Auditory Abilities Research Articles

Developmental Auditory and Speech-Language Performance in Pediatric Cochlear Implantation Recipients with Stable White Matter Lesions.

To analyze the association between stable asymptomatic white matter lesions (WMLs) and the cochlear implantation (CI) effect in congenitally deaf children, 43 CI children with stable asymptomatic WMLs determined via preoperative assessments and 86 peers with normal white matter were included. Outcome measurements included closed-set Mandarin Chinese (tone, disyllable, and sentence) recognition tests; categories of auditory performance (CAPs); and speech intelligibility rating (SIR) scales at 1, 12, and 24 months post-CI. Generalized estimating equation (GEE) models were used to analyze the association between WML and outcomes. In the WML group (control group), median CAP and SIR scores were 5 (5) and 4 (4) with mean rates of tone, disyllable, and sentence recognition of 84.8% (89.0%), 87.9% (89.7%), and 85.8% (88.0%) at 24 months post-CI, respectively. Auditory and speech performance improved significantly with implant use. Compared to their peers in the control group, for the participants with stable asymptomatic WMLs, auditory and speech abilities were not significantly different (p > 0.05). Stable asymptomatic WMLs might not be associated with poor auditory and speech intelligibility post-CI, which indicates that it is feasible to use comprehensive assessments to screen suitable candidates with WMLs who are likely to present with a good prognosis.

Behavioral Assessment of Central Auditory Processing in Turner Syndrome.

Introduction Turner syndrome (TS) affects ∼ 1 in 2,500 live births. The presence of hearing alterations is one of the comorbidities found in this syndrome. Objective The present study aimed to evaluate the central auditory abilities in TS and to associate the alterations found with the cytogenetic pattern of the syndrome. Methods We included children and adults aged 9 to 39 years old, diagnosed with TS, with numerical or structural alterations of sex chromosomes in their karyotype. A battery of behavioral tests of central auditory processing (CAP) was performed, including a test within the modalities: monoaural low-redundancy, dichotic listening, binaural interaction, and temporal processing (resolution and ordering). We studied auditory skills in the total sample and in the sample stratified by age, divided into groups: G1 (9 to 13 years old), G2 (14 to 19 years old), and G3 (20 to 31 years old). For the association of the cytogenetic pattern, the division was T1 (chromosome monosomy X), and T2 (other TS cytogenetic patterns). Statistical analysis presented data expressed as median and interquartile range for numerical data and as frequency and percentage for categorical data. Results We found alterations in four auditory skills in the three age groups, but there was a statistically significant difference between the age groups only in the Gaps in Noise Test (GIN) ( p -value = 0.009). Regarding karyotype, a greater number of alterations in the T1 cytogenetic pattern (chromosome monosomy X) was observed in four auditory skills, but without a statistically significant difference. Conclusion The alterations found point to an impairment in CAP in TS.

Do individual perceptual abilities affect speech recognition with spatial hearing aid processing?

Individuals with hearing loss experience persistent communication difficulties in noisy conditions, even with specialized hearing aid (HA) processing. Little is known about how HA processing interacts with auditory perceptual abilities required for speech-in-noise listening, possibly leading to mismatched parameters for certain listeners. We investigated how speech recognition with spatial HA processing—intended to reduce signals from off-axis locations—is affected by individual auditory perceptual abilities. 16 listeners with hearing loss completed a sentence recognition in noise task with wearable HAs in omnidirectional processing or binaural beamforming settings. On- (0°) or off-axis ( + 90°) target sentences were mixed with gender-matched two-talker maskers that were either spatially separated or co-located. The Portable Automated Rapid Testing program was used to obtain individual binaural (Spatial Release from Masking task) and monaural processing (Spectrotemporal Modulation Detection task) measures. Data show positive associations between perceptual abilities and speech recognition with omnidirectional processing across target and noise locations and negative associations with beamforming for off-axis targets in spatially separated noise. Relative associations of binaural and monaural processing abilities varied by test condition. The study has implications for individualizing spatial processing parameters in clinical HA fittings. [Work supported by NIH-K01DC018324.]

