White noise enhances new-word learning in healthy adults

Research suggests that listening to white noise may improve some aspects of cognitive performance in individuals with lower attention. This study investigated the impact of white noise on new word learning in healthy young adults, and whether this effect was mediated by executive attention skills. Eighty participants completed a single training session to learn the names of twenty novel objects. The session comprised 5 learning phases, each followed by a recall test. A final recognition test was also administered. Half the participants listened to white noise during the learning phases, and half completed the learning in silence. The noise group demonstrated superior recall accuracy over time, which was not impacted by participant attentional capacity. Recognition accuracy was near ceiling for both groups. These findings suggest that white noise has the capacity to enhance lexical acquisition.

to facilitate the speed of perceptual judgements during encoding, but had no impact on subsequent recognition memory performance.
Taken together, although white noise does not provide a general enhancement for all aspects of cognition, there is evidence to suggest that it can improve some aspects of cognitive performance via modulation of dopaminergic circuitry. If this notion is correct, then the effects of white noise on cognitive performance may be expected to mirror those observed from the effects of dopamine itself. The administration of levodopa, an exogenous dopamine precursor, has been shown to modulate performance on various cognitive tests. The nature of its effects varies according to the nature of the task, with observations including impairments to reversal learning 12 , improvements to feedback-based procedural learning 13 and alterations to semantic processing 14,15 . There is also evidence that dopamine can improve word learning. For instance, new word learning for existing (familiar) objects in healthy adults may be boosted by dexamphetamine 16,17 or levodopa 18,19 . More recently, Shellshear et al. 20 examined the impact of levodopa on novel word learning for unfamiliar objects, observing improved recall for participants on levodopa relative to placebo.
In light of these findings, the primary aim of the present study was to identify whether white noise facilitates new word learning in healthy adults. A secondary aim was to explore whether the effect of white noise on learning is mediated by attentional capacity. In particular, the executive control of attention, which relates to conflict resolution processes 21 , was of interest. Kapa et al. 22 recently found that the executive network (conflict effect) score from the Attention Network Test 21 (ANT) was a significant predictor of artificial language learning in healthy adults, such that those with better executive network scores showed better learning. Accordingly, the present study utilized the ANT to determine if executive control of attention mediates the impact of white noise on novel word learning in healthy adults.
A tertiary aim of the present study was to determine whether the presence of semantic information during learning modulates the impact of white noise. Shellshear et al. 20 found that levodopa was associated with improved recognition accuracy at a one month follow-up for items that had been learned with a semantic description, but not for items learned without a description. These findings appear consistent with dopamine's capacity to focus semantic activation, as demonstrated by semantic priming studies in healthy adults 15,23 . However, Shellshear et al. also found that for both the levodopa and placebo groups, recall accuracy during learning was worse for items learned with a semantic description relative to no description. These findings mirrored those of Whiting et al. 24 , who also found poorer learning for items learned with a semantic description, leading them to suggest that the presence of too much semantic information may be counterproductive to learning when participants are under limited time constraints. Addressing such issues, Angwin et al. 25 recently demonstrated that pairing novel words with just two semantic attributes (e.g., Sticky Loud), rather than a lengthy description, resulted in superior recognition during learning relative to items that had been paired with meaningless names of a similar length (e.g., Mansey Smeath). On that basis, the present study used a learning paradigm similar to Angwin et al. in order to determine whether white noise would better facilitate the learning of items paired with semantic information relative to items paired with unfamiliar names.
In summary, the present study sought to determine whether white noise facilitates new word learning, whether the effects of white noise are mediated by the executive control of attention, and whether any effect of white noise is more prominent for words linked to semantic information. The following hypotheses were proposed. Firstly, consistent with reports that the beneficial effects of white noise may be mediated by dopaminergic circuitry 10 , together with the beneficial effect of dopamine on word learning 20 , it was predicted that word learning would be improved in white noise relative to silence. Secondly, it was predicted that any improvements to word learning in the presence of white noise would be related to attention, being larger in persons with lower executive control of attention. Thirdly, given that dopamine is known to facilitate semantic processing 15 , it was predicted that white noise would facilitate learning of items paired with semantic information more than items paired with no semantic information.

