跳到主要內容

臺灣博碩士論文加值系統

(3.236.28.137) 您好!臺灣時間:2021/07/25 20:25
字體大小: 字級放大   字級縮小   預設字形  
回查詢結果 :::

詳目顯示

: 
twitterline
研究生:招婷
研究生(外文):ting chiu
論文名稱:成人之年齡與性別於聽覺中潛時反應之表現
論文名稱(外文):The gender effect of AMLR in young and older adults
指導教授:羅意琪羅意琪引用關係
指導教授(外文):yi chi lo
學位類別:碩士
校院名稱:國立高雄師範大學
系所名稱:聽力學與語言治療研究所
學門:醫藥衛生學門
學類:復健醫學學類
論文種類:學術論文
論文出版年:2015
畢業學年度:103
語文別:中文
論文頁數:71
中文關鍵詞:聽覺中潛時反應年輕族群年長族群性別差異
相關次數:
  • 被引用被引用:0
  • 點閱點閱:430
  • 評分評分:
  • 下載下載:54
  • 收藏至我的研究室書目清單書目收藏:1
年齡增長與性別差異會影響行為聽力檢查和中樞聽覺處理測驗的結果,這些因素同樣會影響聽覺中潛時反應的表現,但少有研究同時探討年齡與性別在聽覺中潛時反應之交互關係。本研究的目的是了解年齡效應和性別效應對於聽覺中潛時反應之影響,並探討年長者的聽覺潛時反應在不同性別之表現。
研究對象為18位年齡介於20-35歲的年輕受試者以及18位年齡介於60-75歲的年長受試者,每個年齡層包含了9 位男性與9位女性,年輕組與年長組其雙耳的平均聽覺閾值皆小於20 dB HL。受試者分別在左耳與右耳聆聽每秒1.1次且音量為65 dBnHL的疏波滴答音。
研究結果顯示Pa振幅於年齡效應達顯著水準(F=4.243, p<.05),Pb振幅在年齡效應雖然無顯著差異,但描述統計的數值顯示年長者的Pb振幅比年輕受試者小;Pa與Pb振幅的性別效應都沒有達顯著水準,但Pa和Pb振幅都呈現女性比男性者大的趨勢;年長者女性左耳與右耳的Pa振幅差異,明顯較年長男性大,而年輕女性與男性的Pa振幅差異並不明顯,另外年長者Pb振幅僅在左耳呈現性別差異。
由於中樞聽覺系統的抑制功能退化,所以老年人Pa振幅比年輕人的大,而老年人的Pb振幅卻比年輕人小則支持了Pa與Pb反應波來自不同神經起源的論點,另外女性的Pa和Pb振幅呈現比男性的Pa和Pb振幅大的趨勢。Pa振幅於年長族群的性別差異比年輕族群的性別差異明顯,Pb振幅僅在年長族群的左耳呈現明顯的性別差異,與年長女性的右耳優勢較年長男性的右耳優勢明顯有關係。

Abstract
The advancing age and gender could be the factors that affect the results of behavioral and central auditory processing tests, but there is less attention in the literature of AMLR to the interaction between the aging effect and gender differences. The purpose of this study is to investigate the gender effect of AMLR young and older adults. The total thirty-six young and older healthy normal-hearing adults participated in this study. The AMLRs were conducted by the rarefaction clicks at slower rate that were presented at intensity of 65 dBnHL in the monaural mode.
The amplitude of Pa was significantly larger in the older adults than in young adults, while Pb amplitude reduced with age. The enhancement of Pa amplitude reflects the deficits of the inhibition in central nervous system. The effect of aging in Pa and Pb amplitudes are given evidence that the neural generator of Pa is different from the generator of Pb.
The effect of gender did not show a significant effect on the Pa and Pb amplitudes, but a tendency to larger Pa and Pb amplitudes were observed in females. The gender difference of Pa amplitude was more pronounced for the older adults than for the young adults, however, an apparent gender difference in Pb amplitude was only observed in older adults, when the stimuli was presented in the left ears. The gender differences was more significant in older adults that might due to the asymmetrical interhemisphere transfer functions in elderly.
目錄
第一章 緒論 1
第一節 研究動機 1
第二節 研究目的與特答問題 5
第二章 文獻探討 6
第一節 行為聽力檢查在不同年齡和性別的表現 6
第二節 聽覺中潛時尚反應之應用與各種因素 12
第三節 年長者的聽覺中潛時反應表現 21
第四節 聽覺中潛時反應的性別差異 25
第三章 研究方法 27
第一節 研究對象 27
第二節 研究流程 29
第三節 施測工具 32
第四節 資料分析 33
第四章 研究結論與討論 35
第一節 受試者基本資料與純音聽覺閾值 35
第二節 年齡效應對聽覺中潛時反應的影響 45
第三節 性別效應對聽覺中潛時反應的影響 49
第四節 性別效應於聽覺中潛時反應振幅之描述性統計分析 53
第五章 結論與建議 57
第一節 結論 57
第二節 研究建議 59
參考文獻 61
附錄 68

