Diurnal Cortisol Levels and Subjective Ratings of Effort and Fatigue in Adult Cochlear Implant Users: A Pilot Study
Purpose There is a growing body of literature that suggests a linkage between impaired auditory function, increased listening effort, and fatigue in children and adults with hearing loss. Research suggests this linkage may be associated with hearing loss-related variations in diurnal cortisol levels...
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| Veröffentlicht in: | American journal of audiology 2019-09, Vol.28 (3), p.686-696 |
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| container_title | American journal of audiology |
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| creator | Dwyer, Robert T Gifford, René H Bess, Fred H Dorman, Michael Spahr, Anthony Hornsby, Benjamin W Y |
| description | Purpose There is a growing body of literature that suggests a linkage between impaired auditory function, increased listening effort, and fatigue in children and adults with hearing loss. Research suggests this linkage may be associated with hearing loss-related variations in diurnal cortisol levels. Here, we examine variations in cortisol profiles between young adults with and without severe sensorineural hearing loss and examine associations between cortisol and subjective measures of listening effort and fatigue. Method This study used a repeated-measures, matched-pair design. Two groups (
= 8 per group) of adults enrolled in audiology programs participated, 1 group of adults with hearing loss (AHL) and 1 matched control group without hearing loss. Salivary cortisol samples were collected at 7 time points over a 2-week period and used to quantify physiological stress. Subjective measures of listening effort, stress, and fatigue were also collected to investigate relationships between cortisol levels, perceived stress, and fatigue. Results Subjective ratings revealed that AHL required significantly more effort and concentration on typical auditory tasks than the control group. Likewise, complaints of listening-related fatigue were more frequent and more of a problem in everyday life for AHL compared to the control group. There was a significant association between subjective ratings of listening effort and listening-related fatigue for our AHL, but not for the control group. In contrast, there was no significant difference in cortisol measures between groups, nor were there significant associations between cortisol and any subjective measure. Conclusions Young AHL experience more effortful listening than their normal hearing peers. This increased effort is associated with increased reports of listening-related fatigue. However, diurnal cortisol profiles were not significantly different between groups nor were they associated with these perceived differences. |
| doi_str_mv | 10.1044/2019_AJA-19-0009 |
| format | Article |
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= 8 per group) of adults enrolled in audiology programs participated, 1 group of adults with hearing loss (AHL) and 1 matched control group without hearing loss. Salivary cortisol samples were collected at 7 time points over a 2-week period and used to quantify physiological stress. Subjective measures of listening effort, stress, and fatigue were also collected to investigate relationships between cortisol levels, perceived stress, and fatigue. Results Subjective ratings revealed that AHL required significantly more effort and concentration on typical auditory tasks than the control group. Likewise, complaints of listening-related fatigue were more frequent and more of a problem in everyday life for AHL compared to the control group. There was a significant association between subjective ratings of listening effort and listening-related fatigue for our AHL, but not for the control group. In contrast, there was no significant difference in cortisol measures between groups, nor were there significant associations between cortisol and any subjective measure. Conclusions Young AHL experience more effortful listening than their normal hearing peers. This increased effort is associated with increased reports of listening-related fatigue. However, diurnal cortisol profiles were not significantly different between groups nor were they associated with these perceived differences.