Probing the phonological-coding deficit in dyslexia with vowel length perception

There is an established linkage between dyslexia and anomalous processing of speech sounds. We probed this in a Danish language context with vowel length tasks based on “kugle” ball /ku:lə/ and sequential deletions of the vowel portion to yield “kulde” coldness /kulə/. Vowel length continua are methodologically advantageous as they do not involve the perception of a sudden phonetic change that may instead tap other auditory processing abilities. Identification and discrimination tasks were administered to tertiary (n = 28), reading impaired (n = 26), and lower secondary students (n = 20), and the latter were approximately aged matched to the reading-impaired group. Identification functions derived from regression modelling of the responses showed that the dyslexics had significantly flatter curves than the other groups. Moreover, the secondary and dyslexic groups differed at the long vowel extremity of the continuum. Discrimination results showed that mean peak sensitivity of the tertiary students was higher than that of the secondary and dyslexic students. These results indicate that the phonological-coding deficit observed in dyslexics may be indexed by vowel length identification. Furthermore, identification results suggest that the nature of the phonological-coding deficit concomitant with dyslexia may stem from a lack of precision in processing the minimally modified longer vowel stimuli.

Hearing perception by cochlear implantation

Cochlear implantation is a unique development in the field of prosthetics of human sensory systems. Due to the electrical stimulation of the auditory nerve, auditory sensations close to natural occur. Despite significant progress in the engineering design of cochlear implants (CI), the quality of auditory perception when used is significantly limited. CI users experience the greatest difficulties in communication tasks such as understanding speech in noise or in multi-talkers environment. There are many factors, both technical and physiological, to reduce speech intelligibility in CI users. Speech perception in CI users is limited due to low frequency resolution, perceptual distortion of pitch, and compression of dynamic range. Low frequency resolution is the reason a decrease in speech intelligibility and the ability to perceive music. To realize these ability the question about the state of central hearing mechanisms, especially for children with congenital deafness, is crucial Neuroplasticity with ages decreases and the central auditory processing deficiency develops, therefore, it is desirable to carry out cochlear implantation as early as possible after hearing loss identification. Analysis of the auditory perception features in case of the auditory nerve is electrically excited allows not only to propose innovative approaches to improve the auditory abilities of CI users, but also to study auditory processing disorders.

EEG-based auditory attention decoding with audiovisual speech for hearing-impaired listeners.

Auditory attention decoding (AAD) was used to determine the attended speaker during an auditory selective attention task. However, the auditory factors modulating AAD remained unclear for hearing-impaired (HI) listeners. In this study, scalp electroencephalogram (EEG) was recorded with an auditory selective attention paradigm, in which HI listeners were instructed to attend one of the two simultaneous speech streams with or without congruent visual input (articulation movements), and at a high or low target-to-masker ratio (TMR). Meanwhile, behavioral hearing tests (i.e. audiogram, speech reception threshold, temporal modulation transfer function) were used to assess listeners' individual auditory abilities. The results showed that both visual input and increasing TMR could significantly enhance the cortical tracking of the attended speech and AAD accuracy. Further analysis revealed that the audiovisual (AV) gain in attended speech cortical tracking was significantly correlated with listeners' auditory amplitude modulation (AM) sensitivity, and the TMR gain in attended speech cortical tracking was significantly correlated with listeners' hearing thresholds. Temporal response function analysis revealed that subjects with higher AM sensitivity demonstrated more AV gain over the right occipitotemporal and bilateral frontocentral scalp electrodes.

Effects of Auditory Training in Older Adults.

This study examines the effects of an auditory training program on the auditory and cognitive abilities of older adults. Auditory rehabilitation programs are generally designed for hearing aid users, and studies have demonstrated benefits for them. In this study, we seek to understand whether such a training program can also benefit older adults who do not wear hearing aids. We also examined if cognitive benefits can indeed be observed as a result of the training. Sixty-four older adults were recruited and assigned into three groups: the experimental group (n = 20), the active control group (n = 21), and the no-training control group (n = 23). The experimental group underwent an auditory training program (Listening and Communication Enhancement [LACE]) during the training phase. Meanwhile, the active control group listened to short audio clips and the no-training control group did not participate in any program. An auditory test (Quick Speech-in-Noise [QuickSIN]) and a battery of cognitive tests were conducted before and after the training to examine the participants' performance on auditory ability, short-term memory, and attention. The results showed improvements in auditory and cognitive abilities during the training period. When assessing the training effects by comparing the pre- and the posttraining performances, a significant improvement on the QuickSIN task was found in the training group but not in the other two groups. However, other cognitive tests did not show any significant improvement. That is, the LACE training did not benefit short-term memory and attention. The improved performance on short-term memory during the training was not maintained in the posttraining session. Overall, the study has extended the auditory benefit from the LACE training to the typical aging population in terms of improved communication ability, but the effect of training on auditory abilities did not transfer to gains in cognitive abilities.

