Self-Rated Confidence in Vocal Emotion Recognition Ability: The Role of Gender.

PURPOSE: We studied the role of gender in metacognition of voice emotion recognition ability (ERA), reflected by self-rated confidence (SRC). To this end, we guided our study in two approaches: first, by examining the role of gender in voice ERA and SRC independently and second, by looking for gender effects on the ERA association with SRC. METHOD: We asked 100 participants (50 men, 50 women) to interpret a set of vocal expressions portrayed by 30 actors (16 men, 14 women) as defined by their emotional meaning. Targets were 180 repetitive lexical sentences articulated in congruent emotional voices (anger, sadness, surprise, happiness, fear) and neutral expressions. Trial by trial, the participants were assigned retrospective SRC based on their emotional recognition performance. RESULTS: A binomial generalized linear mixed model (GLMM) estimating ERA accuracy revealed a significant gender effect, with women encoders (speakers) yielding higher accuracy levels than men. There was no significant effect of the decoder's (listener's) gender. A second GLMM estimating SRC found a significant effect of encoder and decoder genders, with women outperforming men. Gamma correlations were significantly greater than zero for women and men decoders. CONCLUSIONS: In spite of varying interpretations of gender in each independent rating (ERA and SRC), our results suggest that both men and women decoders were accurate in their metacognition regarding voice emotion recognition. Further research is needed to study how individuals of both genders use metacognitive knowledge in their emotional recognition and whether and how such knowledge contributes to effective social communication.

How Arabic diglossia affects the performances on phonological working memory tasks: Research evidence among first graders.

The effect of bilingualism on verbal learning and memory was explored in different studies. Different researchers assume that the Arabic diglossia, represents a case of bilingualism in the lingual context. Hence, the current study aimed to investigate the impact of diglossia in Arabic on the phonological working memory among beginner readers. Forty-one Arabic first graders (M = 7.13, SD = .73) were administered three tasks of phonological working memory in two versions (i.e., spoken and standard language); Two tasks were designed to test verbal retrieval and one task was designed to test remembering of instructions. The participants showed significant diglossic differences between spoken and standard stimuli in verbal retrieval tasks while no such significant differences appeared in remembering of instructions' task, especially, when the processing demands increased. In addition, the findings may shed light on the importance of developing research tools and tasks with a higher level of sensitivity in order to examine the diglossic effect on memory functions in general and verbal working memory in particular. The results were discussed considering the impact of the Arabic diglossia on cognitive and memory processing skills.

Sentence vs. Word Perception by Young Healthy Females: Toward a Better Understanding of Emotion in Spoken Language.

Expression and perception of emotions by voice are fundamental for basic mental health stability. Since different languages interpret results differently, studies should be guided by the relationship between speech complexity and the emotional perception. The aim of our study was therefore to analyze the efficiency of speech stimuli, word vs. sentence, as it relates to the accuracy of four different categories of emotions: anger, sadness, happiness, and neutrality. To this end, a total of 2,235 audio clips were presented to 49 females, native Hebrew speakers, aged 20-30 years (M = 23.7; SD = 2.13). Participants were asked to judge audio utterances according to one of four emotional categories: anger, sadness, happiness, and neutrality. Simulated voice samples were consisting of words and meaningful sentences, provided by 15 healthy young females Hebrew native speakers. Generally, word vs. sentence was not originally accepted as a means of emotional recognition of voice; However, introducing a variety of speech utterances revealed a different perception. Thus, the emotional conveyance provided new, even higher precision to our findings: Anger emotions produced a higher impact to the single word (χ2 = 10.21, p < 0.01) as opposed to the sentence, while sadness was identified more accurately with a sentence (χ2 = 3.83, p = 0.05). Our findings resulted in a better understanding of how speech types can interpret perception, as a part of mental health.

Multiple factors are involved in the dysarthria associated with Parkinson's disease: a review with implications for clinical practice and research.

