Browsing by Author "Cakmak, Eda"

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Cross-cultural adaptation of the Nijmegen cochlear implant questionnaire into Turkish language: validity, reliability and effects of demographic variables
(2021) Alniacik, Asuman; Cakmak, Eda; Oz, Okan; 0000-0002-6108-7029; 34837517
Purpose The purpose of this study was to evaluate the validity and reliability of the Turkish version of the Nijmegen Cochlear Implant Questionnaire (Tr-NCIQ) and reveal the demographic factors contributing to the outcomes. Methods A group of 118 cochlear implant users aged between 18 and 70 years filled the Tr-NCIQ and the Turkish Hearing Handicapped Inventory for Adults (the Tr-HHI-Adult) via electronic survey. Cross-cultural adaptation of the Tr-NCIQ was performed. The reliability and validity of the questionnaire were evaluated utilizing internal consistency coefficient, split-half method, and predictive validity. Results The overall Cronbach's alpha coefficient of the scale was 0.91, and the Spearman-Brown coefficient was 0.91. A moderately significant and negative correlation was present between the basic sound perception, speech production, self-esteem, activity, and social interactions subdomain scores and the HHI-Adult scores. Patients with post-lingual onset of hearing loss had significantly better results than those with pre-lingual onset, in the advanced sound perception subdomain. In addition, bilateral cochlear implant users had better results than the unilateral and bimodal users in the speech production subdomain and then the bimodal users in the self-esteem subdomain. There was no effect of age, duration of implant use, age at implantation, and the daily usage of cochlear implant (CI) on the quality-of-life outcomes. Conclusion The Tr-NCIQ is a reliable and valid tool to evaluate the subjective quality of life in CI users. In addition, as a standardized instrument, it can be easily self-administered both in clinical practice and for research purposes.
Determination of a Cutoff for Noise Sensitivity: Psychometric Evaluation of the Turkish Noise Sensitivity Questionnaire (Tr-NoiSeQ)
(2022) Alniacik, Asuman; Cakmak, Eda; 35900393
Context: There is a need for a clear cutoff to use noise sensitivity (NS) scale as a prediagnostic tool in research and clinical use. Aims: Noise sensitivity questionnaire (NoiSeQ) was adapted into Turkish language (Tr-NoiSeQ); validity and reliability of the Tr-NoiSeQ were assessed. The cutoff for the Tr-NoiSeQ was determined. Settings and design: A descriptive study within subject design. Materials and methods: A group of 402 participants aged between 18 and 52 years filled the Tr-NoiSeQ and the Turkish version of Weinstein noise sensitivity scale (Tr-WNSS) via internet. Statistical analysis used: Cronbach alpha (alpha) and the Spearman-Brown coefficient were calculated for the reliability; Pearson correlation coefficient (r) and confirmatory factor analysis (CFA) were used for the validity. The receiver-operating characteristic (ROC) curve was used to calculate cutoff value of the Tr-NoiSeQ. Results: For the Tr-NoiSeQ, Cronbach alpha was 0.92, Spearman-Brown coefficient was 0.93 (P < 0.05). A high significant correlation between the Tr-WNSS and the Tr-NoiSeQ was obtained (r = 0.76, P < 0.05). The fit indexes of the model were obtained as (chi(2) = 1361.06, df = 546, P < 0.001), chi 2 / df = 2.49, root mean square error of approximation = 0.06, comparative fit index = 0.83, goodness of fit index = 0.82. The ROC curve showed that the cutoff for the Tr-NoiSeQ was 53 with a 0.92 sensitivity and a 0.85 specificity (P <= 0.05). Conclusion: The Tr-NoiSeQ is a valid and reliable tool for use in both clinical practice and research. The Tr-NoiSeQ seems to be consistent with the Tr-WNSS and can be used as a screening tool to evaluate NS in audiology.
Investigation of cochlear microphonics recorded with different stimulus types
(2022) Guneser, Ozgecan; Yigit, Ayse Arzu; Alniacik, Asuman; Yanarates, Kursat; Cakmak, Eda; 0000-0001-5837-6877; 36326414; C-2636-2017
Background/aim: Electrocochleography (ECochG), one of the first defined tests under auditory evoked potentials, is a total electrical response of inner and outer hair cells inside the cochlea and auditory nerve record technique to the presence of an acoustic stimulus. These records can be used in Meniere disease and auditory neuropathy spectrum disorder diagnosis, intraoperative monitoring. In addition, the presence of cochlear microphonics plays a crucial role in auditory neuropathy spectrum disorder diagnosis. In our study, healthy individuals were tested with extratimpanic electrocochleography record method via Click and LS CE-Chirp stimulus, and the results were compared to the age, sex, and noise sensitivity categories. Materials and methods: This study had executed at Baskent University, Faculty of Health Sciences Audiology laboratory. The study group consisted of 42 volunteers between 18 and 40 years old. To understand the suitability of volunteers, pure tone audiometry, tympanometry, and transient otoacoustic emission tests were performed. Individuals with no hearing loss were tested with 100 dBnHL intensity level via click and LS CE-Chirp stimulus. The obtained values were statistically evaluated in the SPSS 23.0 program in accordance with the data distribution. An independent sample t-test was used for data showing normal distribution, and Mann-Whitney U test was used for data not showing normal distribution. The level (p < 0.05) was considered statistically significant for all analyses performed. Results: Cochlear microphonic amplitudes recorded with click and LS CE-Chirp stimuli were higher in males than in females (p = 0.051 and p = 0.001, respectively). When the age groups were evaluated, no difference was observed in the CM amplitudes obtained with both click and LS CE-Chirp stimuli. There was no correlation between age and CM amplitudes. Additionally, it was determined that the CM amplitudes recorded with the click stimulus in individuals with noise sensitivity were higher than those without noise sensitivity (p = 0.051). Conclusion: It is thought that the ECochG amplitudes of different gender, different age, and different noise sensitivity, which are the results of our study, can be used in the diagnosis of diseases such as auditory neuropathy spectrum disorder.