Methods
Participants. Ninety-six undergraduate students participated in the study for course credit. Fourteen participants were ineligible for study inclusion, as 7 reported English as their second language, 1 indicated impaired vision, 2 failed a hearing screen, and 4 were taking anti-depressant medication. The 82 remaining participants consisted of only two males, and so these two male participants were also excluded in order to obtain a more homogeneous sample. The 80 eligible participants were assigned to complete the experimental task either in noise All eligible participants reported English as their first language and normal or corrected to normal vision. All participants also reported as right handed, with the exception of 2 left handed participants in the silence group and 1 in the noise group. A hearing screen indicated that all eligible participants presented with normal hearing sensitivity (thresholds equal to or less than 20db) in both ears across 500, 1000, 2000 and 4000 Hz. The project was approved by The University of Queensland Medical Research Ethics committee and was performed in accordance with the relevant guidelines and regulations. Participants provided written informed consent prior to the commencement of testing.
Learning Task. Stimuli consisted of a subset of the items utilized in Angwin et al. 25 . Specifically, coloured pictures of 20 unique aliens developed by Gupta et al. 26 for word learning studies were used. Each alien was then paired with a unique, three word name, with 10 aliens assigned to a semantic (SEM) condition and 10 assigned to a name (NAM) condition. In both the SEM and NAM conditions, the first name was always a legally spelled nonword (e.g., Blags). These nonwords were generated from the ARC Nonword database (4-6 letters in length, neighbourhood size between 1 and 3, and summed frequency of neighbours between 7 and 60) 27 . In the SEM condition, the nonword name was combined with two adjectives (e.g., Blags Awful Fickle). These adjective pairs were formed from 20 adjectives (4-6 letters in length) selected from the Medical Research Council (MRC) Psycholinguistic Database 28 , which were randomly combined to form 10 pairs. In any instances where a pair contained inconsistent adjectives (e.g., Loud Quiet), the items were re-paired with other adjectives. In the NAM condition, the nonword name was combined with two proper names (e.g., Zalph Jerram Tofts). The proper names were twenty uncommon English surnames selected from the British Census for the years 1538 to 2005. As reported in Angwin et al. 25 , the surnames chosen were judged as uncommon in Australia by three Bachelor of Speech Pathology graduates and these names were then randomly paired to produce 10 proper name pairs. Procedure. Participants completed a single computerized training session of approximately one hour duration. The training session consisted of a series of 5 learning phases, each followed immediately by a recall task. After the last recall task had been completed, participants then completed a final recognition task. All components were presented using E-Prime 2.0 software (Psychology Software Tools, Pittsburgh, PA).
During each of the five learning phases, participants were presented with the 20 alien/name pairs, one at a time on the computer screen. Each alien/name pair was presented twice, such that participants had viewed each pair a total of 10 times by the end of the training session. The order of stimulus presentation was randomized separately for each learning phase and participant. Trials consisted of a fixation point '+' presented in the middle of the screen for 500 ms, followed by an alien picture with its three word name written underneath for 10 seconds.
Following each learning phase, participants completed a recall task. During the recall task, the 20 alien pictures were presented one at a time in a random order in the middle of the computer screen. For each picture, participants were instructed to use the computer keyboard to type the first name of the alien (i.e., the nonword name) and then press the 'enter' key. Each picture remained on screen until the enter key was pressed, and then the next alien was automatically displayed.
After the 5 th recall task the participants completed a final recognition task. Pictures of the same 20 aliens from the learning phases were displayed one at a time together with either their correct three word name or the full three word name of another alien viewed in the session. Participants used the computer mouse to indicate whether the names were correct or not by pressing the left button for correct alien/name pairs and the right button for incorrect pairs. After each response, the next trial was displayed automatically.
For participants in the noise group, white noise was presented via AKG K550 closed back reference class headphones (circumaural, frequency response 12 Hz to 28 kHz, impedance 32 ohms, sensitivity 114 dB SPL/V) at 70 dB SPL(A) during each of the five learning phases. This output level was set as the level produced when playing the white noise through the headphones placed on an artificial ear coupled to a sound level meter. The artificial ear was a Brüel & Kjaer (B&K) type 4153 with a B&K DB 0843 adaptor and a B&K type 4144 1″ pressure-field microphone. The sound level meter coupled to the microphone was a B&K type 2250 Hand-held Analyzer (class 1) set to record on a slow (1 s) setting. The white noise (mono track, 44100 Hz sampling frequency with 32-bit float) played through the headphones was generated using Audacity software (version 2.0.5 for windows generating white noise with a bandwidth from 86 Hz to 22.007 kHz) running on Dell Optiplex 9020 desktop computers (Intel Core i5-2400 CPU @ 3.1 GHz with 4 GB RAM) running Windows 7 (SP1, 64 bit) with Realtek High Definition Audio drivers (version 6.0.1.5883). Participants removed the headphones when performing the recall and recognition tasks. Participants in the silence group were not required to wear headphones.
Attention testing. On a day separate from the learning session, participants completed a modified version of the Attention Network Test (ANT) 21 to assess their executive control of attention. Trials consisted of a central arrow, pointing left or right, surrounded by flanking arrows in either the same (congruent) or the opposite (incongruent) direction. Participants were required to identify the direction of the central arrow as quickly and accurately as possible by pressing the left or right arrow key on the computer keyboard. Target stimuli were preceded by different cues on some trials. By comparing reaction times for incongruent compared to congruent trials, the extent to which the incongruent flanking arrows interfere with task performance can be determined. Accordingly, the conflict (executive network) effect score is calculated by subtracting the mean reaction time for congruent trials from the mean reaction time for incongruent trials (only trials with a correct response are included in this calculation). This measure provides an indication of the efficiency of the executive control network, such that the executive control of attention is lower in those people with a larger conflict effect score.
Stimuli were presented across three blocks of 48 trials, with the order of stimuli randomized within each block. Short rest breaks were provided to participants after each block. Prior to commencing the test, participants completed a practice task consisting of 12 trials. Feedback on reaction time and accuracy was provided during this practice task, however no feedback was provided during the test proper. The task was presented using E-prime 2.0.

