Language and executive functioning in young adults with Down syndrome.

BACKGROUND: This study examined the association between executive functioning and language in young adults with Down syndrome (DS). METHOD: Nineteen young adults with DS (aged 19-24 years) completed standardised measures of overall cognition, vocabulary, verbal fluency and executive function skills. RESULTS: Friedman's analysis of variance (χ2 (3) = 28.15, P < .001) and post hoc comparisons indicated that, on average, participants had a significantly lower overall non-verbal than verbal cognitive age equivalent and lower expressive than receptive vocabulary skills. Using Spearman correlations, performance on a verbal measure of cognition inhibition was significantly negatively related to receptive vocabulary (ρ = -.529, adjusted P = .036) and verbal fluency (ρ = -.608, adjusted P = .022). Attention was significantly positively correlated with receptive (ρ = .698, adjusted-p = .005) and expressive (ρ = .542, adjusted P = .027) vocabulary. Verbal working memory was significantly positively associated with receptive vocabulary (ρ = .585, adjusted P = .022) and verbal fluency (ρ = .737, adjusted P = .003). Finally, visuospatial working memory was significantly associated with receptive vocabulary (ρ = .562, adjusted P = .027). CONCLUSIONS: Verbal and non-verbal measures of executive functioning skills had important associations with language ability in young adults with DS. Future translational research is needed to investigate causal pathways underlying these relationships. Research should explore if interventions aimed at increasing executive functioning skills (e.g. attention, inhibition and working memory) have the potential to lead to increases in language for young adults with DS.

Neural correlates of the precedence effect in the inferior colliculus: effect of localization cues.

The precedence effect (PE) is an auditory phenomenon involved in suppressing the perception of echoes in reverberant environments, and is thought to facilitate accurate localization of sound sources. We investigated physiological correlates of the PE in the inferior colliculus (IC) of anesthetized cats, with a focus on directional mechanisms for this phenomenon. We used a virtual space (VS) technique, where two clicks (a "lead" and a "lag") separated by a brief time delay were each filtered through head-related transfer functions (HRTFs). For nearly all neurons, the response to the lag was suppressed for short delays and recovered at long delays. In general, both the time course and the directional patterns of suppression resembled those reported in free-field studies in many respects, suggesting that our VS simulation contained the essential cues for studying PE phenomena. The relationship between the directionality of the response to the lead and that of its suppressive effect on the lag varied a great deal among IC neurons. For a majority of units, both excitation produced by the lead and suppression of the lag response were highly directional, and the two were similar to one another. For these neurons, the long-lasting inhibitory inputs thought to be responsible for suppression seem to have similar spatial tuning as the inputs that determine the excitatory response to the lead. Further, the behavior of these neurons is consistent with psychophysical observations that the PE is strongest when the lead and the lag originate from neighboring spatial locations. For other neurons, either there was no obvious relationship between the directionality of the excitatory lead response and the directionality of suppression, or the suppression was highly directional whereas the excitation was not, or vice versa. For these neurons, the excitation and the suppression produced by the lead seem to depend on different mechanisms. Manipulation of the directional cues (such as interaural time and level differences) contained in the lead revealed further dissociations between excitation and suppression. Specifically, for about one-third of the neurons, suppression depended on different directional cues than did the response to the lead, even though the directionality of suppression was similar to that of the lead response when all cues were present. This finding suggests that the inhibitory inputs causing suppression may originate in part from subcollicular auditory nuclei processing different directional cues than the inputs that determine the excitatory response to the lead. Neurons showing such dissociations may play an important role in the PE when the lead and the lag originate from very different directions.

Spatial unmasking of nearby speech sources in a simulated anechoic environment.

