{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T21:17:50Z","timestamp":1790716670891,"version":"4.1.0"},"reference-count":38,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T00:00:00Z","timestamp":1787616000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100018556","name":"Science and Technology Program of Suzhou","doi-asserted-by":"publisher","award":["SKY2023043"],"award-info":[{"award-number":["SKY2023043"]}],"id":[{"id":"10.13039\/501100018556","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100017962","name":"Jiangsu Commission of Health","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100017962","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["82571311"],"award-info":[{"award-number":["82571311"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Hearing Research"],"published-print":{"date-parts":[[2026,11]]},"DOI":"10.1016\/j.heares.2026.109786","type":"journal-article","created":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T15:58:16Z","timestamp":1787673496000},"page":"109786","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"special_numbering":"C","title":["Hidden auditory dysfunction in tinnitus with normal audiograms: selective and chronicity-dependent ABR changes in middle-aged adults"],"prefix":"10.1016","volume":"481","author":[{"given":"Qian","family":"He","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sheng-Yu","family":"Tao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bingjie","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shiyu","family":"Kang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaoliang","family":"Sheng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ji-Sheng","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8323-3058","authenticated-orcid":false,"given":"Duo-Duo","family":"Tao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"2","key":"10.1016\/j.heares.2026.109786_bib0001","doi-asserted-by":"crossref","first-page":"215","DOI":"10.1044\/1059-0889(2012\/12-0010)","article-title":"Psychometric evaluation of visual analog scale for the assessment of chronic tinnitus","volume":"21","author":"Adamchic","year":"2012","journal-title":"Am. J. Audiol."},{"key":"10.1016\/j.heares.2026.109786_bib0002","doi-asserted-by":"crossref","first-page":"206","DOI":"10.3389\/fneur.2014.00206","article-title":"Central gain control in tinnitus and hyperacusis","volume":"5","author":"Auerbach","year":"2014","journal-title":"Front. Neurol."},{"issue":"1","key":"10.1016\/j.heares.2026.109786_bib0003","doi-asserted-by":"crossref","first-page":"e1","DOI":"10.1097\/AUD.0000000000000370","article-title":"Auditory brainstem response altered in humans with noise exposure despite normal outer hair cell function","volume":"38","author":"Bramhall","year":"2017","journal-title":"Ear Hear."},{"issue":"5","key":"10.1016\/j.heares.2026.109786_bib0004","doi-asserted-by":"crossref","first-page":"881","DOI":"10.1097\/AUD.0000000000000544","article-title":"Tinnitus and auditory perception after a history of noise exposure: relationship to auditory brainstem response measures","volume":"39","author":"Bramhall","year":"2018","journal-title":"Ear Hear."},{"issue":"5","key":"10.1016\/j.heares.2026.109786_bib0005","doi-asserted-by":"crossref","first-page":"3849","DOI":"10.1121\/1.5132708","article-title":"Auditory brainstem response demonstrates that reduced peripheral auditory input is associated with self-report of tinnitus","volume":"146","author":"Bramhall","year":"2019","journal-title":"J. Acoust. Soc. Am."},{"issue":"6","key":"10.1016\/j.heares.2026.109786_bib0006","doi-asserted-by":"crossref","first-page":"4440","DOI":"10.1121\/10.0007484","article-title":"Use of the auditory brainstem response for assessment of cochlear synaptopathy in humans","volume":"150","author":"Bramhall","year":"2021","journal-title":"J. Acoust. Soc. Am."