</description><identifier>ISSN: 1059-0889</identifier><identifier>EISSN: 1558-9137</identifier><identifier>DOI: 10.1044/2019_AJA-19-0009</identifier><identifier>PMID: 31430174</identifier><language>eng</language><publisher>United States: American Speech-Language-Hearing Association</publisher><subject>Adrenal glands ; Adult ; Adults ; Anatomical systems ; Audiology ; Autism ; Autism Spectrum Disorders ; Burnout ; Case-Control Studies ; Children ; Chronic fatigue syndrome ; Circadian Rhythm ; Cochlear Implants ; Control Groups ; Deafness - rehabilitation ; Fatigue ; Fatigue (Biology) ; Fatigue - metabolism ; Fatigue - psychology ; Female ; Glucocorticoids ; Hearing disorders ; Hearing loss ; Hormones ; Humans ; Hydrocortisone - metabolism ; Listening ; Male ; Motor Vehicles ; Physiology ; Pilot Projects ; Prostheses and implants ; Sensorineural hearing loss ; Stress, Psychological - metabolism ; Stress, Psychological - psychology ; Time ; Transplants & implants ; Young Adult ; Young adults</subject><ispartof>American journal of audiology, 2019-09, Vol.28 (3), p.686-696</ispartof><rights>COPYRIGHT 2019 American Speech-Language-Hearing Association</rights><rights>Copyright American Speech-Language-Hearing Association Sep 2019</rights><rights>Copyright © 2019 The Authors</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c522t-cc2c40353f91db5749878034634064674bda9c66f8029258dbfeb3255e1493813</citedby><cites>FETCH-LOGICAL-c522t-cc2c40353f91db5749878034634064674bda9c66f8029258dbfeb3255e1493813</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31430174$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Dwyer, Robert T</creatorcontrib><creatorcontrib>Gifford, René H</creatorcontrib><creatorcontrib>Bess, Fred H</creatorcontrib><creatorcontrib>Dorman, Michael</creatorcontrib><creatorcontrib>Spahr, Anthony</creatorcontrib><creatorcontrib>Hornsby, Benjamin W Y</creatorcontrib><title>Diurnal Cortisol Levels and Subjective Ratings of Effort and Fatigue in Adult Cochlear Implant Users: A Pilot Study</title><title>American journal of audiology</title><addtitle>Am J Audiol</addtitle><description>Purpose There is a growing body of literature that suggests a linkage between impaired auditory function, increased listening effort, and fatigue in children and adults with hearing loss. Research suggests this linkage may be associated with hearing loss-related variations in diurnal cortisol levels. Here, we examine variations in cortisol profiles between young adults with and without severe sensorineural hearing loss and examine associations between cortisol and subjective measures of listening effort and fatigue. Method This study used a repeated-measures, matched-pair design. Two groups (
= 8 per group) of adults enrolled in audiology programs participated, 1 group of adults with hearing loss (AHL) and 1 matched control group without hearing loss. Salivary cortisol samples were collected at 7 time points over a 2-week period and used to quantify physiological stress. Subjective measures of listening effort, stress, and fatigue were also collected to investigate relationships between cortisol levels, perceived stress, and fatigue. Results Subjective ratings revealed that AHL required significantly more effort and concentration on typical auditory tasks than the control group. Likewise, complaints of listening-related fatigue were more frequent and more of a problem in everyday life for AHL compared to the control group. There was a significant association between subjective ratings of listening effort and listening-related fatigue for our AHL, but not for the control group. In contrast, there was no significant difference in cortisol measures between groups, nor were there significant associations between cortisol and any subjective measure. Conclusions Young AHL experience more effortful listening than their normal hearing peers. This increased effort is associated with increased reports of listening-related fatigue. However, diurnal cortisol profiles were not significantly different between groups nor were they associated with these perceived differences.