Auditory temporal processing performance of young adults with reading disorders

Auditory Processing in Musicians, a Cross-Sectional Study, as a Basis for Auditory Training Optimization

Μusicians are reported to have enhanced auditory processing. This study aimed to assess auditory perception in Greek musicians with respect to their musical specialization and to compare their auditory processing with that of non-musicians. Auditory processing elements evaluated were speech recognition in babble, rhythmic advantage in speech recognition, short-term working memory, temporal resolution, and frequency discrimination threshold detection. All groups were of 12 participants. Three distinct experimental groups tested included western classical musicians, Byzantine chanters, and percussionists. The control group consisted of 12 non-musicians. The results revealed: (i) a rhythmic advantage for word recognition in noise for classical musicians (M = 12.42) compared to Byzantine musicians (M = 9.83), as well as for musicians compared to non-musicians (U = 120.50, p = 0.019), (ii) better frequency discrimination threshold of Byzantine musicians (M = 3.17, p = 0.002) compared to the other two musicians' group for the 2000 Hz region, (iii) statistically significant better working memory for musicians (U = 123.00, p = 0.025) compared to non-musicians. Musical training enhances elements of auditory processing and may be used as an additional rehabilitation approach during auditory training, focusing on specific types of music for specific auditory processing deficits.

The Relations Between Auditory Processing Scores and Cognitive, Listening and Reading Abilities

OBJECTIVES

To investigate associations between auditory processing abilities, cognitive abilities, listening ability, and reading ability in children.

DESIGN

This was a cross-sectional study involving 155 children (105 referred for auditory processing assessment and 50 with no reported listening concerns) aged between 7 and 13 years. Each child was assessed on auditory processing tests, cognitive tests, and a reading test. Additional data on reading ability were provided by the reading score from a national test. Questionnaires about the child's listening ability were completed by a parent, a teacher, and the child.

RESULTS

Structural equation models relating auditory processing abilities, cognitive abilities, listening ability, and reading ability were developed. There was evidence that listening and reading abilities were associated with cognitive abilities when adjusting for auditory processing abilities, but little evidence that listening and reading abilities were associated with auditory processing abilities when adjusting for cognitive abilities.

CONCLUSIONS

It should not be assumed that auditory processing tests and cognitive tests measure separate abilities. When investigating the association between auditory processing abilities and real-world abilities, it is important to adjust for cognitive abilities. Children with listening difficulties should undergo cognitive assessments in addition to auditory processing assessments.

Auditory frequency discrimination in developmental dyslexia: A meta-analysis

Auditory frequency discrimination has been used as an index of sensory processing in developmental language disorders such as dyslexia, where group differences have often been interpreted as evidence for a basic deficit in auditory processing that underpins and constrains individual variability in the development of phonological skills. Here, we conducted a meta-analysis to evaluate the cumulative evidence for group differences in frequency discrimination and to explore the impact of some potential moderator variables that could contribute to variability in effect-size estimations across studies. Our analyses revealed mean effect sizes for group differences on frequency discrimination tasks on the order of three-quarters of a standard deviation, but in the presence of substantial inter-study variability in their magnitude. Moderator variable analyses indicated that factors related both to participant variability on behavioural and cognitive variables associated with the dyslexia phenotype, and to variability in the task design, contributed to differences in the magnitude of effect size across studies. The apparently complex pattern of results was compounded by the lack of concurrent, standardised metrics of cognitive and reading component skills across the constituent studies. Differences on sensory processing tasks are often reported in studies of developmental disorders, but these need to be more carefully interpreted in the context of non-sensory factors, which may explain significant inter- and intra-group variance in the dependent measure of interest.

Same or Different: The Overlap Between Children With Auditory Processing Disorders and Children With Other Developmental Disorders: A Systematic Review

Supplemental Digital Content is available in the text.