PURPOSE: Motor speech abnormalities are highly common and debilitating in individuals with idiopathic Parkinson's disease (IPD). These abnormalities, collectively termed hypokinetic dysarthria (HKD), have been traditionally attributed to hypokinesia and bradykinesia secondary to muscle rigidity and dopamine deficits. However, the role of rigidity and dopamine in the development of HKD is far from clear. The purpose of the present study was to offer an alternative view of the factors underlying HKD. METHOD: The authors conducted an extensive, but not exhaustive, review of the literature to examine the evidence for the traditional view versus the alternative view. RESULTS: The review suggests that HKD is a highly complex and variable phenomenon including multiple factors, such as scaling and maintaining movement amplitude and effort; preplanning and initiation of movements; internal cueing; sensory and temporal processing; automaticity; emotive vocalization; and attention to action (vocal vigilance). Although not part of the dysarthria, nonmotor factors, such as depression, aging, and cognitive-linguistic abnormalities, are likely to contribute to the overall speech symptomatology associated with IPD. CONCLUSION: These findings have important implications for clinical practice and research.

The effect of morphological complexity on verbal working memory: results from Arabic speaking children.

To examine the role of morphology in verbal working memory. Forty nine children, all native speakers of Arabic from the same region and of the same dialect, performed a Listening Word Span Task, whereby they had to recall Arabic uninflected words (i.e., base words), inflected words with regular (possessive) morphology, or inflected words with irregular (broken plural) morphology. Each of these words was at the end of a sentence (henceforth, target word). The participant's task was to listen to a series of sentences and then recall the target words. Recall of inflected words was significantly poorer than uninflected words, and recall of words with regular morphology was significantly poorer than recall of words with irregular morphology. These findings, albeit preliminary, suggest a role of morphology in verbal working memory. They also suggest that, at least in Arabic, regular morphological forms are decomposed into their component elements and hence impose an extra load on the central executive and episodic buffer components of working memory. Furthermore, in concert with findings from other studies, they suggest that the effect of morphology on working memory is probably language-specific. The clinical implications of the present findings are addressed.

Innovative technology for the assisted delivery of intensive voice treatment (LSVT®LOUD) for Parkinson disease.

PURPOSE: To assess the feasibility and effectiveness of a newly developed assistive technology system, Lee Silverman Voice Treatment Companion (LSVT(®) Companion™, hereafter referred to as "Companion"), to support the delivery of LSVT(®)LOUD, an efficacious speech intervention for individuals with Parkinson disease (PD). METHOD: Sixteen individuals with PD were randomized to an immediate (n = 8) or a delayed (n = 8) treatment group. They participated in 9 LSVT LOUD sessions and 7 Companion sessions, independently administered at home. Acoustic, listener perception, and voice and speech rating data were obtained immediately before (pre), immediately after (post), and at 6 months post treatment (follow-up). System usability ratings were collected immediately post treatment. Changes in vocal sound pressure level were compared to data from a historical treatment group of individuals with PD treated with standard, in-person LSVT LOUD. RESULTS: All 16 participants were able to independently use the Companion. These individuals had therapeutic gains in sound pressure level, pre to post and pre to follow-up, similar to those of the historical treatment group. CONCLUSIONS: This study supports the use of the Companion as an aid in treatment of hypokinetic dysarthria in individuals with PD. Advantages and disadvantages of the Companion, as well as limitations of the present study and directions for future studies, are discussed.

LSVT LOUD and LSVT BIG: Behavioral Treatment Programs for Speech and Body Movement in Parkinson Disease.

Recent advances in neuroscience have suggested that exercise-based behavioral treatments may improve function and possibly slow progression of motor symptoms in individuals with Parkinson disease (PD). The LSVT (Lee Silverman Voice Treatment) Programs for individuals with PD have been developed and researched over the past 20 years beginning with a focus on the speech motor system (LSVT LOUD) and more recently have been extended to address limb motor systems (LSVT BIG). The unique aspects of the LSVT Programs include the combination of (a) an exclusive target on increasing amplitude (loudness in the speech motor system; bigger movements in the limb motor system), (b) a focus on sensory recalibration to help patients recognize that movements with increased amplitude are within normal limits, even if they feel "too loud" or "too big," and (c) training self-cueing and attention to action to facilitate long-term maintenance of treatment outcomes. In addition, the intensive mode of delivery is consistent with principles that drive activity-dependent neuroplasticity and motor learning. The purpose of this paper is to provide an integrative discussion of the LSVT Programs including the rationale for their fundamentals, a summary of efficacy data, and a discussion of limitations and future directions for research.

Intensive voice treatment in Parkinson's disease: Lee Silverman Voice Treatment.