Investigation of the Relationship Between White Blood Cell Count, Platelet Count, and Mean Platelet Volume Values and Clinical Complications in Patients with Sickle Cell Anemia
(2023) Tanrikulu, Funda Pepedil; Olcuoglu, Rukiye; Kilinc, Sevtap; Cakmak, Eda; Kozanoglu, Ilknur; 0000-0002-4162-1554; 0000-0002-0429-008X; ISP-2968-2023; JZJ-5475-2024
A Preliminary Study on the Effect of Age and Gender to the Amplitudes of Cochlear Microphonics Recorded by Click Stimulus in Individuals with Normal Hearing
(2022) Guneser, Ozgecan; Alniacik, Asuman; Yigit, Ayse Arzu; Koycu, Alper; Cakmak, Eda; Yanarates, Kursat; https://orcid.org/0000-0003-1290-3509; AAF-3650-2021
Subcortical Auditory Processing and Speech Perception in Noise Among Individuals With and Without Extended High-Frequency Hearing Loss
(JOURNAL OF SPEECH LANGUAGE AND HEARING RESEARCH, 2024-05-16) Colak, Hasan; Aydemir, Berfin Eylul; Sakarya, Merve Deniz; Cakmak, Eda; Alniacik, Asuman; Turkyilmaz, Meral Didem
Purpose: The significance of extended high -frequency (EHF) hearing (> 8 kHz) is not well understood so far. In this study, we aimed to understand the relationship between EHF hearing loss (EHFHL) and speech perception in noise (SPIN) and the associated physiological signatures using the speech-evoked frequency-following response (sFFR). Method: Sixteen young adults with EHFHL and 16 age- and sex-matched individuals with normal hearing participated in the study. SPIN performance in right speech-right noise, left speech-left noise, and binaural listening conditions was evaluated using the Turkish Matrix Test. Additionally, subcortical auditory processing was assessed by recording sFFRs elicited by 40 -ms /da/ stimuli. Results: Individuals with EHFHL demonstrated poorer SPIN performances in all listening conditions (p < .01). Longer latencies were observed in the V (onset) and O (offset) peaks in these individuals (p <= .01). However, only the V/A peak amplitude was found to be significantly reduced in individuals with EHFHL (p < .01). Conclusions: Our findings highlight the importance of EHF hearing and suggest that EHF hearing should be considered among the key elements in SPIN. Individuals with EHFHL show a tendency toward weaker subcortical auditory processing, which likely contributes to their poorer SPIN performance. Thus, routine assessment of EHF hearing should be implemented in clinical settings, alongside the evaluation of standard audiometric frequencies (0.25-8 kHz).
Validity and Reliability Testing Study of the Turkish Version of the Misophonia Scale
(2022) Sakarya, Merve Deniz; Cakmak, Eda
Misophonia is a disorder where individuals experience decreased tolerance to certain sounds that trigger intense emotional or physiological responses in them. People with misophonia can feel disgust, anger, anxiety, and they may experience anger outbursts when exposed to certain sounds that are insignificant to other people, such as chewing, lip-smacking, and breathing. There is no consensus on the prevalence, assessment, and management of misophonia. A major barrier to the research on misophonia is the lack of robust psychometric assessment tools. This study aims to meet the need for a measurement tool for clinical and population-based evaluations intended for misophonia by adapting the Misophonia Questionnaire (Wu et al., 2014) to Turkish. The research was carried out on 638 undergraduate students at Baskent University, from 18 to 26 years of age. Exploratory factor analysis was conducted on 420 participants (73% female, 27% male) and confirmatory factor analysis was conducted on 218 participants (62% female, 38% male). The statistical reliability was evaluated using the internal consistency coefficient, split half, and test-retest methods. In the Misophonia Questionnaire, misophonia was explained by the following three subscale factors: misophonia symptoms, misophonia emotions and behaviors-avoidance and internalization, and misophonia emotions and behaviors-aggression and externalization. These were used in the exploratory factor analysis. The confirmatory factor analysis found that the fit indexes were within acceptable limits. With the discriminant validity, the participants with clinical misophonia were observed to have a higher mean in all factors than those without. The internal consistency coefficient of the scale was calculated at .89, and for the three subscale factors mentioned earlier were .79, .85, and .83, respectively. The calculated test-retest reliability coefficient was .78, which applied to 75 participants. The split-half reliability coefficient was .83 (for each subscale factor, was .86, .87, and .81, respectively). With this study, the Misophonia Questionnaire, which can be used to evaluate misophonia in the general population, was adapted into Turkish. From the psychometric analysis, data supporting the validity and reliability of the Misophonia Scale were obtained.