Pupil dilation as a measure of cognitive effort in the LiSN-S test Sarosh Kapadia, David Cornish, Sean Fumberger, Joshua Margach, Tobias Loetscher* Flinders University, Adelaide, Australia; *University of South Australia, Adelaide, Australia Abstract Results and conclusions The measurement of cognitive effort during listening tasks is currently of great interest within audiology. Pupillometry is experiencing a resurgence as an index of such effort. Pupillometry may also help address fundamental questions around the nature of auditory processing and its interaction with cognition. We present data on pupil dilation during completion of the Listening in Spatialized Noise-Sentences (LiSN-S) test, demonstrating the capacity of pupillometry to differentiate cognitive effort in auditory tasks of differing degrees of difficulty. Figure 2 shows pupil dilation as a function of time for each of the four LiSN-S conditions, averaged across all 20 participants. The figure shows a trend for progressively greater dilation as task difficulty increased. The measurement of cognitive effort during auditory processing (AP) tasks may help address fundamental questions around the nature of AP and its interaction with cognition. The use of pupil dilation as a measure of cognitive effort has gained renewed interest in recent years, due in part to the ready availability of pupillometric equipment. The bulk of current research in the area involves specialised, inhouse listening tasks (developed by the relevant research laboratory), rather than commercially available AP tests that are routinely used in the clinic. Ambient illumination levels are also often carefully controlled, e.g. individualised for each participant, in conducting such research. Different voice, 90 Same voice, 90 Different voice, 0 Same voice, 0 0.25 pupil dilation (mm) Introduction 0.3 0.2 0.15 0.1 Target sentence onset 0.05 0 This study is a preliminary investigation into the use of pupil dilation as a measure of cognitive effort involved in undertaking a commercially available, widely used AP test, the Listening in Spatialized Noise-Sentences (LiSN-S) test, in a clinical setting. The LiSN-S is a “target in competition” speech test. It employs a number of sub-tests that either do or do not provide talker and spatial cues that assist in target speech discrimination. The sub-tests therefore present inherently different degrees of task difficulty. -0.05 0 1 2 3 4 5 time (s) 6 7 8 9 10 Figure 2. Pupil dilation as a function of time for each of the four LiSN-S conditions, averaged across all 20 participants. Traces have been smoothed The objectives of the study were: using a 20-point moving average filter, and dilation is plotted relative to pupil diameter at target sentence onset. A marked increase in pupil diameter, • To assess pupil dilation as a measure of cognitive effort during the LiSN-S test commencing approximately 0.5 s after target onset, is evident, as well as a trend The result of by thismanipulating condition is called child’s “high cue speech reception threshold”, • To investigate the effect of task difficulty (varied talkerthe and for progressively greater dilation from the easiest (Different voice, 90°) through or “high cue SRT”. spatial cues) on any such pupillary changes to the most difficult (Same voice, 0°) task condition. • To investigate the effect of ambient lighting levels on the task-evoked pupillary changes Figure 3 shows the mean pupil dilation in the five-second window following stimulus onset, for all four LiSN-S conditions. Repeated measures ANOVA showed a significant effect of test condition on mean pupil dilation, with polynomial contrasts demonstrating a significant linear increase in dilation across the four test conditions. Post-hoc tests indicated significant differences between LiSN-S Conditions 1 and 4 Data are presented from 20 otologically normal young adults with no reported h cue speech reception threshold”, and between Conditions 2 and 4. listening, speech, language, attentional or learning difficulties. Methods mean pupil dilation (mm) Participants undertook the LiSN-S test as per standard administration (see Figure 1), 0.2 with simultaneous recording of pupil diameter using the Senso Motoric Instruments (SMI) ETG 2.0 system. In each participant, pupil diameter was averaged across 10 sentences (trials) around the speech reception threshold2: forSame eachVoice test condition. Ten 16.5.2 Condition ±90° 0.16 participants undertook low cue (15two, lux), and ten under relatively high of the same voice as the target speech, The result of this condition testing is called in therelatively child’s speech reception threshold”, In “high condition the competing speech is composed lux), levels. or(46 “high cueillumination SRT”. and again comes from the left and right. 