Abstract

PurposeAn objective statement about the annoyance of snoring can be made with the Psychoacoustic Snore Score (PSS). The PSS was developed based on subjective assessments and is strongly influenced by observed sound pressure levels. Robustness against day-to-day interfering noises is a fundamental requirement for use at home. This study investigated whether or not the PSS is suitable for use in the home environment.MethodsThirty-six interfering noises, which commonly occur at night, were played in the acoustic laboratory in parallel with 5 snoring sounds. The interfering noises were each presented at sound pressure levels ranging from 25 to 55 dB(A), resulting in 3255 distinct recordings. Annoyance was then assessed using the PSS.ResultsIn the case of minimally annoying snoring sounds, interfering noises with a sound pressure level of 25 dB(A) caused significant PSS changes from 40 to 55 dB(A) for annoying snoring sounds. If the interfering noise was another snoring sound, the PSS was more robust depending on the sound pressure level of the interfering noise up to 10 dB(A). Steady (no-peak) interfering noises influenced the PSS more strongly than peak noises.ConclusionsThe PSS is significantly distorted by quiet interfering noises. Its meaningfulness therefore depends strongly on the acoustic environment. It may therefore be assumed that scores dependent on sound pressure level are suitable for measurements when there is minimal ambient noise, as in the sleep laboratory. However, for measurements where noise is incalculable, as in the home environment, interfering noises may distort the results.

Highlights

  • Snoring is commonly described as a nuisance, especially by bed partners

  • This study investigated whether or not the Psychoacoustic Snore Score (PSS) is suitable for use in the home environment

  • If the interfering noise was another snoring sound, the PSS was more robust depending on the sound pressure level of the interfering noise up to 10 dB(A)

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Summary

Introduction

Snoring is commonly described as a nuisance, especially by bed partners. The physician’s task is to assess snoring severity, determine the optimal treatment plan in light of the given riskbenefit relationship, and monitor treatment outcome. Indices calculated from acoustic parameters are commonly used to assess snoring frequency and severity. These include, for example, the Snoring Index (SI), which denotes the number of snoring sounds per hour or the percentage or absolute snoring time [7, 11]. For this purpose, sounds above a specified decibel threshold are rated as snoring

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