The role of suprathreshold auditory processing abilities in children with specific learning disorder.

To assess the suprathreshold auditory processing and speech recognition abilities in noise in children with specific learning disorder (SLD). A group of twenty-five children diagnosed with SLD and a control group of twenty-five neuro-typical children were included in the study. All the participants were between 6-11 years old. To evaluate suprathreshold auditory processing abilities, the participants were given the Temporal Fine Structure (TFS) Sensitivity Test and the Temporal Envelope (TE) Sensitivity Test, as well as the Consonant Identification Test, was administered to evaluate speech recognition ability in noise. In addition, the Wechsler Intelligence Scale for Children - Fourth Edition (WISC-IV) intelligence test was applied to children with SLD, and the relationship between WISC-IV intelligence test scores in different skills and suprathreshold auditory processing and speech recognition abilities in noise was investigated. Significant differences were found between children diagnosed with SLD and neuro-typical children in terms of suprathreshold auditory processing tasks and speech recognition in noise. Additionally, no correlation was found between suprathreshold auditory processing tasks, speech recognition in noise, and intelligence tests. Suprathreshold auditory processing and speech recognition abilities in noise were found to be affected in children with SLD. A holistic evaluation including a multidisciplinary approach that includes suprathreshold auditory processing abilities is required for children diagnosed with SLD.

Assessing the Global Cognition of Community-Dwelling Older Adults Using Motor and Sensory Factors: A Cross-Sectional Feasibility Study.

Impairments in gait, postural stability, and sensory functions were proved to be strongly associated with severe cognitive impairment such as in dementia. However, to prevent dementia, it is necessary to detect cognitive deterioration early, which requires a deeper understanding of the connections between the aforementioned functions and global cognition. Therefore, the current study measured gait, postural, auditory, and visual functions and, using principal component analysis, explored their individual and cumulative association with global cognition. The global cognitive function of 82 older Korean males was determined using the Montreal Cognitive Assessment. The motor and sensory functions were summarized into seven independent factors using factor analysis, followed by age and education-level-adjusted linear regression model analysis. The seven factors obtained using factor analysis were gait speed, gait stability, midstance, general auditory ability, auditory recognition, overall visual ability, and postural stability. The linear regression model included years of education, gait stability, postural stability, and auditory recognition, and was able to explain more than half of the variability in cognitive score. This shows that motor and sensory parameters, which are obtainable through wearable sensors and mobile applications, could be utilized in detecting cognitive fluctuations even in the early stages of cognitive deterioration.

Evaluation of perception of music, environmental sounds, and speech in right versus left cerebral stroke patients

BackgroundStroke is a leading cause of disability and about a third of stroke survivors have aphasia. Stroke also may affect all levels of the auditory pathway and lead to hearing reception and/or perception deficits for different sound types.Aim of the workThe aim of the work is to evaluate the perception of music, environmental sounds, and speech in post-stroke patients in order to determine if there is a difference in the basic auditory perceptual abilities in right versus left cerebral stroke.Subjects and methodsA group of 30 healthy adults and a group of 30 right and left cerebral stroke patients with an age range from 35 to 75 years old were included. The participants were evaluated using a 10-item designed questionnaire for auditory abilities and a test of auditory perceptual/recognition skills. The questionnaire addressed some of the basic auditory skills of attention, discrimination, and recognition of environmental sounds and human voice. The test consisted of non-verbal and verbal domains. The non-verbal domain involved music recognition, discrimination, perception, performance, and environmental sound recognition tasks. While the verbal domain included; recognition of the sound related to speech stimuli and syllable/word recognition tasks.ResultsBetter significant scores in right versus left stroke patients regarding questionnaire results for attention to sound sources either near or fear (p value < 0.001) and discriminating prosodic intonation of statement or interrogation (p value = < 0.001). There was no significant difference between the right cerebral stroke group and the left cerebral stroke group regarding the score of music perception and music performance tasks of the non-verbal domain of the auditory perceptual/recognition skills assessment. Better significant scores were found in the right cerebral stroke patients than the left cerebral stroke patients regarding the scores of both the non-verbal and verbal domains of the auditory perceptual/recognition skills assessment.ConclusionStroke of both right and left cerebral hemispheres has a specific negative effect on some aspects of perception of music, environmental sounds, and speech that need to be addressed in both evaluation protocols and rehabilitation programs.