Objectives:

Children diagnosed with auditory processing disorders (APD) experience difficulties in auditory functioning and with memory, attention, language, and reading tasks. However, it is not clear whether the behavioral characteristics of these children are distinctive from the behavioral characteristics of children diagnosed with a different developmental disorder, such as specific language impairment (SLI), dyslexia, attention-deficit hyperactivity disorder (ADHD), learning disorder (LD), or autism spectrum disorder. This study describes the performance of children diagnosed with APD, SLI, dyslexia, ADHD, and LD to different outcome measurements. The aim of this study was to determine (1) which characteristics of APD overlap with the characteristics of children with SLI, dyslexia, ADHD, LD, or autism spectrum disorder; and (2) if there are characteristics that distinguish children diagnosed with APD from children diagnosed with other developmental disorders.

Design:

A systematic review. Six electronic databases (Pubmed, CINAHL, Eric, PsychINFO, Communication & Mass Media Complete, and EMBASE) were searched to find peer-reviewed studies from 1954 to May 2015. The authors included studies reporting behaviors and performance of children with (suspected) APD and children diagnosed with a different developmental disorder (SLI, Dyslexia, ADHD, and LD). Two researchers identified and screened the studies independently. Methodological quality of the included studies was assessed with the American Speech-Language-Hearing Association’s levels-of-evidence scheme.

Results:

In total, 13 studies of which the methodological quality was moderate were included in this systematic review. In five studies, the performance of children diagnosed with APD was compared with the performance of children diagnosed with SLI: in two with children diagnosed with dyslexia, one with children diagnosed with ADHD, and in another one with children diagnosed with LD. Ten of the studies included children who met the criteria for more than one diagnosis. In four studies, there was a comparison made between the performances of children with comorbid disorders. There were no studies found in which the performance of children diagnosed with APD was compared with the performance of children diagnosed with autism spectrum disorder. Children diagnosed with APD broadly share the same characteristics as children diagnosed with other developmental disorders, with only minor differences between them. Differences were determined with the auditory and visual Duration Pattern Test, the Children’s Auditory Processing Performance Scale questionnaire, and the subtests of the Listening in Spatialized Noise-Sentences test, in which noise is spatially separated from target sentences. However, these differences are not consistent between studies and are not found in comparison to all groups of children with other developmental disorders.

Conclusions:

Children diagnosed with APD perform equally to children diagnosed with SLI, dyslexia, ADHD, and LD on tests of intelligence, memory or attention, and language tests. Only small differences between groups were found for sensory and perceptual functioning tasks (auditory and visual). In addition, children diagnosed with dyslexia performed poorer in reading tasks compared with children diagnosed with APD. The result is possibly confounded by poor quality of the research studies and the low quality of the used outcome measures. More research with higher scientific rigor is required to better understand the differences and similarities in children with various neurodevelopmental disorders.

Temporal Processing Development in Chinese Primary School-Aged Children With Dyslexia

This study aimed to investigate the development of visual and auditory temporal processing among children with and without dyslexia and to examine the roles of temporal processing in reading and reading-related abilities. A total of 362 Chinese children in Grades 1-6 were recruited from Taiwan. Half of the children had dyslexia, and the other half were typically developing children who matched the dyslexic group on age, intelligence, and gender. Our results indicate that for typically developing children, the visual and auditory modalities follow the same developmental trend: The children in first and second grades performed significantly worse than the older children. Among the children with dyslexia, however, significant improvements in the visual modality were observed with increasing age. Furthermore, although both modalities were important for all reading-related abilities and for Chinese character reading in first and second grades, the visual modality significantly predicted only orthographic knowledge and Chinese character reading in third and fourth grades. In contrast, the auditory modality affected only phonological awareness. In fifth and sixth grades, only visual temporal processing slightly contributed to the orthographic knowledge and Chinese character reading of the dyslexic group. Also, the relationship between temporal processing and Chinese character reading is strongly influenced by age.