</description><subject>Adrenal glands</subject><subject>Adult</subject><subject>Adults</subject><subject>Anatomical systems</subject><subject>Audiology</subject><subject>Autism</subject><subject>Autism Spectrum Disorders</subject><subject>Burnout</subject><subject>Case-Control Studies</subject><subject>Children</subject><subject>Chronic fatigue syndrome</subject><subject>Circadian Rhythm</subject><subject>Cochlear Implants</subject><subject>Control Groups</subject><subject>Deafness - rehabilitation</subject><subject>Fatigue</subject><subject>Fatigue (Biology)</subject><subject>Fatigue - metabolism</subject><subject>Fatigue - psychology</subject><subject>Female</subject><subject>Glucocorticoids</subject><subject>Hearing disorders</subject><subject>Hearing loss</subject><subject>Hormones</subject><subject>Humans</subject><subject>Hydrocortisone - metabolism</subject><subject>Listening</subject><subject>Male</subject><subject>Motor Vehicles</subject><subject>Physiology</subject><subject>Pilot Projects</subject><subject>Prostheses and implants</subject><subject>Sensorineural hearing loss</subject><subject>Stress, Psychological - metabolism</subject><subject>Stress, Psychological - psychology</subject><subject>Time</subject><subject>Transplants & implants</subject><subject>Young Adult</subject><subject>Young adults</subject><issn>1059-0889</issn><issn>1558-9137</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNptkt1rFDEUxQdRbK2--yQBQXyZms-ZxAdhWFutLCjWPodMJrObJZOsSWah_73ZftkVycMNN79zQm5OVb1G8BRBSj9giITsvnU1EjWEUDypjhFjvBaItE_LHrLS51wcVS9S2kCIsOD4eXVEECUQtfS4Sp_tHL1yYBFitik4sDQ74xJQfgCXc78xOtudAT9Vtn6VQBjB2TgW9gY4L93VbID1oBtml4uLXjujIriYtk75DK6Siekj6MAP60IGl3kerl9Wz0blknl1V0-qq_OzX4uv9fL7l4tFt6w1wzjXWmNNIWFkFGjoWUsFbzkktCEUNrRpaT8ooZtm5BALzPjQj6YnmDGDqCAckZPq063vdu4nM2jjc1RObqOdVLyWQVl5eOLtWq7CTjYccoJgMXh_ZxDD79mkLCebtHHlZSbMSWIsIBcMtqSgb_9BN-FmsIUiiDDeEiT-UivljLR-DOVevTeVXYMYaUjDaaFO_0OVNZjJ6uDNaEv_QPDukWBtlMvr8pVztsGnQxDegjqGlKIZH4aBoNwnSt4nSpayT1SRvHk8xAfBfYTIHyCdw0M</recordid><startdate>20190901</startdate><enddate>20190901</enddate><creator>Dwyer, Robert T</creator><creator>Gifford, René H</creator><creator>Bess, Fred H</creator><creator>Dorman, Michael</creator><creator>Spahr, Anthony</creator><creator>Hornsby, Benjamin W Y</creator><general>American Speech-Language-Hearing Association</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7RV</scope><scope>7T9</scope><scope>7X7</scope><scope>7XB</scope><scope>88B</scope><scope>88E</scope><scope>88I</scope><scope>8AF</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>CJNVE</scope><scope>CPGLG</scope><scope>CRLPW</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>M0P</scope><scope>M0S</scope><scope>M1P</scope><scope>M2P</scope><scope>NAPCQ</scope><scope>PQEDU</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>S0X</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20190901</creationdate><title>Diurnal Cortisol Levels and Subjective Ratings of Effort and Fatigue in Adult Cochlear Implant Users: A Pilot Study</title><author>Dwyer, Robert T ; Gifford, René H ; Bess, Fred H ; Dorman, Michael ; Spahr, Anthony ; Hornsby, Benjamin W Y</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c522t-cc2c40353f91db5749878034634064674bda9c66f8029258dbfeb3255e1493813</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adrenal glands</topic><topic>Adult</topic><topic>Adults</topic><topic>Anatomical systems</topic><topic>Audiology</topic><topic>Autism</topic><topic>Autism Spectrum Disorders</topic><topic>Burnout</topic><topic>Case-Control Studies</topic><topic>Children</topic><topic>Chronic fatigue syndrome</topic><topic>Circadian Rhythm</topic><topic>Cochlear Implants</topic><topic>Control Groups</topic><topic>Deafness - rehabilitation</topic><topic>Fatigue</topic><topic>Fatigue (Biology)</topic><topic>Fatigue - metabolism</topic><topic>Fatigue - psychology</topic><topic>Female</topic><topic>Glucocorticoids</topic><topic>Hearing disorders</topic><topic>Hearing loss</topic><topic>Hormones</topic><topic>Humans</topic><topic>Hydrocortisone - metabolism</topic><topic>Listening</topic><topic>Male</topic><topic>Motor Vehicles</topic><topic>Physiology</topic><topic>Pilot Projects</topic><topic>Prostheses and implants</topic><topic>Sensorineural hearing loss</topic><topic>Stress, Psychological - metabolism</topic><topic>Stress, Psychological - psychology</topic><topic>Time</topic><topic>Transplants & implants</topic><topic>Young Adult</topic><topic>Young adults</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Dwyer, Robert T</creatorcontrib><creatorcontrib>Gifford, René H</creatorcontrib><creatorcontrib>Bess, Fred H</creatorcontrib><creatorcontrib>Dorman, Michael</creatorcontrib><creatorcontrib>Spahr, Anthony</creatorcontrib><creatorcontrib>Hornsby, Benjamin