Development and Standardization of Low-Verbal Material for Assessment of Central Auditory Processing in Arabic Language

Development and Standardization of Low-Verbal Material for Assessment of Central Auditory Processing in Arabic Language

Evaluation of Central Auditory Processing in Individuals with Occupational Noise exposure

Abstract Background Prolonged exposure to high levels of occupational noise can cause damage to hair cells in the cochlea and result in permanent noise-induced cochlear hearing loss. Consequences of cochlear hearing loss on speech perception and psychophysical central auditory abilities have been well documented. Objectives the aim of this research was to explore central auditory processing in individuals with history of occupational noise exposure. Subjects and method sixty subjects aged between 20 and 50 years divided into 2 groups; control group (thirty normal healthy subjects), study group (thirty subject with history of occupational noise exposure). They were subjected to Basic audiological evaluation :Pure tone audiometry for frequencies 250-8000 Hz for air conduction and 500-4000 Hz for bone conduction, Speech reception threshold (SRT) using Arabic spondee words list (Soliman et al., 1985) and speech discrimination scores using Arabic phonetically balanced words (Soliman, 1976). And Tympanometry, central auditory processing questionnaire and Psychophysical central auditory tests that will be discussed later. Results Statistically significant difference was found between the study group and control group regarding left Dichotic digits test versionII (p = 0.020), The mean of SPIN either at Right or Left ear for study group was depressed in comparison to normal individuals, those differences were statistically highly significant (p &amp;lt; 0.001). Furthermore, there was a Highly statically significant difference in TCST (30%,60%), GIN test and DPT between study and control groups (p &amp;lt; 0.001) either at Right or Left ear. Conclusions Patients with occupational noise exposure had poor performance in all central auditory tests when compared with control. This means that occupational noise exposure can lead to impaired central auditory processing with subsequent in adults

The Effect of Hemodialysis on Spectral and Temporal Processing Abilities and Speech Perception in Noise among Individuals with Chronic Kidney Disease

Introduction: The effect of chronic kidney disease (CKD) on hearing is well documented in the literature. Several studies have investigated the effect of hemodialysis on the peripheral auditory system among individuals with CKD. However, studies investigating the effect of hemodialysis on speech perception and auditory processing abilities are limited. The present study investigated the effect of hemodialysis on few auditory processing abilities and speech perception in noise among adults with CKD. Methods: A total of 25 adults with CKD undergoing hemodialysis regularly participated in the study. Spectral ripple discrimination threshold (SRDT), gap detection threshold (GDT), amplitude-modulation detection threshold (AMDT), and speech recognition threshold in noise (SRTn) were measured before and after hemodialysis. Paired samples “t” test was carried out to investigate the effect of hemodialysis on thresholds. Results: Results showed a significant improvement for SRDT, GDT, AMDT, and SRTn after hemodialysis among individuals with CKD. Discussion: Hemodialysis showed a positive effect on speech perception in noise and auditory processing abilities among individuals with CKD.

Assessment of auditory perception abilities using temporal envelope and fine structure processing in children with self-limited epilepsy with centrotemporal spikes

ObjectivesChildren with self-limited epilepsy with centrotemporal spikes (SeLECTS) exhibit difficulty processing spoken messages without hearing loss. The temporal envelope and fine structure processing abilities are the fundamental aspects of the normal listening process. There is limited literature on the temporal envelope and fine structure processing in children with SeLECTS. We evaluated the temporal envelope and fine structure processing in children with SeLECTS. DesignThe study included 35 children with SeLECTS and 50 typically developing children (TDC). The temporal envelope processing was measured using the temporal modulation transfer function (TMTF) and temporal fine structure using the temporal fine structure low-frequency (TFS LF) test. The TMTF was measured for the modulation rates 4, 8, 16, 32, 64 and 128 Hz. The TFS LF was done for 250, 500 and 750 Hz. ResultsThe difference in modulation detection thresholds at 4 Hz was not found to be significant, whereas there was a significant difference in modulation detection thresholds observed for all the other modulation frequencies (p < 0.05) between the children with SeLECTS and TDC. The thresholds at 250, 500 and 750 Hz were higher (poorer) for children with SeLECTS than the TDC and was significant (p < 0.05). ConclusionsThe TMTF and TFS LF tests were of practical use in evaluating temporal envelope and fine structure processing abilities in children with SeLECTS. The results suggest that children with SeLECTS have a poor temporal envelope and fine structure processing compared to the TDC.

