Dichotic Sentences Test Performance of Adults with communication complaints
Desempenho no Teste Dicótico de Sentenças em Adultos com queixa comunicativa
Geise Corrêa Ferreira; Eliane Schochat; Katya Marcondes Freire; Maristela Julio Costa
Abstract
Purpose
To analyze the performance of normal-hearing adults with communication complaints in the Dichotic Sentences Test.
Methods
We selected from the database 15 normal-hearing participants with normal results in the Digits Dichotic Test, aged between 19 and 44 years, right-handed, who reported communicative complaints. The Dichotic Sentences Test was applied using two protocols consisting of four different combinations of lists called sequences 1 and 2, in the following order: training, divided attention step, right and left directed attention steps.
Results
In the first application sequence, the average performance in the divided attention step was 84.7% for the right ear and 60.67% for the left, with statistical difference between ears. The asymmetry between ears varied from -50% to 60%. In the directed attention step, the average performance was 99.33% for the right ear and 98% for the left, with no statistical difference. In the second application sequence, there was a tendency for better results, more pronounced for the left ear, with no statistical significance, with the performance variation and asymmetry between ears remaining high. In the comparison between the sequences, in the divided attention step, it was found that, for the right ear, 40% of the individuals did not vary, 33% performed worse, and 26.7% performed better; for the left ear, 6.6% did not vary, 20% performed worse, and 73.33% performed better. There was result stability in the directed attention step.
Conclusion
The normal-hearing adults with communication complaints presented a heterogeneous profile, especially in the divided attention step, with a marked difference between ears and response variability.
Keywords
Resumo
Objetivo
Analisar o desempenho de adultos normo-ouvintes com queixa comunicativa no Teste Dicótico de Sentenças.
Método
Selecionou-se em banco de dados, 15 participantes normo-ouvintes com resultados normais no Teste Dicótico de Dígitos, idades entre 19 a 44 anos, destros, que referiram queixa comunicativa. O Teste de Dicótico de Sentenças foi aplicado por meio de dois protocolos compostos por quatro diferentes combinações de listas denominados de sequências 1 e 2, de acordo com a seguinte ordem: treino, etapa de atenção dividida, etapas de atenção direcionada à direita e à esquerda.
Resultados
Na sequência de aplicação 1, a média de desempenho na etapa de atenção dividida foi 84,67% na orelha direita e 60,67% na esquerda, com diferença estatística entre orelhas, com assimetria entre orelhas variando de -50% a 60%. Na etapa de atenção direcionada, a média de desempenho foi 99,33% na orelha direita e 98% na esquerda, sem diferença estatística. Na sequência de aplicação 2, houve tendência de melhores resultados, mais acentuada na orelha esquerda, sem significância estatística, mantendo elevadas a variação de desempenho e a assimetria entre orelhas. Verificou-se na comparação entre as sequências, na etapa de atenção dividida, que na orelha direita 40% dos indivíduos não variaram, 33% pioraram, 26,7% melhoraram; na orelha esquerda, 6,6% não variaram, 20% pioraram e 73,33% melhoraram. Na etapa de atenção direcionada houve estabilidade nos resultados.
Conclusão
Os adultos normo-ouvintes, com queixas comunicativas, apresentaram um perfil heterogêneo, especialmente na etapa de atenção dividida, com acentuada diferença entre as orelhas e variabilidade de respostas.
Palavras-chave
Referências
- Pereira LD, Schochat E. Testes auditivos comportamentais para avaliação do processamento auditivo central. Barueri: Pró-Fono; 2011.
- Mendes-Civitella M, Comerlatto A Jr, Ferreira MIC, Guedes MC, Balen AS, Frota S. Guia de orientação. Avaliação e intervenção no processamento auditivo central. Brasília: Conselho Federal de Fonoaudiologia; 2020.
- Turcatto LG, Scharlach RC, Braga J Jr, Pinheiro MMC. Time-compressed speech test in adults with and without central auditory processing disorders. Rev CEFAC. 2020;22(4):e2520. http://dx.doi.org/10.1590/1982-0216/20202242520
- ASHA: American Speech-Language-Hearing Association [Internet]. ASHA Practice Policy. Rockville: American Speech-Language-Hearing Association; c2005 [citado em 2020 Nov]. Disponível em: https://www.asha.org/policy
- Andrade AN, Gil D, Iório MCM. Benchmarks for the dichotic sentence identification test in Brazilian Portuguese for ear and age. Braz J Otorhinolaryngol. 2015;81(5):459-65. http://dx.doi.org/10.1016/j.bjorl.2015.07.003 PMid:26277591.
- AAA: American Academy of Audiology [Internet]. Diagnosis, treatment and management of children and adults with central auditory processing disorder. Clinical practice guidelines. Reston: American Academy of Audiology; 2010 [citado em 2021 Jun]. Disponível em: https://audiology-web.s3.amazonaws.com/migrated/CAPD%20Guidelines%208-2010.pdf_539952af956c79.73897613.pdf
- Roup CM, Leigh ED. Individual differences in behavioral and electrophysiological measures of binaural processing across the adult life span. Am J Audiol. 2015;24(2):204-15. http://dx.doi.org/10.1044/2015_AJA-14-0017 PMid:25651479.
