A clinical test battery for obscure auditory dysfunction (OAD): Development, selection and use of tests

G. H. Saunders, D. L. Field, M. P. Haggard

Research output: Contribution to journalArticlepeer-review

24 Scopus citations


Obscure auditory dysfunction (OAD) is denned as convincing self-report of auditory disability accompanied by normal puretone thresholds. This has been increasingly recognized as a clinical problem, but until now there has not been a standard clinical procedure for dealing with such patients. This paper summarizes a demographic and clinical characterization of a sample of 50 OAD patients, reports new norms on the tests in the version issued, and describes a test package developed from a case-control research study that can be routinely used with OAD patients. The package enables clinicians: (i) to confirm, or otherwise, OAD as the appropriate classification for individuals presenting with OAD-like symptoms; (ii) to elucidate the underlying basis of OAD in such individuals and hence in most cases to provide explanations that are justified by test findings; and (iii) to counsel cases in a fashion appropriate for each individual. The package consists of four performance tests, a specialized clinical interview and a brief questionnaire to determine the severity of OAD. The assessment takes approximately 37 min and can be run using a two-channel audiometer and a cassette recorder.

Original languageEnglish (US)
Pages (from-to)33-42
Number of pages10
JournalBritish Journal of Audiology
Issue number1
StatePublished - Jan 1 1992
Externally publishedYes

ASJC Scopus subject areas

  • Otorhinolaryngology


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