Psychophysical performance differences associated with auditory spatial attention in older listeners with and without hearing loss

In a busy listening environment with multiple speakers, even normal-hearing listeners may face difficulties in understanding speech (i.e., “the cocktail party problem”). Individual factors related to bottom-up and/or top-down processing difficulties may be associated with the listener’s ability to attend to speech, a key component in navigating complex acoustic environments. The present study tested listeners on a battery of psychophysical measures and compared listener performance to cortical measures (EEG) of spatial-change tuning and auditory spatial attention. The behavioral tests measured both perceptual and cognitive performance and included: frequency modulation detection, spectro-temporal modulation sensitivity, spatial release from masking, temporal gap detection, auditory and non-auditorysustained attention, and visuo-spatial problem solving. The EEG paradigm tested the listener’s ability to attend to moving speech in quiet or background babble in the free field. Older listeners with and without hearing loss (n = 20 per group) demonstrated wide individual performance for some measures and significant correlations between behavioral thresholds and cortical responses, consistent with a more refined view of age-related hearing loss and a need for a more holistic approach in diagnoses for individuals beyond standard clinical tests. [Work supported by NIH R21DC017832.]