Association of Tinnitus With Speech Recognition and Executive Functions in Older Adults

Sommerhalder, Nick and Bures, Zbynek and Profant, Oliver and Kleinjung, Tobias and Neff, Patrick and Meyer, Martin (2025) Association of Tinnitus With Speech Recognition and Executive Functions in Older Adults. TRENDS IN HEARING, 29: 2331216525. ISSN 2331-2165,

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Abstract

Adults with chronic subjective tinnitus often struggle with speech recognition in challenging listening environments. While most research demonstrates deficits in speech recognition among individuals with tinnitus, studies focusing on older adults remain scarce. Besides speech recognition deficits, tinnitus has been linked to diminished cognitive performance, particularly in executive functions, yet its associations with specific cognitive domains in ageing populations are not fully understood. Our previous study of younger adults found that individuals with tinnitus exhibit deficits in speech recognition and interference control. Building on this, we hypothesized that these deficits are also present for older adults. We conducted a cross-sectional study of older adults (aged 60-79), 32 with tinnitus and 31 controls matched for age, gender, education, and approximately matched for hearing loss. Participants underwent audiometric, speech recognition, and cognitive tasks. The tinnitus participants performed more poorly in speech-in-noise and gated speech tasks, whereas no group differences were observed in the other suprathreshold auditory tasks. With regard to cognition, individuals with tinnitus showed reduced interference control, emotional interference, cognitive flexibility, and verbal working memory, correlating with tinnitus distress and loudness. It is concluded that tinnitus-related deficits persist and even worsen with age. Our results suggest that altered central mechanisms contribute to speech recognition difficulties in older adults with tinnitus.

Item Type: Article
Uncontrolled Keywords: HIDDEN HEARING-LOSS; INTENSITY DISCRIMINATION; COGNITIVE IMPAIRMENT; PERFORMANCE; PREVALENCE; DEMENTIA; IMPACT; SEVERITY; DEFICITS; YOUNG; older adults; chronic subjective tinnitus; suprathreshold audiometry; speech comprehension; cognition; executive functions
Subjects: 100 Philosophy & psychology > 150 Psychology
Divisions: Medicine > Lehrstuhl für Psychiatrie und Psychotherapie
Depositing User: Dr. Gernot Deinzer
Date Deposited: 19 May 2026 06:29
Last Modified: 19 May 2026 06:29
URI: https://pred.uni-regensburg.de/id/eprint/67458

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