Investigating the impact of age on auditory short-term, long-term, and working memory

Cognitive aging is characterized by the gradual decline of a number of abilities, such as attention, executive functioning, and memory. Research on memory aging has reported age-related deficits in short-term (STM), long-term (LTM), and working memory (WM) and linked these to structural and functional changes in the brain that occur with aging. However, only a few studies have drawn direct comparisons between these memory subsystems in the auditory domain. In this study, we assessed auditory STM, LTM, and WM abilities of young (under 25 years of age) and older (over 60 years of age) adults using musical and numerical tasks. In addition, we measured musical training history and tested its modulating effects on auditory memory performance. Overall, we found that older adults underperformed in specific memory tasks, such as STM related to discrimination of rhythmic sequences, LTM associated with identification of novel musical sequences, and numerical WM. Furthermore, we observed a positive influence of musical training on certain memory tasks involving music. In conclusion, aging differentially affects several types of auditory memory, and in the case of specific musical memory tasks, a higher level of musical training provides significant advantages.

Improved convolutional neural network and spectrogram image feature for traffic sound event classification

In recent years, Sound Event Classification (SEC) is a remarkable field of computer audition research. The abilities to automatically capture and classify sound events are meaningful for expanding the auditory ability of autonomous vehicle in a complex driving environment. The Autonomous vehicles will encounter some special road conditions during driving, such as large truck occlusion, tunnels, and buildings that hinder radar detection. Therefore, the perception capabilities of on-board lidar, vision, and other sensors are impacted, resulting in a great threat to the safe driving of the car. At this time, auditory environment perception can provide auditory dimension information for the vehicle. However, with the increase of noise level, the SEC task of autonomous vehicle becomes seriously difficult. Traditional machine learning methods show weak robustness in the highly noisy environment. In this work, an autonomous vehicle Sound Event Classification (AVSEC) framework based on Spectrogram Image Features (SIFs) and Convolutional Neural Networks (CNN) algorithm is proposed to solve the SEC question. Further on, the ambulance, bus, civil defense siren, fire truck, screaming, etc. are taken as the research traffic sounds. Traffic Sound Datasets (TSD) are collected, augmented and customized. Then, directly connected channel (DCC) between convolutional blocks and Convolutional Block Attention Module (CBAM) are designed to optimize the neural network. Testing results show that the AVSEC system achieves an accuracy of 97.18%. Furthermore, the results of AVSEC and other machine learning methods are compared, which shows that the combination of SIFs and AVSEC-net provides better noise robustness and classification accuracy in AVSEC task. The sound classification algorithm designed in this paper, as an advanced auxiliary driving system for sound detection, can identify the sound types in the current traffic environment of the Autonomous vehicles, that is, the traffic scene category. The vehicle computer can remind the driver to pay attention to driving safety through the above sound types, so as to improve the safety of the driver and the vehicle.

Acoustic-electric trigeminal-nerve stimulation enhances functional connectivity in patients with disorders of consciousness.

Disruption of functional brain connectivity is thought to underlie disorders of consciousness (DOC) and recovery of impaired connectivity is suggested as an indicator of consciousness restoration. We recently found that rhythmic acoustic-electric trigeminal-nerve stimulation (i.e., musical stimulation synchronized to electrical stimulation of the trigeminal nerve) in the gamma band can improve consciousness in patients with DOC. Here, we investigated whether these beneficial stimulation effects are mediated by alterations in functional connectivity. Sixty-three patients with DOC underwent 5 days of gamma, beta, or sham acoustic-electric trigeminal-nerve stimulation. Resting-state electroencephalography was measured before and after the stimulation and functional connectivity was assessed using phase-lag index (PLI). We found that gamma stimulation induces an increase in gamma-band PLI. Further characterization revealed that the enhancing effect is (i) specific to the gamma band (as we observed no comparable change in beta-band PLI and no effect of beta-band acoustic-electric stimulation or sham stimulation), (ii) widely spread across the cortex, and (iii) accompanied by improvements in patients' auditory abilities. These findings show that gamma acoustic-electric trigeminal-nerve stimulation can improve resting-state functional connectivity in the gamma band, which in turn may be linked to auditory abilities and/or consciousness restoration in DOC patients.