Spatial unmasking of speech has traditionally been studied with target and masker at the same, relatively large distance. The present study investigated spatial unmasking for configurations in which the simulated sources varied in azimuth and could be either near or far from the head. Target sentences and speech-shaped noise maskers were simulated over headphones using head-related transfer functions derived from a spherical-head model. Speech reception thresholds were measured adaptively, varying target level while keeping the masker level constant at the "better" ear. Results demonstrate that small positional changes can result in very large changes in speech intelligibility when sources are near the listener as a result of large changes in the overall level of the stimuli reaching the ears. In addition, the difference in the target-to-masker ratios at the two ears can be substantially larger for nearby sources than for relatively distant sources. Predictions from an existing model of binaural speech intelligibility are in good agreement with results from all conditions comparable to those that have been tested previously. However, small but important deviations between the measured and predicted results are observed for other spatial configurations, suggesting that current theories do not accurately account for speech intelligibility for some of the novel spatial configurations tested.

Investigation of the relationship among three common measures of precedence: fusion, localization dominance, and discrimination suppression.

Listeners have a remarkable ability to localize and identify sound sources in reverberant environments. The term "precedence effect" (PE; also known as the "Haas effect," "law of the first wavefront," and "echo suppression") refers to a group of auditory phenomena that is thought to be related to this ability. Traditionally, three measures have been used to quantify the PE: (1) Fusion: at short delays (1-5 ms for clicks) the lead and lag perceptually fuse into one auditory event; (2) Localization dominance: the perceived location of the leading source dominates that of the lagging source; and (3) Discrimination suppression: at short delays, changes in the location or interaural parameters of the lag are difficult to discriminate compared with changes in characteristics of the lead. Little is known about the relation among these aspects of the PE, since they are rarely studied in the same listeners. In the present study, extensive measurements of these phenomena were made for six normal-hearing listeners using 1-ms noise bursts. The results suggest that, for clicks, fusion lasts 1-5 ms; by 5 ms most listeners hear two sounds on a majority of trials. However, localization dominance and discrimination suppression remain potent for delays of 10 ms or longer. Results are consistent with a simple model in which information from the lead and lag interacts perceptually and in which the strength of this interaction decreases with spatiotemporal separation of the lead and lag. At short delays, lead and lag both contribute to spatial perception, but the lead dominates (to the extent that only one position is ever heard). At the longest delays tested, two distinct sounds are perceived (as measured in a fusion task), but they are not always heard at independent spatial locations (as measured in a localization dominance task). These results suggest that directional cues from the lag are not necessarily salient for all conditions in which the lag is subjectively heard as a separate event.

Failure to unlearn the precedence effect.

Studies of the precedence effect using two binaural clicks have shown that listeners' ability to discriminate changes in the interaural time difference (ITD) of the lagging click is much poorer than that for the leading click [e.g., Zurek, J. Acoust. Soc. Am. 67, 952-964 (1980)]. This difference is thought to reflect an auditory process that suppresses directional information from the lagging sound and attributes greater perceptual weight to directional information contained in the leading one. A report by Saberi and Perrott [J. Acoust. Soc. Am. 87, 1732-1737 (1990)] suggested that listeners can "unlearn" this suppression of the lag's directional information after training with an adaptive psychophysical procedure involving 100 reversals and extremely small step sizes. Here, an attempt was made to find a similar effect using psychophysical procedures that are more common to precedence studies. Eight subjects were rigorously trained on the precedence task using either a blocked procedure or an adaptive procedure to vary ITD. Listeners showed no sign of unlearning. After 9-31 h of participating in the task, all subjects maintained high lag just-noticeable differences (jnd's) and low single source jnd's. This failure to train away the precedence effect (as manifested in discrimination suppression) suggests that directional information contained in the lagging source is not easily accessed. Several possible explanations for the discrepancies between the present study and Saberi and Perrott's finding are discussed.

The precedence effect.

In a reverberant environment, sounds reach the ears through several paths. Although the direct sound is followed by multiple reflections, which would be audible in isolation, the first-arriving wavefront dominates many aspects of perception. The "precedence effect" refers to a group of phenomena that are thought to be involved in resolving competition for perception and localization between a direct sound and a reflection. This article is divided into five major sections. First, it begins with a review of recent work on psychoacoustics, which divides the phenomena into measurements of fusion, localization dominance, and discrimination suppression. Second, buildup of precedence and breakdown of precedence are discussed. Third measurements in several animal species, developmental changes in humans, and animal studies are described. Fourth, recent physiological measurements that might be helpful in providing a fuller understanding of precedence effects are reviewed. Fifth, a number of psychophysical models are described which illustrate fundamentally different approaches and have distinct advantages and disadvantages. The purpose of this review is to provide a framework within which to describe the effects of precedence and to help in the integration of data from both psychophysical and physiological experiments. It is probably only through the combined efforts of these fields that a full theory of precedence will evolve and useful models will be developed.