},{"key":"10.1016\/j.heares.2026.109786_bib0007","doi-asserted-by":"crossref","DOI":"10.3389\/fnins.2021.778197","article-title":"Detecting noise-induced cochlear synaptopathy by auditory brainstem response in tinnitus patients with normal hearing thresholds: a meta-analysis","volume":"15","author":"Chen","year":"2021","journal-title":"Front. Neurosci."},{"issue":"5","key":"10.1016\/j.heares.2026.109786_bib0008","doi-asserted-by":"crossref","DOI":"10.1172\/JCI155094","article-title":"Alterations in auditory brain stem response distinguish occasional and constant tinnitus","volume":"132","author":"Edvall","year":"2022","journal-title":"J. Clin. Invest."},{"issue":"3","key":"10.1016\/j.heares.2026.109786_bib0009","doi-asserted-by":"crossref","first-page":"187","DOI":"10.3109\/01050398409043059","article-title":"Quality estimation of averaged auditory brainstem responses","volume":"13","author":"Elberling","year":"1984","journal-title":"Scand. Audiol."},{"issue":"1","key":"10.1016\/j.heares.2026.109786_bib0010","doi-asserted-by":"crossref","first-page":"149","DOI":"10.3390\/audiolres15060149","article-title":"An insight into role of auditory brainstem in tinnitus: a systematic review of diagnostic assessments","volume":"15","author":"Freda","year":"2025","journal-title":"Audiol. Res."},{"issue":"6","key":"10.1016\/j.heares.2026.109786_bib0011","doi-asserted-by":"crossref","first-page":"819","DOI":"10.1007\/s10162-012-0344-1","article-title":"Brainstem auditory evoked potentials suggest a role for the ventral cochlear nucleus in tinnitus","volume":"13","author":"Gu","year":"2012","journal-title":"J. Assoc. Res. Otolaryngol."},{"key":"10.1016\/j.heares.2026.109786_bib0012","doi-asserted-by":"crossref","first-page":"265","DOI":"10.1016\/j.heares.2016.12.002","article-title":"Tinnitus with a normal audiogram: relation to noise exposure but no evidence for cochlear synaptopathy","volume":"344","author":"Guest","year":"2017","journal-title":"Hear. Res."},{"key":"10.1016\/j.heares.2026.109786_bib0013","doi-asserted-by":"crossref","DOI":"10.3389\/fnagi.2022.933117","article-title":"Audiological biomarkers of tinnitus in an older Portuguese population","volume":"14","author":"Haider","year":"2022","journal-title":"Front. Aging Neurosci."},{"key":"10.1016\/j.heares.2026.109786_bib0014","doi-asserted-by":"crossref","DOI":"10.3389\/fneur.2022.941876","article-title":"Brainstem evoked auditory potentials in tinnitus: a best-evidence synthesis and meta-analysis","volume":"13","author":"Jacxsens","year":"2022","journal-title":"Front. Neurol."},{"issue":"5","key":"10.1016\/j.heares.2026.109786_bib0015","article-title":"Age-related central gain compensation for reduced auditory nerve output for people with normal audiograms, with and without tinnitus","volume":"24","author":"Johannesen","year":"2021","journal-title":"iScience"},{"issue":"1","key":"10.1016\/j.heares.2026.109786_bib0016","doi-asserted-by":"crossref","first-page":"14","DOI":"10.3766\/jaaa.15070","article-title":"Noise exposure questionnaire (NEQ): a tool for quantifying annual noise exposure","volume":"28","author":"Johnson","year":"2017","journal-title":"J. Am. Acad. Audiol."},{"issue":"2","key":"10.1016\/j.heares.2026.109786_bib0017","doi-asserted-by":"crossref","first-page":"190","DOI":"10.5152\/iao.2020.7951","article-title":"Analysis of auditory brainstem response change, according to tinnitus duration, in patients with tinnitus with normal hearing","volume":"16","author":"Joo","year":"2020","journal-title":"J. Int. Adv. Otol."},{"issue":"45","key":"10.1016\/j.heares.2026.109786_bib0018","doi-asserted-by":"crossref","first-page":"14077","DOI":"10.1523\/JNEUROSCI.2845-09.2009","article-title":"Adding insult to injury: cochlear nerve degeneration after temporary noise-induced hearing loss","volume":"29","author":"Kujawa","year":"2009","journal-title":"J. Neurosci."