The University of Southampton
University of Southampton Institutional Repository

Early detection of non-organic hearing loss using a simple tone-in-noise test

Rowan, D., Morriis, Olwyn, Adewale, M. and Millgate, A. (2012) Early detection of non-organic hearing loss using a simple tone-in-noise test Noise and Health, 14, (59), pp. 179-183. (doi:10.4103/1463-1741.99893).

Record type: Article


Early detection of non-organic hearing loss (NOHL) is important in order to ensure appropriate management decisions. One possible audiometric test for achieving this is the tone-in-noise (TIN) test although its current format is not widely applicable and may not optimize accuracy. We sought to investigate a modified TIN test, using narrowband noise, and the influence of different noise levels and alternative approaches to determining the outcome. Seventy-five normalhearing and 8 hearing-impaired subjects were asked to feign or exaggerate a hearing loss. The shift in genuine or exaggerated/feigned thresholds with the introduction of ipsilateral noise was determined. The TIN test was able to accurately separate between genuine and feigned thresholds when using narrowband noise presented at the effective masking level corresponding to the apparent tone threshold and using a ‘fail’ criterion of a repeatable threshold shift of ? 10 dB at one or more frequencies. It also produced similar shifts in exaggerated thresholds. In conclusion, this modified TIN test is a potentially accurate method to rapidly identify unilateral and bilateral NOHL in a wide range on contexts and could be applied to automated audiometry.

PDF NoiseHealth_2012_14_59_179_99893.pdf - Version of Record
Download (751kB)

More information

Published date: July 2012
Keywords: audiology, hearing, non-organic, test
Organisations: Human Sciences Group


Local EPrints ID: 342373
ISSN: 1463-1741
PURE UUID: 926afc5e-fb86-4111-b3b5-c8ff0aac00e8
ORCID for D. Rowan: ORCID iD

Catalogue record

Date deposited: 24 Aug 2012 11:14
Last modified: 18 Jul 2017 05:29

Export record



Author: D. Rowan ORCID iD
Author: Olwyn Morriis
Author: M. Adewale
Author: A. Millgate

University divisions

Download statistics

Downloads from ePrints over the past year. Other digital versions may also be available to download e.g. from the publisher's website.

View more statistics

Atom RSS 1.0 RSS 2.0

Contact ePrints Soton:

ePrints Soton supports OAI 2.0 with a base URL of

This repository has been built using EPrints software, developed at the University of Southampton, but available to everyone to use.

We use cookies to ensure that we give you the best experience on our website. If you continue without changing your settings, we will assume that you are happy to receive cookies on the University of Southampton website.