicastri, M.; Portanova, G.; Ciofalo, A.; Pace, A.; Greco, A.; D’Alessandro, H.D.; Mancini, P. Neuropsychological Functions and Audiological Findings in Elderly Cochlear Implant Users: The Role of Attention in Postoperative Performance. Audiol. Res. 2023, 13, 236-253. https://doi.org/10.3390/audiolres13020022

AMA Style

Giallini I, Inguscio BMS, Nicastri M, Portanova G, Ciofalo A, Pace A, Greco A, D’Alessandro HD, Mancini P. Neuropsychological Functions and Audiological Findings in Elderly Cochlear Implant Users: The Role of Attention in Postoperative Performance. Audiology Research. 2023; 13(2):236-253. https://doi.org/10.3390/audiolres13020022

Chicago/Turabian Style

Giallini, Ilaria, Bianca Maria Serena Inguscio, Maria Nicastri, Ginevra Portanova, Andrea Ciofalo, Annalisa Pace, Antonio Greco, Hilal Dincer D’Alessandro, and Patrizia Mancini. 2023. "Neuropsychological Functions and Audiological Findings in Elderly Cochlear Implant Users: The Role of Attention in Postoperative Performance" Audiology Research 13, no. 2: 236-253. https://doi.org/10.3390/audiolres13020022

APA Style

Giallini, I., Inguscio, B. M. S., Nicastri, M., Portanova, G., Ciofalo, A., Pace, A., Greco, A., D’Alessandro, H. D., & Mancini, P. (2023). Neuropsychological Functions and Audiological Findings in Elderly Cochlear Implant Users: The Role of Attention in Postoperative Performance. Audiology Research, 13(2), 236-253. https://doi.org/10.3390/audiolres13020022

Article Metrics

Back to TopTop