0.12 16.5.4 Condition 4: Same Voice 0° (Low cue SRT) In condition four, the competing speech uses the same from in front of the child – the same direction as the t This fourth condition is the most difficult of the four a and the target and competing speech is very similar. T the child’s low cue speech reception threshold or “low 16.5.4 Condition 4: Same Voice 0° (Low cue SRT) 0.08 In condition four, the competing speech uses the same voice as the target speech and comes from in front of the child – the same direction as the target speech. the same voice as the target speech, 0.04 This fourth condition is the most difficult of the four as there are no spatial cues available and the target and competing speech is very similar. The result of this test is referred to as Same voice ±90 Condition Different voices ±90 Condition Speech signal Speech signal the child’s low cue speech reception threshold or “low cue16.5.4 SRT“. Condition 4: Same Voice 0° (Low cue SRT) 0 Noise from same voice Noise from different voices 2 1 voice, 90 speech Same 90 voice Diff voice, 0 speechSame voice, 0 In condition four, Diff the competing usesvoice, the same as the target and comes from in front of the child – the same directionLiSN-S as theCondition target speech. 16.5.2 Condition 2: Same Voice ±90° 16.5.3 Condition 3: Different Voices 0° In condition two, the competing speech is composed the samethree, This fourth condition isthe the most difficult the16.6 four as there are no spatial cues available voicethe as the target speech, LiSN-S Advantage Measures Withofcondition competing speech is composed of different target Figure 3. voices Meanthan pupil dilation in theoffive-second window following stimulus the target and competing is very similar. Thedistracting result this test from is referred to asto the sides and again comes from the left and right. Moving voices the front speech and comes from the front – the same direction asand the target speech. onset, averaged across allspeech participants, for each of theoffour LiSN-S conditions. the child’s low cue speech reception threshold orcues. “low How cueThere SRT“. muchwere an individual child benefits from Error bars indicate standard errors of the mean. significant differences in mean dilation between LiSN-S Condition (Different voice,between 90°) conditi by measuring the 1difference in scores and Condition 4 (Same voice, 0°) and between Condition 2 (Same voice, 90°) and Condition 4 (Same voice, 0°). Same voice 0 Condition Different voices 0 Condition Speech signal Speech signal This “spatial advantage” is calculated automatically Noise from same voice Noise from different voices 4 3 indicator of auditory processing disorder. Repeated measures ANOVA also showed no significant effect of ambient lighting Figure 1. The LiSN-S test. Target speech is presented in the presence of competing d of different voices than the target 16.5.4 Condition 4: Same Voice 0° (Low cue 16.6 SRT) LiSN-S Advantage Measures diagnosed with APD score very poorly in t level used (15 or 46 lux) on mean dilation, Children and no significant interaction between speech in four conditions (as labelled), which either do or do not provide talker and Moving distracting voices from the front to the sides allows a child to make use of spatial asInthe target speech. condition four, the competing speech uses the same voice as the target speech and comes ambient lighting level and test condition. spatial cues that assist in target discrimination. Normative data indicate progressively HowCondition much child 4.benefits movement is easily calculated, from in fronttask of the child – the sameperformance) direction ascues. thefrom target speech.an 1individual greater difficulty (poorer to Condition (Figurefrom thisThese findings illustrate the potential of pupillometry as a non-intrusive, increasingly by measuring the Australia.) difference in scores between conditions 2 and 4. used with permission of National Acoustic Laboratories, affordable tool for the measurement of cognitive effort in the audiology clinic. This fourth condition is the most difficult of the four as there are no spatial cues available 34 This The “spatial by LiSN-S and is a highly sensitive and theCondition target and3: competing very similar. resultadvantage” of this testisiscalculated referred toautomatically as 16.5.3 Differentspeech Voicesis0° www.flinders.edu.au auditoryvoices processing disorder. the child’s low cue speech reception speech threshold orindicator “low cue 16.6 LiSN-S Advantage Measures With condition three, the competing is composed ofofSRT“. different than the target CRICOS Provider No. 00114A o o o o
© Copyright 2026 Paperzz