Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2023 Apr 4;44(2):166-187.
doi: 10.1055/s-0043-1766104. eCollection 2023 May.

Facial Expressions as an Index of Listening Difficulty and Emotional Response

Affiliations
Review

Facial Expressions as an Index of Listening Difficulty and Emotional Response

Soumya Venkitakrishnan et al. Semin Hear. .

Abstract

Knowledge about listening difficulty experienced during a task can be used to better understand speech perception processes, to guide amplification outcomes, and can be used by individuals to decide whether to participate in communication. Another factor affecting these decisions is individuals' emotional response which has not been measured objectively previously. In this study, we describe a novel method of measuring listening difficulty and affect of individuals in adverse listening situations using automatic facial expression algorithm. The purpose of our study was to determine if facial expressions of confusion and frustration are sensitive to changes in listening difficulty. We recorded speech recognition scores, facial expressions, subjective listening effort scores, and subjective emotional responses in 33 young participants with normal hearing. We used the signal-to-noise ratios of -1, +2, and +5 dB SNR and quiet conditions to vary the difficulty level. We found that facial expression of confusion and frustration increased with increase in difficulty level, but not with change in each level. We also found a relationship between facial expressions and both subjective emotion ratings and subjective listening effort. Emotional responses in the form of facial expressions show promise as a measure of affect and listening difficulty. Further research is needed to determine the specific contribution of affect to communication in challenging listening environments.

Keywords: confusion; emotional responses; facial expressions; listening effort.

PubMed Disclaimer

Conflict of interest statement

Conflict of Interest None declared.

Figures

Figure 1
Figure 1
Time course of the first trial of a speech in noise condition. Here the noise starts at 0 seconds. The first second of noise (or quiet in quite condition) is considered the baseline for the facial expression analyses. This is followed by 4 seconds of sentences that are offset-aligned. Then participants wait for 2 seconds (retention period). At the end of these 2 seconds, a prompt is given after which participants repeat the sentence.
Figure 2
Figure 2
Average speech recognition scores from the most (−1 dB signal to noise ratio [SNR]) to least difficulty (Quiet) level. The main effect of SNR is significant and all pairwise comparisons were significant. Levels of significance: *< 0.05; ** < 0.01; *** < 0.001.
Figure 3
Figure 3
Time course of the evidence of confusion (averaged across sentences and participants) across the different signal to noise ratios and in quiet. Sentence and noise are present from 0 to 4 seconds. 4 to 6 seconds is the retention period.
Figure 4
Figure 4
Area under the curve (AUC) for confusion (averaged across sentences and participants) for quiet and various signal to noise ratios (SNRs). The main effect of SNR is significant and the pairwise comparisons indicated in the figure were significant. Levels of significance: *< 0.05; ** < 0.01; *** < 0.001.
Figure 5
Figure 5
Correlation between the evidence of confusion and frustration (objective measures of emotional response represented using their area under the curve or AU). We find that they are positively related. Shapes correspond to the following signal to noise ratio (SNR): −1 dB (diamond), +2 dB (Square), +5 dB (circle), and quiet (triangle).
Figure 6
Figure 6
Listening effort rating for the different signal to noise ratios (SNRs) and quiet condition. The rating scale goes from 0 representing greatest listening effort to 10 representing least listening effort. These scores are an average across blocks of five sentences with four ratings in each condition from each participant. The main effect of SNR is significant and so are all the pairwise comparisons. Levels of significance: *< 0.05, ** < 0.01, *** < 0.001.
Figure 7
Figure 7
Subjective confusion rating for quiet and the different signal to noise ratios. A rating of 1 represents not at all confused to 5 representing very strong confusion. These scores are an average across blocks of five sentences with four ratings in each condition from each participant. The main effect of condition and all pairwise comparison are significant. Levels of significance: * < 0.05, ** < 0.01, *** < 0.001.
Figure 8
Figure 8
Relationship of subjective self-rating of confusion and objective area under the curve for confusion. Shapes correspond to the following signal to noise ratio (SNR): −1 dB (diamond), +2 dB (square), +5 dB (circle), and quiet (triangle).
Figure 9
Figure 9
Relationship of listening effort rating and objective area under the curve for confusion. Shapes correspond to the following signal to noise ratio (SNR): −1 dB (diamond), +2 dB (square), +5 dB (circle), and quiet (triangle).

References

    1. Pichora-Fuller M K, Kramer S E, Eckert M A. Hearing impairment and cognitive energy: the framework for understanding effortful listening (FUEL) Ear Hear. 2016;37 01:5S–27S. - PubMed
    1. Francis A L, Love J. Listening effort: Are we measuring cognition or affect, or both? Wiley Interdiscip Rev Cogn Sci. 2020;11(01):e1514. - PubMed
    1. Winn M B, Teece K H.Listening effort is not the same as speech intelligibility scoreTrends Hear 2021;25:23312165211027688 - PMC - PubMed
    1. Wendt D, Hietkamp R K, Lunner T. Impact of noise and noise reduction on processing effort: a pupillometry study. Ear Hear. 2017;38(06):690–700. - PubMed
    1. Desjardins J L, Doherty K A. The effect of hearing aid noise reduction on listening effort in hearing-impaired adults. Ear Hear. 2014;35(06):600–610. - PubMed