},{"issue":"1","key":"10.1016\/j.heares.2026.109786_bib0019","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0243903","article-title":"Electrophysiological assessment and pharmacological treatment of blast-induced tinnitus","volume":"16","author":"Lu","year":"2021","journal-title":"PLoS ONE"},{"key":"10.1016\/j.heares.2026.109786_bib0020","doi-asserted-by":"crossref","first-page":"345","DOI":"10.1080\/14992027.2017.1381770","article-title":"Accuracy of averaged auditory brainstem response amplitude and latency estimates","volume":"57","author":"Madsen","year":"2018","journal-title":"Int. J. Audiol."},{"issue":"11","key":"10.1016\/j.heares.2026.109786_bib0021","doi-asserted-by":"crossref","first-page":"3843","DOI":"10.3390\/jcm12113843","article-title":"Development of machine-learning models for tinnitus-related distress classification using wavelet-transformed auditory evoked potential signals and clinical data","volume":"12","author":"Manta","year":"2023","journal-title":"J. Clin. Med."},{"issue":"13","key":"10.1016\/j.heares.2026.109786_bib0022","doi-asserted-by":"crossref","first-page":"3755","DOI":"10.1523\/JNEUROSCI.4460-15.2016","article-title":"Auditory brainstem response latency in noise as a marker of cochlear synaptopathy","volume":"36","author":"Mehraei","year":"2016","journal-title":"J. Neurosci."},{"key":"10.1016\/j.heares.2026.109786_bib0023","doi-asserted-by":"crossref","first-page":"146","DOI":"10.1186\/s43163-024-00708-z","article-title":"Effectiveness of auditory measures in the diagnosis of cochlear synaptopathy and noise-induced hidden hearing loss: a case\u2013control study","volume":"40","author":"Mekki","year":"2024","journal-title":"Egypt. J. Otolaryngol."},{"issue":"1","key":"10.1016\/j.heares.2026.109786_bib0024","doi-asserted-by":"crossref","first-page":"10","DOI":"10.3342\/ceo.2012.5.1.10","article-title":"Reliability and validity of the Chinese (Mandarin) tinnitus handicap inventory","volume":"5","author":"Meng","year":"2012","journal-title":"Clin. Exp. Otorhinolaryngol."},{"key":"10.1016\/j.heares.2026.109786_bib0025","doi-asserted-by":"crossref","first-page":"237","DOI":"10.3389\/fnagi.2017.00237","article-title":"Auditory brainstem responses in tinnitus: a review of who, how, and what?","volume":"9","author":"Milloy","year":"2017","journal-title":"Front. Aging Neurosci."},{"key":"10.1016\/j.heares.2026.109786_bib0026","doi-asserted-by":"crossref","DOI":"10.1590\/2317-6431-2022-2660en","article-title":"Chronic tinnitus: analysis of clinical contributions from different audiological evalutions","volume":"27","author":"Moreira","year":"2022","journal-title":"Audiol. Commun. Res."},{"issue":"7","key":"10.1016\/j.heares.2026.109786_bib0027","doi-asserted-by":"crossref","first-page":"615","DOI":"10.3349\/ymj.2021.62.7.615","article-title":"Limitation of conventional audiometry in identifying hidden hearing loss in acute noise exposure","volume":"62","author":"Nam","year":"2021","journal-title":"Yonsei Med. J."},{"issue":"2","key":"10.1016\/j.heares.2026.109786_bib0028","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1001\/archotol.1996.01890140029007","article-title":"Development of the tinnitus handicap inventory","volume":"122","author":"Newman","year":"1996","journal-title":"Arch. Otolaryngol. Head Neck Surg."},{"issue":"38","key":"10.1016\/j.heares.2026.109786_bib0029","doi-asserted-by":"crossref","first-page":"13452","DOI":"10.1523\/JNEUROSCI.2156-11.2011","article-title":"Tinnitus with a normal audiogram: physiological evidence for hidden hearing loss and computational model","volume":"31","author":"Schaette","year":"2011","journal-title":"J. Neurosci."},{"issue":"9","key":"10.1016\/j.heares.2026.109786_bib0030","doi-asserted-by":"crossref","first-page":"4687","DOI":"10.1007\/s00405-021-07232-3","article-title":"Auditory brainstem response in unilateral tinnitus patients: does symmetrical hearing thresholds and within-subject comparison affect responses?","volume":"279","author":"Sendesen","year":"2022","journal-title":"Eur. Arch. Otorhinolaryngol."