表次
表 4-1-1 各組受試者之人數、平均年齡、平均純音聽覺閾值與標準 差……………………………………………………………………………………36
表 4-1-2 左耳聽覺中潛時反應各成分潛時之平均值與標準差……….41
表 4-1-3 右耳聽覺中潛時反應各成分潛時之平均值與標準差……….41
表 4-1-4 左耳聽覺中潛時反應各成分振幅之平均值與標準差……….42
表 4-1-5 右耳聽覺中潛時反應各成分振幅之平均值與標準差……….42
表 4-1-6 耳朵、年齡、與性別影響聽覺中潛時振幅之二因子獨立(年齡、性別)及一因子相依(耳朵)的三因子混合變異數分析……………………………………………………………………………………44
表 4-2-1 年輕組與年長組之Pa平均振幅和標準差……………………….45
表 4-2-2 年齡與性別影響Pa振幅之二因子獨立(年齡、性別)變異數分析…………………………………………………………………………….46
表 4-2-3年輕組與年長組之Pb平均振幅和標準差…………………………46
表 4-2-4年齡與性別影響Pb振幅之二因子獨立(年齡、性別)變異分析………………………………………………………………………………….47
表 4-3-1 男性與女性之Pa和Pb平均振幅和標準差………………………49

圖次

圖 4-1 各組受試者右(A)、左(B)耳之各個頻率的平均純音聽覺閾值..37
圖 4-2 各組受試者之聽覺中潛時反應波形…………………………………...39
圖 4-3 各組於左耳之聽覺中潛時反應振幅平均值…………………………56
圖 4-4 各組於右耳之聽覺中潛時反應振幅平均值…………………………56

附錄次
附錄一 個案史、中耳功能及純音聽力檢查紀錄……………………68
附錄二 簡易心智量表…………………………………………………70
附錄三 參與研究同意書………………………………………………71


Amenedo, E., & Diaz F. (1998). Effects of aging on middle-latency auditory evoked potentials: a cross-sectional study. Biological Psychiatry,13, 210-19.
Azumi, T., Nakashima, K., &Takahashi, K. (1995).Aging effects on auditory middle latency response.Electromyography and Clinical Neurophysiology, 35, 397-401.
Baez-Martin, M. M., & Cabrera, A. I. (2003). Variations related to age and gender in the auditory middle-latency response. Archivos deNeurociencias(Mexico, D. F.), 8 (4), 172-179
Bellis, J. T., & Wilber, L. A. (2001). Effects of aging and gender on interhemispheric function.Journal of Speech, Language and Hearing Research, 44, 246-263.
Borgmann, C., Ross, B., Draganova, R., &Pantev, C. (2001). Human auditory middle latency responses: influence of stimulus types and intensity. Hearing Research, 158, 57-64.
Cacace, A. T., Satya-Murti, S., &Wolpaw, J. R. (1990). Human middle-latency auditory evoked potemtials: vertex and temporal components. Electroencephalography and Clinical Neurophysiology, 77, 6-18.
Chambers, R.D., & Griffiths, S.K. (1991). Effects of age on the adult auditory middle latency response. Hearing Research, 51, 1-10.

