Masked speech recognition in school-age children with Down syndrome

Abstract

Masked speech recognition is poorer for children who are typically developing compared to adults, particularly when the masker is two-talker speech. Audibility, receptive vocabulary size, and executive function contribute to these age effects, all areas of weakness for children with Down syndrome. This study sought to determine whether these weaknesses put children with Down syndrome (n = 15, 5–17 yrs) at a disadvantage when listening to masked speech compared to age-matched children who are typically developing. Speech-in-noise and speech-in-speech was assessed using an adaptive, forced-choice procedure with a picture-pointing response. Audiological testing and standardized assessments of receptive vocabulary, non-verbal cognition, and executive function were also completed. Overall, children with Down syndrome performed more poorly than their typically developing peers. While the relationship between age and SRTs differs between the noise and speech maskers for children who are typically developing, this interaction was not observed for children with Down syndrome. Controlling for age, SRTs for children with Down syndrome were associated with vocabulary and executive function scores with the noise masker but not the speech masker. Results suggest that masked speech recognition is more challenging and is limited by different factors for children with Down syndrome compared to those who are typically developing.