Hearing and cognitive decline in aging differentially impact neural tracking of context-supported versus random speech across linguistic timescales
Bibliographic record
Abstract
Cognitive decline and hearing loss are common in older adults and often co-occur while investigated separately, affecting the neural processing of speech. This study investigated the interaction between cognitive decline, hearing loss, and contextual cues in speech processing. Participants aged 60 years and older were assessed for cognitive decline using the Montreal Cognitive Assessment and for hearing ability using a four-frequency pure tone average. They listened to in-house–designed matrix-style sentences that either provided supportive context or were random, while we recorded their electroencephalography. Neurophysiological responses were analyzed through auditory evoked potentials and speech tracking at different linguistic timescales (i.e., phrase, word, syllable and phoneme rate) using phase-locking values. The results showed that cognitive decline was associated with decreased response accuracy in a speech recognition task. Cognitive decline significantly impacted the P2 component of auditory evoked potentials, while hearing loss influenced speech tracking at the word and phoneme rates, but not at the phrase or syllable rates. Contextual cues enhanced speech tracking at the syllable rate. These findings suggest that cognitive decline and hearing loss differentially affect the neural mechanisms underlying speech processing, with contextual cues playing a significant role in enhancing syllable rate tracking. This study emphasises the importance of considering both cognitive and auditory factors when studying speech processing in older people and highlights the need for further research to investigate the interplay between cognitive decline, hearing loss and contextual cues in speech processing.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.001 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.001 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".