Receptive fields and binaural interactions for virtual-space stimuli in the cat inferior colliculus.

Sound localization depends on multiple acoustic cues such as interaural differences in time (ITD) and level (ILD) and spectral features introduced by the pinnae. Although many neurons in the inferior colliculus (IC) are sensitive to the direction of sound sources in free field, the acoustic cues underlying this sensitivity are unknown. To approach this question, we recorded the responses of IC cells in anesthetized cats to virtual space (VS) stimuli synthesized by filtering noise through head-related transfer functions measured in one cat. These stimuli not only possess natural combinations of ITD, ILD, and spectral cues as in free field but also allow precise control over each cue. VS receptive fields were measured in the horizontal and median vertical planes. The vast majority of cells were sensitive to the azimuth of VS stimuli in the horizontal plane for low to moderate stimulus levels. Two-thirds showed a "contra-preference" receptive field, with a vigorous response on the contralateral side of an edge azimuth. The other third of receptive fields were tuned around a best azimuth. Although edge azimuths of contra-preference cells had a broad distribution, best azimuths of tuned cells were near the midline. About half the cells tested were sensitive to the elevation of VS stimuli along the median sagittal plane by showing either a peak or a trough at a particular elevation. In general receptive fields for VS stimuli were similar to those found in free-field studies of IC neurons, suggesting that VS stimulation provided the essential cues for sound localization. Binaural interactions for VS stimuli were studied by comparing responses to binaural stimulation with responses to monaural stimulation of the contralateral ear. A majority of cells showed either purely inhibitory (BI) or mixed facilitatory/inhibitory (BF&I) interactions. Others showed purely facilitatory (BF) or no interactions (monaural). Binaural interactions were correlated with azimuth sensitivity: most contra-preference cells had either BI or BF&I interactions, whereas tuned cells were usually BF. These correlations demonstrate the importance of binaural interactions for azimuth sensitivity. Nevertheless most monaural cells were azimuth-sensitive, suggesting that monaural cues also play a role. These results suggest that the azimuth of a high-frequency sound source is coded primarily by edges in azimuth receptive fields of a population of ILD-sensitive cells.

Speech intelligibility and localization in a multi-source environment.

Natural environments typically contain sound sources other than the source of interest that may interfere with the ability of listeners to extract information about the primary source. Studies of speech intelligibility and localization by normal-hearing listeners in the presence of competing speech are reported on in this work. One, two or three competing sentences [IEEE Trans. Audio Electroacoust. 17(3), 225-246 (1969)] were presented from various locations in the horizontal plane in several spatial configurations relative to a target sentence. Target and competing sentences were spoken by the same male talker and at the same level. All experiments were conducted both in an actual sound field and in a virtual sound field. In the virtual sound field, both binaural and monaural conditions were tested. In the speech intelligibility experiment, there were significant improvements in performance when the target and competing sentences were spatially separated. Performance was similar in the actual sound-field and virtual sound-field binaural listening conditions for speech intelligibility. Although most of these improvements are evident monaurally when using the better ear, binaural listening was necessary for large improvements in some situations. In the localization experiment, target source identification was measured in a seven-alternative absolute identification paradigm with the same competing sentence configurations as for the speech study. Performance in the localization experiment was significantly better in the actual sound-field than in the virtual sound-field binaural listening conditions. Under binaural conditions, localization performance was very good, even in the presence of three competing sentences. Under monaural conditions, performance was much worse. For the localization experiment, there was no significant effect of the number or configuration of the competing sentences tested. For these experiments, the performance in the speech intelligibility experiment was not limited by localization ability.

Physiological studies of the precedence effect in the inferior colliculus of the cat. I. Correlates of psychophysics.

