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This pilot case-control study is aimed to estimate ‘musical effort’ and ‘musical pleasantness’ in adults normal hearing (NH) and Unilateral Cochlear Implant (UCI) users via neurophysiological indices and a cognitive-behavioural approach. 7 NH and 7 UCI subjects underwent electroencephalographic (EEG) recording with two EEG indices, Approach Withdrawal (AW) and Workload (WI), and behavioural tests conducted during a forced-choice musical emotion recognition task performed in quiet and noise in two emotional conditions. Musical effort in terms of WI did not vary between conditions and groups. Inversely, for AW, statistically significant differences in noisy conditions were observed between groups, indicating a difficulty for the patients in discriminating the musical pleasantness in noise. However, self-reported data suggest the ability of UCI to cognitively evaluate the stimulus in terms of both auditory difficulty and pleasantness. Findings suggest the possible relevance of the Cochlear Implant in supporting the patients’ effort in listening to music in noise, allowing a pleasant enjoyment in the quiet condition. Overall, this study appears worthy of interest and paves the way for further investigation by providing data on the neurophysiological perception of music.

hearing, balance and communication

‘Musical effort’ and ‘musical pleasantness’: a pilot study on the neurophysiological correlates of classical music listening in adults normal hearing and unilateral cochlear implant users