Advances in neuroscience have led to an expanded and improved understanding of neurobiological changes associated with rehabilitation and exercise in Parkinson's disease (PD). This knowledge has led to a direct clinical impact of increased referral for early and continuous exercise programs for individuals with PD (physical, occupational, speech therapy and general exercise programs) and an increased research focus on the impact of such approaches in humans with PD. The purpose of this article is to examine the role of speech therapy in the landscape of exercise-based interventions for individuals with PD. We will specifically focus on the intensive voice treatment protocol, Lee Silverman Voice Treatment, as an example therapy. This article will briefly review the literature on the characteristics and features of speech and voice disorders in individuals with PD, and will discuss the impact of pharmacological and surgical treatment techniques on these disorders. This will be followed by a focus on behavioral speech treatment, specifically Lee Silverman Voice Treatment, including development of the treatment approach, documenting efficacy, discovery of unexpected outcomes and insights into the mechanism of speech disorders in PD gained from treatment-related changes. This research will be placed in the context of other previous and current speech treatment approaches in development for individuals with PD, and will highlight future directions for research.

Rate change detection of frequency modulated signals: developmental trends.

BACKGROUND: The aim of this study was to examine developmental trends in rate change detection of auditory rhythmic signals (repetitive sinusoidally frequency modulated tones). METHODS: Two groups of children (9-10 years old and 11-12 years old) and one group of young adults performed a rate change detection (RCD) task using three types of stimuli. The rate of stimulus modulation was either constant (CR), raised by 1 Hz in the middle of the stimulus (RR1) or raised by 2 Hz in the middle of the stimulus (RR2). RESULTS: Performance on the RCD task significantly improved with age. Also, the different stimuli showed different developmental trajectories. When the RR2 stimulus was used, results showed adult-like performance by the age of 10 years but when the RR1 stimulus was used performance continued to improve beyond 12 years of age. CONCLUSIONS: Rate change detection of repetitive sinusoidally frequency modulated tones show protracted development beyond the age of 12 years. Given evidence for abnormal processing of auditory rhythmic signals in neurodevelopmental conditions, such as dyslexia, the present methodology might help delineate the nature of these conditions.

Formant centralization ratio: a proposal for a new acoustic measure of dysarthric speech.

PURPOSE: The vowel space area (VSA) has been used as an acoustic metric of dysarthric speech, but with varying degrees of success. In this study, the authors aimed to test an alternative metric to the VSA-the formant centralization ratio (FCR), which is hypothesized to more effectively differentiate dysarthric from healthy speech and register treatment effects. METHOD: Speech recordings of 38 individuals with idiopathic Parkinson's disease and dysarthria (19 of whom received 1 month of intensive speech therapy [Lee Silverman Voice Treatment; LSVT LOUD]) and 14 healthy control participants were acoustically analyzed. Vowels were extracted from short phrases. The same vowel-formant elements were used to construct the FCR, expressed as (F2u + F2a + F1i + F1u) / (F2i + F1a), the VSA, expressed as ABS([F1i x (F2a - F2u) + F1a x (F2u - F2i) + F1u x (F2i - F2a)] / 2), a logarithmically scaled version of the VSA (LnVSA), and the F2i /F2u ratio. RESULTS: Unlike the VSA and the LnVSA, the FCR and F2i/F2u ratio robustly differentiated dysarthric from healthy speech and were not gender sensitive. All metrics effectively registered treatment effects and were strongly correlated with each other. CONCLUSION: Albeit preliminary, the present findings indicate that the FCR is a sensitive, valid, and reliable acoustic metric for distinguishing dysarthric from unimpaired speech and for monitoring treatment effects, probably because of reduced sensitivity to interspeaker variability and enhanced sensitivity to vowel centralization.

Listening with an accent: speech perception in a second language by late bilinguals.

The goal of the present study was to examine functioning of late bilinguals in their second language. Specifically, we asked how native and non-native Hebrew speaking listeners perceive accented and native-accented Hebrew speech. To achieve this goal we used the gating paradigm to explore the ability of healthy late fluent bilinguals (Russian and Arabic native speakers) to recognize words in L2 (Hebrew) when they were spoken in an accent like their own, a native accent (Hebrew speakers), or another foreign accent (American accent). The data revealed that for Hebrew speakers, there was no effect of accent, whereas for the two bilingual groups (Russian and Arabic native speakers), stimuli with an accent like their own and the native Hebrew accent, required significantly less phonological information than the other foreign accents. The results support the hypothesis that phonological assimilation works in a similar manner in these two different groups.

Articulatory changes in muscle tension dysphonia: evidence of vowel space expansion following manual circumlaryngeal therapy.