The precedence effect (PE) is experienced when two spatially separated sounds are presented with such a brief delay that only a single auditory image at or toward the location of the leading source is perceived. The responses of neurons in the central nucleus of the inferior colliculus (ICC) of cats were studied using stimuli that are known to elicit the PE, focusing on the effects of changes in stimulus conditions that a listener might encounter in a natural situation. Experiments were conducted under both free-field (anechoic chamber) and dichotic (headphones) conditions. In free field, the PE was simulated by presenting two sounds from different loudspeakers with one sound delayed relative to the other. Either click or noise stimuli (2- to 10-ms duration) were used. Dichotically, the same conditions were simulated by presenting two click or noise pairs separated by an interstimulus delay (ISD) with interaural time differences (ITDs) imposed separately for each pair. At long ISDs, all neurons responded to both leading and lagging sources as if they were delivered alone. As the ISDs were shortened, the lagging response became suppressed. The ISD of half-maximal suppression varied considerably within the population of neurons studied, ranging from 2 to 100 ms, with means of 35 and 38 ms for free field and dichotic conditions, respectively. Several correlates of psychophysical findings were observed in ICC neurons: suppression was usually stronger with lower overall stimulus level and longer duration stimuli. Suppression also was compared along the azimuth and elevation in free field by placing the lagging source at (0 degree,0 degree), which is common to both axes, and the leading sources at locations along either plane that generated similar discharge rates. All neurons that showed suppression along the azimuth also did so in the elevation. In addition, there was a high correlation in the ISD of half-maximal suppression along the two planes (r = 0.87). These findings suggest that interaural difference cues, which are robust along the horizontal axis but minimal in the median plane, are not necessary for neural correlates of the PE to be manifested. Finally, single-neuron responses did not demonstrate a correlate of build-up of suppression, a phenomenon whereby echo suppression accumulates with ongoing stimulation. This finding adds credibility to theories about the PE that argue for a "higher order" component of the PE.

Physiological studies of the precedence effect in the inferior colliculus of the cat. II. Neural mechanisms.

We studied the responses of neurons in the inferior colliculus (IC) of cats to stimuli known to evoke the precedence effect (PE). This paper focuses on stimulus conditions that probe the neural mechanisms underlying the PE but that are not usually encountered in a natural situation. Experiments were conducted under both free-field (anechoic chamber) and dichotic (headphones) conditions. We found that in free field the amount of suppression of the lagging response depended on the location of the leading source. With stimuli in the azimuthal plane, the majority (84%) of units showed stronger suppression of the lagging response for a leading stimulus placed in the cell's responsive area as compared with a lead in the unresponsive field. A smaller number of units showed stronger suppression for a lead placed in the unresponsive field, and a few showed little effect of the lead location. In the elevational plane, there was less sensitivity of the leading source to changes in location, but for those cells in which there was sensitivity, suppression was always stronger when the lead was in the cell's responsive area. Studies on stimulus locations also were conducted under dichotic conditions by varying the interaural differences in time (ITD) of the leading source. Results were consistent with those obtained in free field, suggesting that ITDs play an important role in determining the amount of suppression that was observed as a function of leading stimulus location. In addition to location and ITD, we also studied the effect of varying the relative levels of the lead and lag as well as stimulus duration. For all units studied, increasing the level of the leading stimulus while holding the lagging stimulus constant resulted in increased suppression. Similar effects of leading source level were observed in azimuth and elevation. The effect of varying the duration of the leading source also showed that longer duration stimuli produce stronger suppression; this finding was observed both in azimuth and elevation. We also compared the suppression observed under binaural and monaural contralateral conditions and found a mixed effect: some neurons show stronger suppression under binaural conditions, others to monaural contralateral conditions, and still others show no effect. The results presented here support the hypothesis that the PE reflects a long-lasting inhibition evoked by the leading stimulus. Five possible sources for the inhibition are considered: the auditory nerve, intrinsic circuits in the cochlear nucleus, medial and lateral nuclei of the trapezoid body inhibition to the medial superior olive, dorsal nucleus of the lateral lemniscus (DNLL) inhibition to the ICC, and intrinsic circuits in the ICC itself.

Physiological studies of the precedence effect in the inferior colliculus of the kitten.

