{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T16:23:59Z","timestamp":1787502239762,"version":"build-2736575974"},"reference-count":26,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2023,5,18]],"date-time":"2023-05-18T00:00:00Z","timestamp":1684368000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Neurol."],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The aim was to use a battery of clinic-based auditory assessment procedures to compare participants with and without self-reported hearing difficulties following a confirmed COVID-19 infection. A further aim was to compare the groups on self-reported measures of listening effort and fatigue.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>There were 25 participants in each group (age range 20\u201359 years, 80% females). Participants were recruited after a minimum of 4 weeks of testing positive. Hearing assessment involved tympanometry, acoustic reflex thresholds, pure-tone audiometry (PTA; 0.25\u201314 kHz), and distortion product otoacoustic emissions (DPOAEs; 0.5\u201310 kHz). Listening effort was assessed using the Arabic version of the Effort Assessment Scale (EAS-A) and fatigue was assessed using the Arabic version of the Fatigue Assessment Scale (FAS-A).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      There was no difference between groups on any measure except for greater self-reported listening effort in the perceived hearing difficulty group (\n                      <jats:italic>p<\/jats:italic>\n                      = 0.01).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The only difference between groups was self-reported listening effort. This could be due to a subclinical auditory deficit following COVID-19, increased listening effort due to the impact of COVID-19 on cognitive processes, or a psychosomatic response\/health anxiety.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fneur.2023.1172441","type":"journal-article","created":{"date-parts":[[2023,5,18]],"date-time":"2023-05-18T03:32:04Z","timestamp":1684380724000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":2,"title":["Insights into perceived listening difficulties post COVID-19 infection: no measurable hearing difficulty on clinical tests despite increased self-reported listening effort"],"prefix":"10.3389","volume":"14","author":[{"given":"Sara","family":"Alhanbali","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana'am","family":"Alkharabsheh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wafa'a","family":"Alanati","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Khader","family":"Joudeh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin J.","family":"Munro","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2023,5,18]]},"reference":[{"key":"B1","volume-title":"Coronavirus Disease (COVID-19): Situation Report","year":"2022"},{"key":"B2","volume-title":"COVID-19 Rapid Guideline: Managing the Longterm Effects of COVID-19","year":"2022"},{"key":"B3","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1177\/2331216514541361","article-title":"Viral causes of hearing loss: a review for hearing health professionals","volume":"18","author":"Cohen","year":"2014","journal-title":"Trends Hear."},{"key":"B4","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1080\/14992027.2021.1896793","article-title":"One year on: an updated systematic review of SARS-CoV-2, COVID-19 and audio-vestibular symptoms","volume":"60","author":"Almufarrij","year":"2021","journal-title":"Int J Audiol"},{"key":"B5","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1007\/s12070-021-02710-w","article-title":"Study of hearing status in COVID-19 patients: a multicentered review","volume":"74","author":"Bhatta","year":"2021","journal-title":"Indian J Otolaryngol Head Neck Surg"},{"key":"B6","doi-asserted-by":"publisher","first-page":"158","DOI":"10.1016\/j.joto.2021.01.005","article-title":"SARS-CoV-2 and hearing: an audiometric analysis of COVID-19 hospitalized patients J Otol","volume":"16","author":"de Sousa","year":"2021"},{"key":"B7","doi-asserted-by":"publisher","first-page":"2363","DOI":"10.1007\/s00405-021-06951-x","article-title":"Nikola D. 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