UNLABELLED: In a preliminary study, we documented significant changes in formant transitions associated with successful manual circumlaryngeal treatment (MCT) of muscle tension dysphonia (MTD), suggesting improvement in speech articulation. The present study explores further the effects of MTD on vowel articulation by means of additional vowel acoustic measures. Pre- and post-treatment audio recordings of 111 women with MTD were analyzed acoustically using two measures: vowel space area (VSA) and vowel articulation index (VAI), constructed using the first (F1) and second (F2) formants of 4 point vowels/ a, i, ae, u/, extracted from eight words within a standard reading passage. Pairwise t-tests revealed significant increases in both VSA and VAI, confirming that successful treatment of MTD is associated with vowel space expansion. Although MTD is considered a voice disorder, its treatment with MCT appears to positively affect vocal tract dynamics. While the precise mechanism underlying vowel space expansion remains unknown, improvements may be related to lowering of the larynx, expanding oropharyngeal space, and improving articulatory movements. LEARNING OUTCOMES: The reader will be able to: (1) describe possible articulatory changes associated with successful treatment of muscle tension dysphonia; (2) describe two acoustic methods to assess vowel centralization and decentralization, and; (3) understand the basis for viewing muscle tension dysphonia as a disorder not solely confined to the larynx.

Relationship between central auditory processing and reading skills: preliminary observations in Hebrew speaking children.

AIM: To assess the relationships between central auditory processing (CAP) of sinusoidally modulated speech-like and non-speech acoustic signals and reading skills in shallow (pointed) and deep (unpointed) Hebrew orthographies. METHODS: Twenty unselected fifth-grade Hebrew speakers performed a rate change detection (RCD) task using the aforementioned acoustic signals. They also performed reading and general ability (IQ) tests. RESULTS: After controlling for general ability, RCD tasks contributed a significant unique variance to the decoding skills. In addition, there was a fairly strong correlation between the score on the RCD with the speech-like stimuli and the unpointed text reading score. CONCLUSIONS: CAP abilities may affect reading skills, depending on the nature of orthography (deep vs shallow), at least in the Hebrew language.

Does experimental pain affect auditory processing of speech-relevant signals? A study in healthy young adults.

AIM: To assess the effect of tonic pain stimulation on auditory processing of speech-relevant acoustic signals in healthy pain-free volunteers. METHODS: Sixty university students, randomly assigned to either a thermal pain stimulation (46 degrees C/6 min) group (PS) or no pain stimulation group (NPS), performed a rate change detection task (RCDT) involving sinusoidally frequency-modulated vowel-like signals. Task difficulty was manipulated by changing the rate of the modulated signals (henceforth rate). Perceived pain intensity was evaluated using a visual analog scale (VAS) (0-100). RESULTS: Mean pain rating was approximately 33 in the PS group and approximately 3 in the NPS group. Pain stimulation was associated with poorer performance on the RCDT, but this trend was not statistically significant. Performance worsened with increasing rate of signal modulation in both groups (p < 0.0001), with no pain by rate interaction. CONCLUSIONS: The present findings indicate a trend whereby mild or moderate pain appears to affect auditory processing of speech-relevant acoustic signals. This trend, however, was not statistically significant. It is possible that more intense pain would yield more pronounced (deleterious) effects on auditory processing, but this needs to be verified empirically.

Speech and swallowing disorders in Parkinson disease.

PURPOSE OF REVIEW: To review recent research and clinical studies pertaining to the nature, diagnosis, and treatment of speech and swallowing disorders in Parkinson disease. RECENT FINDINGS: Although some studies indicate improvement in voice and speech with dopamine therapy and deep brain stimulation of the subthalamic nucleus, others show minimal or adverse effects. Repetitive transcranial magnetic stimulation of the mouth motor cortex and injection of collagen in the vocal folds have preliminary data supporting improvement in phonation in people with Parkinson disease. Treatments focusing on vocal loudness, specifically LSVT LOUD (Lee Silverman Voice Treatment), have been effective for the treatment of speech disorders in Parkinson disease. Changes in brain activity due to LSVT LOUD provide preliminary evidence for neural plasticity. Computer-based technology makes the Lee Silverman Voice Treatment available to a large number of users. A rat model for studying neuropharmacologic effects on vocalization in Parkinson disease has been developed. New diagnostic methods of speech and swallowing are also available as the result of recent studies. SUMMARY: Speech rehabilitation with the LSVT LOUD is highly efficacious and scientifically tested. There is a need for more studies to improve understanding, diagnosis, prevention, and treatment of speech and swallowing disorders in Parkinson disease.