},{"issue":"12","key":"10.1016\/j.heares.2026.109786_bib0031","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0189157","article-title":"Comparisons of auditory brainstem response and sound level tolerance in tinnitus ears and non-tinnitus ears in unilateral tinnitus patients with normal audiograms","volume":"12","author":"Shim","year":"2017","journal-title":"PLoS ONE"},{"issue":"6","key":"10.1016\/j.heares.2026.109786_bib0032","article-title":"Hidden hearing loss (cochlear synaptopathy): diagnostic challenges and emerging tests","volume":"7","author":"Singh","year":"2025","journal-title":"Int. J. Multidiscip. Res."},{"issue":"1","key":"10.1016\/j.heares.2026.109786_bib0033","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1097\/AUD.0000000000000905","article-title":"Search for electrophysiological indices of hidden hearing loss in humans: click auditory brainstem response across sound levels and in background noise","volume":"42","author":"Suresh","year":"2021","journal-title":"Ear Hear."},{"issue":"2","key":"10.1016\/j.heares.2026.109786_bib0034","doi-asserted-by":"crossref","first-page":"142","DOI":"10.3390\/brainsci12020142","article-title":"Auditory brainstem response wave I amplitude has limited clinical utility in diagnosing tinnitus in humans","volume":"12","author":"Turner","year":"2022","journal-title":"Brain Sci."},{"key":"10.1016\/j.heares.2026.109786_bib0035","doi-asserted-by":"crossref","first-page":"36","DOI":"10.1016\/j.heares.2018.06.003","article-title":"Effects of lifetime noise exposure on the middle-age human auditory brainstem response, tinnitus and speech-in-noise intelligibility","volume":"365","author":"Valderrama","year":"2018","journal-title":"Hear. Res."},{"key":"10.1016\/j.heares.2026.109786_bib0036","doi-asserted-by":"crossref","DOI":"10.1038\/s41598-023-46741-5","article-title":"Evidence of cochlear neural degeneration in normal-hearing subjects with tinnitus","volume":"13","author":"Vasilkov","year":"2023","journal-title":"Sci. Rep."},{"key":"10.1016\/j.heares.2026.109786_bib0037","first-page":"1","article-title":"Individual differences in auditory brainstem response wave characteristics: relations to different aspects of peripheral hearing loss","volume":"20","author":"Verhulst","year":"2016","journal-title":"Trends Hear."},{"issue":"11","key":"10.1016\/j.heares.2026.109786_bib0038","doi-asserted-by":"crossref","DOI":"10.1016\/j.isci.2021.103285","article-title":"Real-time threshold determination of auditory brainstem responses by cross-correlation analysis","volume":"24","author":"Wang","year":"2021","journal-title":"iScience"}],"container-title":["Hearing Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0378595526002571?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0378595526002571?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T20:43:25Z","timestamp":1790714605000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0378595526002571"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,11]]},"references-count":38,"alternative-id":["S0378595526002571"],"URL":"https:\/\/doi.org\/10.1016\/j.heares.2026.109786","relation":{},"ISSN":["0378-5955"],"issn-type":[{"value":"0378-5955","type":"print"}],"subject":[],"published":{"date-parts":[[2026,11]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Hidden auditory dysfunction in tinnitus with normal audiograms: selective and chronicity-dependent ABR changes in middle-aged adults","name":"articletitle","label":"Article Title"},{"value":"Hearing Research","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.heares.2026.109786","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 The Author(s). Published by Elsevier B.V.","name":"copyright","label":"Copyright"}],"article-number":"109786"}}