The precedence effect (PE) is a perceptual phenomenon that reflects listeners' ability to suppress echoes in reverberant environments. The PE is not present at birth and appears only several months postnatal. Recent physiological studies have demonstrated correlates of the PE in the central nucleus of the inferior colliculus (ICC) of adult animals. The present study extended the same techniques to search for similar correlates in the ICC of kittens during the first postnatal month. Stimuli consisted of pairs of clicks or noise bursts presented from different locations in free field or with different inter-aural differences in time (ITD) under headphones, with an inter-stimulus-delay (ISD) between their onsets. Results suggest that a physiological correlate of the PE, i.e. suppression of responses to the second source, is present as early as 8 days postnatal, and occurs at similar ISDs to those recorded in adult cats. Suppression in kitten neurons varies with stimulus level, duration, and azimuthal position, in a similar manner to that in adult neurons. The age at which correlates of the PE in the kitten can be found precedes the age at which kittens can localize sound sources effectively, and presumably before the age at which they would demonstrate the PE behaviorally. Thus, the neural mechanisms that might be involved in the first stages of processing PE stimuli may be in place well before the behavioral correlate develops.

Developmental changes in the precedence effect: estimates of minimum audible angle.

The precedence effect refers to an auditory phenomenon which occurs when two similar sounds are presented from different locations with a brief delay, and only one sound is heard whose perceived location is dominated by the first source. Although the lagging source si not localized as an independent event, under some conditions, adults are able to extract its directional cues. Developmental studies suggest that this ability changes during the development. However, those studies have used stimulus configurations which minimize the measurement of that ability. In the present study adults were first tested under several conditions, and the one which produced optimal performance was chosen for testing children. Using the minimum audible angle (MAA) task in the azimuthal plane, performance was compared for a single-source condition and two precedence conditions: in lag discrimination the lagging source changed location while the lead remained at midline, and in lead discrimination the reverse occurred. Subjects were 18 months old, 5 years old, and adult. Significant improvements in MAA occurred with an increase in age, especially in the precedence conditions. Within each group, performance was significantly better in single-source condition, followed by the lead and the lag discrimination.

Psychophysical and physiological evidence for a precedence effect in the median sagittal plane.

A listener in a room is exposed to multiple versions of any acoustical event, coming from many different directions in space. The precedence effect is thought to discount the reflected sounds in the computation of location, so that a listener perceives the source near its true location. According to most auditory theories, the precedence effect is mediated by binaural differences. This report presents evidence that the precedence effect operates in the median sagittal plane, where binaural differences are virtually absent and where spectral cues provide information regarding the location of sounds. Parallel studies were conducted in psychophysics by measuring human listeners' performance, and in neurophysiology by measuring responses of single neurons in the inferior colliculus of cats. In both experiments the precedence effect was found to operate similarly in the azimuthal and sagittal planes. It is concluded that precedence is mediated by binaurally based and spectrally based localization cues in the azimuthal and sagittal planes, respectively. Thus, models that attribute the precedence effect entirely to processes that involve binaural differences are no longer viable.

Sound localization precision under conditions of the precedence effect: effects of azimuth and standard stimuli.

Minimum audible angles (MAAs) were estimated for single noise bursts, and for burst pairs that satisfied the conditions of the precedence effect (that is, produced fused images). In one burst-pair condition, the bursts to be discriminated differed in lead location; in the other, they differed in lag location. Sounds were presented over loudspeakers. MAAs were lowest for single bursts, slightly higher for lead discrimination, and much higher for lag discrimination. Presence of a standard reference burst had no reliable effect on performance. The data are interpreted using a model of Shinn-Cunningham et al. [J. Acoust. Soc. Am. 93, 2923-2932 (1993)] in which discrimination of precedence-effect burst pairs is based on the lateral position of the auditory image, which is a weighted average of the positions of the leading and lagging bursts.

Listeners' expectations about echoes can raise or lower echo threshold.