Data analysis.
Since the recall and recognition accuracy data were proportional, an arcsine square root transformation was applied to improve variance 29 . For the recall data, skewness was subsequently between −2 and 2 and kurtosis between −2.5 and 2.5 across all recall trials for each condition and group. A repeated measures analysis of variance (ANOVA) was used to analyse the recall accuracy data, with noise (noise, silence) as a between subjects factor, and condition (SEM, NAM) and trial (phase 1-5) as within subjects factors. The conflict effect score was subsequently added to this ANOVA as a covariate, in order to confirm whether any effects of noise were mediated by attention. Four participants (silence n = 1; noise n = 3) were excluded from this covariate analysis due to an exceptionally high error rate on the incongruent condition of the ANT, which precluded a reliable conflict effect for those participants and raised doubts as to whether they had understood the task instructions correctly. A t-test confirmed that the mean conflict effect score for the silence group (M 99 ms; SD 39) did not differ to the score for the noise group (M 96 ms; SD 41) (p = 0.728). Although uncorrected degrees of freedom are reported for the ANOVA, whenever Mauchly's test of sphericity was violated, the Huynh-Feldt adjustment was applied. For the recognition accuracy data, since skewness and kurtosis were both more than ±2.5, Mann Whitney U tests were used to analyse whether noise influenced recognition accuracy for either the SEM or NAM condition.

Results
Recall data. Analysis of the recall data revealed a main effect of trial F(4,312) = 487.71, p < 0.001, η p 2 = 0.862, indicating increased recall accuracy across the learning sessions (Fig. 1). A main effect of condition F(1,78) = 24.18, p < 0.001, η p 2 = 0.237 was also evident, indicative of better overall recall for the NAM condition relative to the SEM condition. Although there was no main effect of noise, there was a significant noise X trial interaction F(4,312) = 2.80, p = 0.035, η p 2 = 0.035. This interaction was driven by a difference in the slope of the learning curve between the two groups, as evidenced by a significant quadratic effect for the noise X trial interaction (F(1,78) = 4.45, p = 0.038, η p 2 = 0.054; the linear effect was not significant p = 0.089), demonstrating better learning over time for the noise group relative to the silence group. No other interactions were significant, although the 3 way interaction between noise, trial and condition approached significance (p = 0.073).
In order to determine whether the noise x trial interaction was modulated by executive attention, the ANT conflict effect score was added as a covariate to the ANOVA. This analysis revealed no significant effect of the attention covariate (p = 0.135), and confirmed that the noise X trial interaction was still significant