Speech treatment for Parkinson's disease.

Researchers estimate that 89% of people with Parkinson's disease (PD) have speech and voice disorders including disorders of laryngeal, respiratory and articulatory function. Despite the high incidence of speech and voice impairment, studies suggest that only 3-4% of people with PD receive speech treatment. Here, we review the literature on the characteristics and features of speech and voice disorders in people with PD and the types of treatment techniques available (medical, surgical and behavioral), with a focus on behavioral therapies. We provide a summary of the current status of the field of speech treatment in PD and recommendations for implementation of the current efficacy of treatment interventions. Directions for future research, including a speculative viewpoint on how the field will evolve in 5 years time, are discussed.

Effects of intensive voice treatment (the Lee Silverman Voice Treatment [LSVT]) on vowel articulation in dysarthric individuals with idiopathic Parkinson disease: acoustic and perceptual findings.

PURPOSE: To evaluate the effects of intensive voice treatment targeting vocal loudness (the Lee Silverman Voice Treatment [LSVT]) on vowel articulation in dysarthric individuals with idiopathic Parkinson's disease (PD). METHOD: A group of individuals with PD receiving LSVT (n = 14) was compared to a group of individuals with PD not receiving LSVT (n = 15) and a group of age-matched healthy individuals (n = 14) on the variables vocal sound pressure level (VocSPL); various measures of the first (F1) and second (F2) formants of the vowels /i/, /u/, and /a/; vowel triangle area; and perceptual vowel ratings. The vowels were extracted from the words key, stew, and Bobby embedded in phrases. Perceptual vowel rating was performed by trained raters using a visual analog scale. RESULTS: Only VocSPL, F2 of the vowel /u/ (F2u), and the ratio F2i/F2u significantly differed between patients and healthy individuals pretreatment. These variables, along with perceptual vowel ratings, significantly changed (improved) in the group receiving LSVT only. CONCLUSION: These results, along with previous findings, add further support to the generalized therapeutic impact of intensive voice treatment on orofacial functions (speech, swallowing, facial expression) and respiratory and laryngeal functions in individuals with PD.

Auditory temporal processing deficits in children with reading disabilities.

The role of central auditory processing in reading skill development and reading disorders is unclear. The purpose of this study was to examine whether individuals with specific reading disabilities (SRD) have deficits in processing rapidly presented, serially ordered non-speech auditory signals. To this end, we compared 12 children with SRD and 12 children without SRD on their ability to detect differences and similarities in pure tones of 1000 and 2000 Hz when these signals were presented in pairs (same or different tones, randomly ordered) with short (50 ms) versus long (500 ms) inter-stimulus intervals (ISI). Results showed that the children with SRD had significant difficulty in discriminating between pure tones with short, but not long ISI, whereas the controls performed well with both short and long ISI. The two groups did not differ significantly on measures of attention (d2) and performance IQ, and there were no significant correlations between these measures and ISI performance. There were significant correlations between the short ISI performance and phonologic awareness test results when the two groups were combined. These findings support the specific rapid auditory processing deficit hypothesis of SRD. Examination of intra-subject variability in performance indicated that children from the SRD group showed both decrement in performance with time on task and high overall variability in performance as compared to the controls. These findings underpin the importance of using time-series analyses of performance.

Deficits in working memory in young adults with reading disabilities.

UNLABELLED: The purpose of the present study was to assess the extent to which reading disabilities (RD) in young adults are related to deficits in specific aspects of temporary storage of verbal information, namely, memory span and the central executive (CE) component of working memory. Thirty-two native Hebrew-speaking young adults with and without RD were administered a battery of memory tasks. These tasks included Digit Span Forward and Backward tests and a new version of the Token Test (TT) which is aimed at detecting subtle deficits in auditory verbal working memory. Results showed significantly poorer performance of the RD participants than the controls on the memory tests, especially on tasks that tax the CE. These findings, albeit preliminary, support the general working memory deficit hypothesis in individuals with RD, indicating that both memory span and the CE are deficient. LEARNING OUTCOMES: As a result of this activity, the reader will able to describe the different components of the verbal working memory and the debate concerning the origin of working memory deficits in individuals with reading disabilities. The reader will also be able to apply clinical suggestions as to how one might assess components of working memory.