W Y</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Linguistics and Language Behavior Abstracts (LLBA)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Education Database (Alumni Edition)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Education Collection</collection><collection>Linguistics Collection</collection><collection>Linguistics Database</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Education Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Education</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>SIRS Editorial</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>American journal of audiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Dwyer, Robert T</au><au>Gifford, René H</au><au>Bess, Fred H</au><au>Dorman, Michael</au><au>Spahr, Anthony</au><au>Hornsby, Benjamin W Y</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Diurnal Cortisol Levels and Subjective Ratings of Effort and Fatigue in Adult Cochlear Implant Users: A Pilot Study</atitle><jtitle>American journal of audiology</jtitle><addtitle>Am J Audiol</addtitle><date>2019-09-01</date><risdate>2019</risdate><volume>28</volume><issue>3</issue><spage>686</spage><epage>696</epage><pages>686-696</pages><issn>1059-0889</issn><eissn>1558-9137</eissn><abstract>Purpose There is a growing body of literature that suggests a linkage between impaired auditory function, increased listening effort, and fatigue in children and adults with hearing loss. Research suggests this linkage may be associated with hearing loss-related variations in diurnal cortisol levels. Here, we examine variations in cortisol profiles between young adults with and without severe sensorineural hearing loss and examine associations between cortisol and subjective measures of listening effort and fatigue. Method This study used a repeated-measures, matched-pair design. Two groups (
= 8 per group) of adults enrolled in audiology programs participated, 1 group of adults with hearing loss (AHL) and 1 matched control group without hearing loss. Salivary cortisol samples were collected at 7 time points over a 2-week period and used to quantify physiological stress. Subjective measures of listening effort, stress, and fatigue were also collected to investigate relationships between cortisol levels, perceived stress, and fatigue. Results Subjective ratings revealed that AHL required significantly more effort and concentration on typical auditory tasks than the control group. Likewise, complaints of listening-related fatigue were more frequent and more of a problem in everyday life for AHL compared to the control group. There was a significant association between subjective ratings of listening effort and listening-related fatigue for our AHL, but not for the control group. In contrast, there was no significant difference in cortisol measures between groups, nor were there significant associations between cortisol and any subjective measure. Conclusions Young AHL experience more effortful listening than their normal hearing peers. This increased effort is associated with increased reports of listening-related fatigue. However, diurnal cortisol profiles were not significantly different between groups nor were they associated with these perceived differences.</abstract><cop>United States</cop><pub>American Speech-Language-Hearing Association</pub><pmid>31430174</pmid><doi>10.1044/2019_AJA-19-0009</doi><tpages>11</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; Education Source; Alma/SFX Local Collection |
| subjects | Adrenal glands Adult Adults Anatomical systems Audiology Autism Autism Spectrum Disorders Burnout Case-Control Studies Children Chronic fatigue syndrome Circadian Rhythm Cochlear Implants Control Groups Deafness - rehabilitation Fatigue Fatigue (Biology) Fatigue - metabolism Fatigue - psychology Female Glucocorticoids Hearing disorders Hearing loss Hormones Humans Hydrocortisone - metabolism Listening Male Motor Vehicles Physiology Pilot Projects Prostheses and implants Sensorineural hearing loss Stress, Psychological - metabolism Stress, Psychological - psychology Time Transplants & implants Young Adult Young adults |
| title | Diurnal Cortisol Levels and Subjective Ratings of Effort and Fatigue in Adult Cochlear Implant Users: A Pilot Study |
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