Discussion
This study aimed to examine the impact of white noise on new word learning in healthy adults and determine whether any observed effects are mediated by attention. It was hypothesized that white noise would improve word learning, and that this effect would be most evident for participants with lower executive attention. It was further hypothesized that white noise would have the largest impact on words learned with semantic attributes. The presence of white noise resulted in superior word learning relative to silence, as evidenced by more effective recall over time for the noise group. Previous research has illustrated that white noise has the capacity to improve recognition memory 10 , the speed of arithmetic calculations 3 and the speed of perceptual judgements of scene images 11 in healthy adults (but see also below re null findings). The current results extend these findings, demonstrating that white noise can also boost the lexical acquisition of novel word forms in healthy adults. The findings also provide further evidence for cross-modal stochastic resonance, whereby auditory noise improved cognitive performance on a visual task.
There are a number of neural mechanisms that may underpin the observed effects. Levodopa improves word learning in healthy adults 18,20 , suggesting that dopaminergic mechanisms may be a candidate mechanism. Indeed, recent evidence has shown that successful new word learning is associated with ventral striatal activity 30 , and that dopaminergic activity may be critical to the process as evidenced by increased functional connectivity within the substantia nigra/VTA, ventral striatum and hippocampus 31 . Rausch et al. 10 postulated that white noise improves encoding and memory formation by increasing phasic dopamine release, thereby increasing the salience of externally presented stimuli. Accordingly, we speculate that the improved word learning induced by white noise in the present study may be driven by increased phasic dopamine activity, which facilitates attention and enhances the salience of the alien/word pairs. In addition to facilitating attention, white noise may improve word learning via its impact on working memory, as phasic dopamine activity has been linked to the updating of working memory 32 . Word learning success in healthy adults is also dependent upon synchronization of left hippocampal activity and ipsilateral association regions 33 . The hippocampus receives a number of dopaminergic inputs including from the VTA in response to novelty detection and reward prediction, contributing to hippocampal-dependent memories 34 . Thus, consistent with findings that white noise modulates activity within the VTA 10 , benefits to word learning may be due to facilitation of hippocampal-dependent memory formation. It is acknowledged that these proposed neural mechanisms are speculative at this point, and further neuroimaging research will be required to verify such claims.
The hypothesis that noise would facilitate learning more effectively in those with lower executive attention was not supported. Specifically, the analysis showed that the improvements to learning in white noise were not modulated by participants' executive control of attention, as measured by the ANT. This result contrasts with findings that white noise improves performance on memory tasks in children with ADHD 4 and children rated as sub-attentive 8 , and appears inconsistent with the predictions of the MBA model 9 . However, given that all participants in the present study were healthy undergraduate university students, one potential explanation for this finding is that the range of attentional capacity in this participant cohort was not wide enough to capture an effect of attention.
Research indicates that the optimal dopamine level for task performance may vary across tasks, and that the impact of dopamine manipulation will vary depending on parameters such as the type of task, the brain regions targeted and baseline dopamine levels within those regions 35 . Similarly, the effects of white noise on cognitive function may be expected to vary depending on a range of factors. Herweg and Bunzeck 11 found that white noise impaired working memory performance in healthy adults if it was selectively presented during the maintenance phase of the task. Moreover, although white noise was found to speed perceptual judgments during the encoding phase of a reward modulated long term memory task, subsequent recognition memory was not affected. Their findings prompt the need for ongoing research to determine which variables contribute to the effects of white noise on word learning as well as other cognitive tasks.
There are two final points worthy of consideration. Firstly, despite inducing improvements to recall accuracy, white noise had no impact on recognition accuracy. This finding is understandable given that recognition accuracy was already near ceiling for the silence group. Research suggests that recognition is typically less difficult than recall 36 , and recognition was only assessed after the final recall phase in the present study. A more frequent assessment of recognition accuracy throughout learning is warranted in future studies in order to further explore the impact of white noise on recognition processes. Secondly, regardless of noise, recall accuracy for items learned in the semantic condition was significantly worse than items learned without semantic information, whilst recognition accuracy was similar for both conditions. Although previous studies of word learning have also found worse recall for items paired with semantics 20,24 , their semantic information consisted of more lengthy semantic descriptions. Consistent with the present study, Angwin et al. 25 restricted the semantic information to only two adjectives and observed no impact of semantic information on recall, together with better recognition in the semantic condition at each learning session. Shellshear et al. 20 also observed better recognition of items learned with semantic information at a one month follow-up for participants on levodopa. Accordingly, the negative impact of semantic information on learning in the present study was unexpected, and might indicate that the semantic attributes distracted participants and reduced attention towards the nonword names.

Conclusions
The presence of white noise significantly enhanced new word learning in healthy adults, but this effect was not influenced by participant executive attention. The effects of white noise are potentially underpinned by modulation of dopaminergic circuitry and subsequent facilitation of attention and memory, however direct measurement of dopamine uptake (e.g., using Positron Emission Tomography) would be required to confirm these suggestions. The findings provide the impetus for additional research into the potential use of white noise as a non-pharmacological treatment for people with dopaminergic dysregulation or loss, and for people with language or learning difficulties.