- Kimura D. From ear to brain. Brain Cogn. 2011;76(2):214-7. http://dx.doi.org/10.1016/j.bandc.2010.11.009 PMid:21236541.
- D’Anselmo A, Marzoli D, Brancucci A. The influence of memory and attention on the ear advantage in dichotic listening. Hear Res. 2016;342:144-9. http://dx.doi.org/10.1016/j.heares.2016.10.012 PMid:27770621.
- Westerhausen R. A primer on dichotic listening as a paradigm for the assessment of hemispheric asymmetry. Laterality. 2019;24(6):740-71. http://dx.doi.org/10.1080/1357650X.2019.1598426 PMid:30922169.
- Costa MJ, Santos SN. Development of the Brazilian Portuguese dichotic sentence lists test. Audiol Commun Res. 2016;21(1):1-8.
- Lloyd LL, Kaplan H. Audiometric interpretation: a manual of basic audiometry. Baltimore: University Park Press; 1978.
- Costa MJ, Santos SN, Schochat E. Dichotic sentence identification test in Portuguese: a study in young adults. Braz J Otorhinolaryngol. 2021;87(4):478-85. http://dx.doi.org/10.1016/j.bjorl.2020.11.018 PMid:33461909.
- Ferreira GC, Costa MJ. Variability of the dichotic sentence test in the normal hearing adults test and retest. CoDAS. 2020;32(3):e20190040. http://dx.doi.org/10.1590/2317-1782/20202019040 PMid:32609223.
- Bless JJ, Westerhausen R, von Koss Torkildsen J, Gudmundsen M, Kompus K, Hugdahl K. Laterality across languages: results from a global dichotic listening study using a smartphone application. Laterality. 2015;20(4):434-52. http://dx.doi.org/10.1080/1357650X.2014.997245 PMid:25588000.
- Musiek FE, Weihing J. Perspectives on dichotic listening and the corpus callosum. Brain Cogn. 2011;76(2):225-32. http://dx.doi.org/10.1016/j.bandc.2011.03.011 PMid:21531063.
- Westerhausen R, Kompus K. How to get a left-advantage: a technical review of assessing brain asymmetry with dichotic listening. Scand J Psychol. 2018;59(1):66-73. http://dx.doi.org/10.1111/sjop.12408 PMid:29356005.
- Fifer RC, Jerger JF, Berlin CI, Tobey EA, Campbell JC. Development of a dichotic sentence identification test for hearing-impaired adults. Ear Hear. 1983;4(6):300-5. http://dx.doi.org/10.1097/00003446-198311000-00007 PMid:6653934.
- Babkoff H, Fostick L. Age-related changes in auditory processing and speech perception: cross-sectional and longitudinal analyses. Eur J Ageing. 2017;14(3):269-81. http://dx.doi.org/10.1007/s10433-017-0410-y PMid:28936137.
- Spajdel M. Brain asymmetry for verbal stimuli in relation to dichotic listening performance, verbal and nonverbal intellectual abilities. Act Nerv Super Rediviva. 2017;59(1):33-7.
- Andrade AN, Rocha JGM, Iório MCM, Gil D. Influence of the age, level of schooling and gender on the occurrence of the DSI test pauses. CoDAS. 2018;30(5):e20170286. PMid:30304129.
- Hugdahl K, Westerhausen R. Speech processing asymmetry revealed by dichotic listening and functional brain imaging. Neuropsychologia. 2016;93(Pt B):466-81. http://dx.doi.org/10.1016/j.neuropsychologia.2015.12.011 PMid:26706774.
- Cameron S, Glyde H, Dillon H, Whitfield J, Seymour J. The Dichotic Digits difference Test (DDdT): development, normative data, and test-retest reliability studies part 1. J Am Acad Audiol. 2016;27(6):458-69. http://dx.doi.org/10.3766/jaaa.15084 PMid:27310404.
- Frascá MFSS, Lobo IFN, Schochat E. Processamento auditivo em teste e reteste: confiabilidade da avaliação. Rev Soc Bras Fonoaudiol. 2011;16(1):42-8. http://dx.doi.org/10.1590/S1516-80342011000100009
- Alexandre NMC, Gallasch CH, Lima MHM, Rodrigues RCM. A confiabilidade no desenvolvimento e avaliação de instrumentos de medida na área da saúde. Rev Eletr Enf. 2013;15(3):802-9. http://dx.doi.org/10.5216/ree.v15i3.20776
- Bhat M, Palaniswamy HP, Varsha U, Krishna Y. Development and validation of an automated dichotic double word test in Indian English using MATLAB. Int J Pediatr Otorhinolaryngol. 2021;144:110697. http://dx.doi.org/10.1016/j.ijporl.2021.110697 PMid:33799101.
- Hiscock M, Kinsbourne M. Attention and the right-ear advantage: what is the connection? Brain Cogn. 2011;76(2):263-75. http://dx.doi.org/10.1016/j.bandc.2011.03.016 PMid:21507543.
Facebook
Google+
Twitter
LinkedIn
Mendeley
StumbleUpon
CiteULike
Reddit
Email