Chambers, R. D. (1992). Differential age effect for components of the adult auditory middle latency response.Hearing Research, 58, 123-131.
Clementz, B., Geyer, M. A., & Braff, D. L. (1998). Poor P50 suppression among Schizophrenia patients and their first degree biological relatives. The American Journal of Psychiatry, 155, 1691-1694.
Cowell, P. E., Turetsky, B. I., Gur, R. C., Grossman, R. I., Shtasel, D. L., &Gur, E. G. (1994). Sex differences in aging of the human frontal and temporal lobes. The Journal of Neuroscience, 14, 4748-4755.
Dubno, J. R., Lee, F. S., Mattews, L. J., &Mills, J. H. (1997). Age-related and gender-related changes in monaural speech recognition.Journal of Speech, Language, and Hearing Research, 40, 444-252.
Dustman, R. E., & Shearer, D. E. (1987).Electrophysiological evidence for central inhibitory deficits in old age.Electroencephalography and Clinical Neurophysiology Supplement, 39, 408-412.
Erwin, R., & Buchwald, J. S. (1986a). Midlatency auditory evoked responses: differential recovery cycle characteristics.Electroencephalography and Clinical Neurophysiology, 64, 417-423.
Erwin, R., & Buchwald, J. S. (1986b). Midlatency auditory evoked responses: Differential effects of sleep in the human. Electroencephalography and Clinical Neurophysiology, 65, 383-392.
Gates, G. A., Cooper, J. C., Kannel, W. B., & Miller N. J. (1990). Hearing in the elderly: the Framingham Cohort, 1983-1985 Part I. Basic audiometric test results. Ear and Hearing, 11, 247-256.
Goycoolea, M. V., Goycoolea, H. G., Farfan, C.R., &Rodriguez, L. G., Martinez, G. C.,&Vidal, R. (1986).Effect of life in industrialised societies on hearing in natives of Easter Island. Laryngoscope, 96, 1391-1396.
Hall, J. W. (2007). Auditory middle-latency response.In New Handbook of Auditory Evoked Responses (pp.441-487). Boston, MA: Pearson Education.
Helfer, K. S. (2001). Gender, age, and hearing.Seminars in Hearing, 22(3), 271-86.
Jerger, J., Chmiel, R., Allen, J., &Wilson, A. (1994). Effects of age and gender on dichotic sentence identification. Ear and Hearing, 15, 274-286.
Jerger, J., Oliver, T., & Chmiel, R. (1988). Auditory middle latency response: a perspective. Seminars in Hearing, 9, 75-86.
Kelly-Ballweber, D., & Dobie, R. (1984). Binaural interaction measured behaviorally and electrophysiologically in young and old adults. Audiology, 23, 181-194.


Kileny, P., Paccioretti, D., & Wilson, A. F. (1987). Effects of cortical lesions on middle –latency auditory evoked responses (MLR). Electroencephalography and Clinical Neurophysiology, 66, 108-120.
Kim, S.H., Lim, E. J., Kim, H. S., Park, J. H., Jamg, S. S., & Lee, S. H. (2010). Sex differences in a cross sectional study of age-related hearing loss in Korean.Clinical and Experimental Otorhinolaryngology, 3(1), 27-30.
Kraus, N., McGee, T., &Comperatore, C. (1989).MLRs in children are consistently present during wakefulness, stage 1, and REM sleep. Ear and Hearing, 10, 339-345.
Kraus, N., & McGee, T. (1990). Clinical applications of the middle latency response.Journal of the American Academy Audiology, 1, 130-133.
Kraus, N., Ozdamar, O., Hier, D., &Stein, L. (1982).Auditory middle latency responses (MLRs) in patients with cortical lesions.Electroencephalograohy and clinical neurophysiology, 54, 275-287.
Kraus, N., Reed, N., Smith, D. I., Stein, L., &Cartee, C. (1987). High-pass filter settings affect the detectability of MLRs in humans. Electroencephalograohy and clinical neurophysiology, 63, 234-236.
Lee, F. S., Matthews, L. J., Dubno, J. R., & Mills, J. H. (2005). Longitudinal study of pure tone thresholds in older persons.Ear and Hearing, 26, 1-11.
Lin, C. Y., Yang, Y. C., Guo, Y. L., Wu, C. H., Chang, C. J., & Wu, J. L. (2007). Prevalence of hearing impairment in an adult population in southern Taiwan.International Journal of Audiology, 46, 732-737.
McFadden, D. (1998). Sex differences in the auditory system. Developmental Neuropsychology, 14, 261-298.
Nelson, M. D., Hall, J. W.,& Jacobson, G. P. (1997). Factors affecting the recordability of auditory evoked response component Pb (P1). Journal of the American Academy Audiology, 8, 89-99.
Neves, F. I., Goncalves, C. I., Letie, A. R., Magliaro, C. F., & Matas, G. C. (2007). Middle latency response study of auditory evoked potentials’ amplitudes and latnecies audiologically normal individuals. Brazilian Journal of Otorrinolaryngology,73, 75-80.
Pearson, J.D., Morrell, C.H., Gordon-Salant, S., Brant, L.J., Metter, E.J., Klein, L. L., & Fozard, J. L. (1995). Gender differences in a longitudinal study of age-associated hearing loss. Journal of the American Academy Audiology, 97(2), 196-205.
Pfefferbaum, A., Ford, J. M., Roth, W. T., Hopkins, W. F., & Kopell, B. S. (1979). Event-related potential changes in healthy aged females.Electroencephalograohy and clinical neurophysiology, 46, 81-86.