Echo threshold increases with exposure to redundant trains of stimuli. Three experiments were conducted to test the hypothesis that a change in the ongoing train would affect listeners' perception of the echo, but only if it signified an unusual change in room acoustics. The stimulus train was composed of 4-ms narrow-band noise bursts, with the leading sound from a loudspeaker placed 45 degrees left of midline and the lagging sound or simulated echo from 45 degrees right, delivered in an anechoic chamber. The lagging sound in the test noise, which followed the train after a 750-ms pause, came randomly from loudspeakers at 35 degrees or 55 degrees right, and the listener's task was to choose which position the echo came from on each trial. In experiment 1 the delay between onsets of the leading and lagging bursts was varied between train and test bursts, which simulated a sudden movement of the reflecting surface either toward the listener (if the delay of the test burst was shorter than the train) or away (if the delay was longer). In both cases listeners detected the echo's direction more easily, compared to trials when there was no change between train and test burst delays. In order to check whether any change between train and test bursts would increase echo discriminability, experiment 2 varied frequency and experiment 3 varied intensity. These variations were not expected to affect the echo's detectability because such changes signify that the original sound changed in these characteristics and the echo reflected these changes.(ABSTRACT TRUNCATED AT 250 WORDS)

Use of sound-pressure level in auditory distance discrimination by 6-month-old infants and adults.

Six-month-old infants have been found to respond differentially to sounding objects placed within reach and beyond reach when no visual cues were available. The goal of the present study was to investigate whether sound-pressure level (SPL) serves as an auditory cue in distance discrimination. Thirty-two 6-month-olds were presented with recordings of sounding objects first in the light at midline position, then in the dark at 45 degrees to the right and left. On half of the dark trials the object was near (15 cm), and on half it was far (100 cm). For the control group the near sound was naturally 7 dB louder than the far. The experimental group had SPL counterbalanced across near and far locations to provide an inconsistent cue. Measures of infant reaching were scored from videotape. Two groups of adults were run under similar conditions; adults were tested on reaching as well as verbal reports of distance judgment. All infants reached more for the near object, regardless of the sound's SPL, suggesting that infants did not rely on this as a major distance cue. In contrast, adults' verbal judgments of distance were based heavily on SPL, a strategy that produced higher error rates in the group with SPL counterbalanced across distance. A followup study in which adults were instructed to move their heads before judging the sound's distance did not support the hypothesis that infants' head movements were responsible for their overcoming the misleading SPL information.

Dynamic processes in the precedence effect.

Three experiments were conducted to investigate the dependence of echo suppression on the auditory stimulation just prior to a test stimulus. Subjects sat in an anechoic chamber between two loudspeakers, one which presented the "lead" sound, and the other the delayed "lag" sound. In the first experiment, subjects reported whether or not they heard an echo coming from the vicinity of the lag loudspeaker during a test click pair. In seven of nine listeners, perception of the lagging sound was strongly diminished by the presence of a train of "conditioning" clicks presented just before the test click. Echo threshold increased (subjects were less sensitive to echoes) as the number of clicks in the train increased from 3 to 17. For a fixed number of clicks, the effect was essentially independent of click rate (from 1/s through 50/s) and duration of the train (from 0.5 through 8 s). A second experiment demonstrated a similar buildup of echo suppression with white noise bursts, regardless of whether the bursts in the conditioning train were repeated samples of frozen noise, or were independent samples of noise. Using an objective procedure for measuring echo threshold, the third experiment demonstrated that both lead and lag stimuli must be presented during the conditioning train in order to produce the buildup of suppression. When only the lead sound was presented during the conditioning train, the perceptibility of the lag sound during the test burst appeared to be enhanced.

Object representation guides infants' reaching in the dark.

Infants were presented with two sounding objects of different sizes in light and dark, in which sound cued the object's identity. Reaching behavior was assessed to determine if object size influenced preparation for grasping the object. In both light and dark, infants aligned their hands when contacting the large object compared with the small object, which resulted in a reach with both hands extended for the large object and reach with one hand more extended for the small object. Infants contacted the large object more frequently on the bottom and sides rather than the top, where the sound source was located. Reaching in the dark by 6 1/2-month-olds is not merely directed toward a sound source but rather shows preparation in relation to the object's size. These findings were interpreted as evidence that mental representation of previously seen objects can guide subsequent motor action by 6 1/2-month-old infants.