Detection and Recognition of Environmental Sounds by Musicians and Non-Musicians

The article reports three experiments conducted to determine whether musicians possess better ability of recognising the sources of natural sounds than non-musicians. The study was inspired by reports which indicate that musical training develops not only musical hearing, but also enhances various non-musical auditory capabilities. Recognition and detection thresholds were measured for recordings of environmental sounds presented in quiet (Experiment 1) and in the background of a noise masker (Experiment 2). The listener’s ability of sound source recognition was inferred from the recognition-detection threshold gap (RDTG) defined as the difference in signal level between the thresholds of sound recognition and sound detection. Contrary to what was expected from reports of enhanced auditory abilities of musicians, the RDTGs were not smaller for musicians than for non-musicians. In Experiment 3, detection thresholds were measured with an adaptive procedure comprising three interleaved stimulus tracks with different sounds. It was found that the threshold elevation caused by stimulus interleaving was similar for musicians and non-musicians. The lack of superiority of musicians over non-musicians in the auditory tasks explored in this study is explained in terms of a listening strategy known as casual listening mode, which is a basis for auditory orientation in the environment.

Parental Competence as a Teacher in the Auditory Development of Children with Cochlear Implants.

The number of children with partial or total hearing loss is increasing every day, and most of them are undergoing cochlear implant surgery. The paper aims to assess the teaching competence of parents of children with cochlear implants. The study took one year (2022) in 1 [Almaty, Kazakhstan] kindergarten and 1 specialized school. Twenty-four parents of children (mean age 3.5 ± 0.5 years) and 20 parents of children of primary school age (10.0 ± 0.5 years) who underwent surgery at the age of 1-2 and 6-9 years were included in the study. A minimal number of parents had a high level of competence; sufficient competence was noticed among the two times larger number of parents; however, most of the parents had insufficient competence. The indicators of children were as follows: 3 children had a high level of listening perception; twice as many of them had a sufficient level; the same number had an insufficient level. There were more children with a low level, 3 times more than with a high level. A high level of pedagogical competence of parents correlated with a high level of children's auditory verbal abilities (on the scale of auditory ability integration). There was also a direct relationship with the level of speech development (on the scale of speech use) for children who had the surgery a year earlier. The obtained data can apply to the educational process for children with cochlear implants to improve their auditory and speech skills as quickly as possible. The involvement of parents in the education and rehabilitation of children with cochlear implants is crucial for the successful adaptation and development of the child. Parents can become irreplaceable partners of specialists and educational institutions, providing their children with optimal support and assistance on their way to the development of auditory and communication skills. To enhance parental competence in the area of auditory development of children with cochlear implants, it is recommended to participate in specialized educational programs designed for parents, offered by professionals and organizations. Additionally, actively engaging with educational resources, online materials, and informational communities is beneficial for acquiring up-to-date knowledge and receiving support from other parents, specialists, and experts.

Prospective comparative analysis of cochlear implant patients with single-sided deafness and asymmetric hearing loss with regard to health-related quality of life, tinnitus distress and psychological comorbidities

Patients with single-sided deafness (SSD) and asymmetric hearing loss (AHL) are increasingly being treated with cochlear implants (CI) due to the demonstrated improvements in auditory abilities and quality of life. To date, there are few published studies in which these two groups are comparatively studied. The aim of the current study was to examine which factors differ between those two patient groups, especially preoperatively. Asecondary analysis of the previously published raw data of 66prospectively recruited CI patients (21SSD/45AHL) was performed. In addition to the hearing outcome, tinnitus distress (tinnitus questionnaire), health-related quality of life (Nijmegen Cochlear Implant Questionnaire, NCIQ), stress (Perceived Stress Questionnaire, PSQ), and psychological comorbidities (General Depression Scale, ADS‑L and Generalized Anxiety Disorder scale, GAD-7) were assessed in SSD and AHL patients pre- and postoperatively. Preoperatively, SSD patients showed significantly higher scores in the NCIQ subdomains "elementary" and "advanced sound perception" than the AHL group. Stress (PSQ) and anxiety symptoms (GAD-7) were significantly higher preoperatively in SSD patients than in AHL patients. After CI, these differences were strongly reduced, with minimal differences being detectable between the groups in the investigated domains postoperatively. SSD and AHL patients differ significantly preoperatively in terms of their subjective hearing assessment and psychosocial parameters. In SSD patients, psychological stress factors may have astronger impact on the quality of life than in AHL patients. These aspects should be taken into account in the preoperative counseling and postoperative rehabilitation.