Philips, N. A., Connolly, J. F., Mate-Kole, C. C., & Gray, J. (1997). Individual differences in auditory middle latency responses in elderly adults and patient with Alzheimer’s disease.International Journal of Psychophysiology, 27, 125-136.
Psillas, G., & Daniilidis, J. (2003). Low-frequency hearing assessment by middle latency responses in children with pervasive developmental disorder.International Journal of Pediatric Otorhinolaryngology, 67(6), 613-619.
Roup, C. M., Wiley, T. L., Safady, S. H., & Stoppenbach, D. T. (1998).Tympanometric screening norms for adults.American Journal of Audiology, 7, 1-6.
Electroencephalograohy and Clinical Neurophysiology, 56, 443-453.
Toyoda, K., Ibayashi, S., Yamamoto, T., Kuwabara, Y., & Fujishima, M. (1998). Auditory evoked neuromagnetic response in cerebrovascular diseases: a preliminary study. Journal of Neurology, Neurosurgery, and Psychiatry, 64 (6), 777-784.
Tucker, D. A., Dietrich, S., Harris, S., & Pelletoer, S.(2002).Effects of stimulus rate and gender on the auditory middle latency response.Journal of the American Academy Audiology, 13, 146-153.
Wiley, T. L., Cruickshanks, K. J., Nondahl, D. M., Tweed, T. S., Klein, R., & Klein, B. E. (1998).Aging and word recognition in competing message.Journal of the American Academy Audiology, 9(3), 191-198.
Woods, D. L., Alain, C., Covarrubias, D., &Zaidel, O. (1995). Middle latency auditory evoked potentials to tones of different frequency. Hearing Research, 85, 69-75.
Woods, D. L., & Clayworth, C. C. (1986). Age-related changes in human middle latency auditory evoked potentials. Electroencephalograohy and Clinical Neurophysiology, 65, 297-303.
Yamada, T., Nkamura, A., Horibe, K., Washimi, Y., Bundo, M., Kato, t., Ito, K., Kachi, T., & Sobue, G. (2003). Asymmetrical enhancement of middle-latency auditory evoked fields with aging. Neuroscience Letters, 337(1), 21-24.

連結至畢業學校之論文網頁點我開啟連結
註: 此連結為研究生畢業學校所提供,不一定有電子全文可供下載,若連結有誤,請點選上方之〝勘誤回報〞功能,我們會盡快修正,謝謝!
QRCODE
 
 
 
 
 
                                                                                                                                                                                                                                                                                                                                                                                                               
第一頁 上一頁 下一頁 最後一頁 top
1. 林天祐 (2005)。教師行動研究準則:普及化的基石。學校行政雙月刊,35,
2. 丘愛鈴(2009)。國小綜合活動領域創意課程與教學設計之分析-以全國創意教學獎優等方案為例。課程與教學季刊,12(4),191~222。
3. 黃義良(2002)。學校與社區資源的合作教學模式探討。學校行政,21,64-77。
4. 方德隆(2001)。學校本位課程發展的理論基礎。課程與教學,4(2),24-153
5. 陳美芳(2008)。深度休閒中志願服務的實質效益。休閒運動期刊,7,109-116。
6. 劉國兆(2003)。 國民小學運用社區教學資源之研究-以無尾港水鳥保護區及關渡自然公園為例。學校行政,27,117-136。
7. 黃春枝(2006)。大學生社區服務態度之研究。教育與心理研究,29(2),291-318。
8. 黃政傑(1996)。重建學校與社區的教育關係。桃縣文教,3,16-18。
9. 游家政(1997)。社區資源在教學上的運用。國教園地,59/60,63-69。
10. 翁振益、林若慧和吳芳儀(2006)。認真休閒者之動機、承諾與休閒結果關係之研究-以非營利組織志工爲例。戶外遊憩研究,19(1),77-100。
11. 林鉦棽(2004)。休閒旅館業從業人員的組織公正、組織信任與組織公民行為關係:社會交換理論觀點的分析。中華管理學報,5(1),191-112。
12. 林宜諄(2005)。台灣最需要的獎/2005第一屆遠見雜誌企業社會責任獎。遠見雜誌第227期。取自:http://www.gvm.com.tw/Boardcontent_10892_1.html
13. 簡茂發(1993)。測驗的編製。測驗統計年刊,1,13-32。
14. 陳炳男(2005)探討教育實務工作者的利器-教育行動研究之剖析。學校行政(38),174 -191。
15. 莊明貞(2001)。九年一貫試辦課程實施:問題與因應策略之分析。教育研究月刊,85,27-41。
 
無相關點閱論文