The Written Voice: Implicit Memory Effects of Voice Characteristics following Silent Reading and Auditory Presentation

After being familiarized with two voices, either implicit (auditory lexical decision) or explicit memory (auditory recognition) for words from silently read sentences was assessed among 32 men and 32 women volunteers. In the silently read sentences, the sex of speaker was implied in the initial words, e.g., “He said, …” or “She said ….” Tone in question versus statement was also manipulated by appropriate punctuation. Auditory lexical decision priming was found for sex- and tone-consistent items following silent reading, but only up to 5 min. after silent reading. In a second study, similar lexical decision priming was found following listening to the sentences, although these effects remained reliable after a 2-day delay. The effect sizes for lexical decision priming showed that tone-consistency and sex-consistency were strong following both silent reading and listening 5 min. after studying. These results suggest that readers create episodic traces of text from auditory images of silently read sentences as they do during listening.

Comparison of two tests of auditory temporal resolution in children with central auditory processing disorder, adults with psychosis, and adult professional musicians

OBJECTIVE

Evaluate auditory temporal resolution threshold outcomes across three different populations.

DESIGN

Two commercially available tests of auditory gap detection (Random gap detection (RGDT) test, and Gaps-in-noise (GIN) test) were administered to all participants.

STUDY SAMPLE

Adult professional musicians (APM) (N = 11, age range 28-61 years); children with central auditory processing disorder (CAPD) (N = 22, age range 7.5-17 years); and first episode psychosis patients (FEP) (N = 17, age range 18-48 years).

RESULTS

It was not possible to calculate a threshold for the RGDT for 13 of 22 children with CAPD and for 7 of 17 adults with FEP due to response inconsistency. Analysis of variance (ANOVA) excluding cases that produced inconsistent RGDT results showed that only RGDT thresholds differed across groups (F = 8.73, p = 0.001). Three t-tests comparing test means within group revealed statistically significant differences between the gap detection thresholds obtained with the RGDT vs. the GIN for each group. No significant correlations were seen between RGDT and GIN.

CONCLUSION

Lower/better gap detection thresholds and smaller standard deviations were obtained using the GIN in all three groups. Lack of correlation between the two tests suggests that they may measure different processes.

Basic auditory processing deficits in dyslexia: systematic review of the behavioral and event-related potential/ field evidence

A review of research that uses behavioral, electroencephalographic, and/or magnetoencephalographic methods to investigate auditory processing deficits in individuals with dyslexia is presented. Findings show that measures of frequency, rise time, and duration discrimination as well as amplitude modulation and frequency modulation detection were most often impaired in individuals with dyslexia. Less consistent findings were found for intensity and gap perception. Additional factors that mediate auditory processing deficits in individuals with dyslexia and their implications are discussed.

Psychophysical indices of perceptual functioning in dyslexia: A psychometric analysis

An influential causal theory attributes dyslexia to visual and/or auditory perceptual deficits. This theory derives from group differences between individuals with dyslexia and controls on a range of psychophysical tasks, but there is substantial variation, both between individuals within a group and from task to task. We addressed two questions. First, do psychophysical measures have sufficient reliability to assess perceptual deficits in individuals? Second, do different psychophysical tasks measure a common underlying construct? We studied 104 adults with a wide range of reading ability and two comparison groups of 49 dyslexic adults and 41 adults with normal reading, measuring performance on four auditory and two visual tasks. We observed moderate to high test–retest reliability for most tasks. While people with dyslexia were more likely to display poor task performance, we were unable to demonstrate either construct validity for any of the current theories of perceptual deficits or predictive validity for reading ability. We suggest that deficient perceptual task performance in dyslexia may be an associated (and inconsistent) marker of underlying neurological abnormality, rather than being causally implicated in reading difficulties.

Perception of non-verbal auditory stimuli in Italian dyslexic children

Auditory temporal processing deficits have been proposed as the underlying cause of phonological difficulties in Developmental Dyslexia. The hypothesis was tested in a sample of 20 Italian dyslexic children aged 8-14, and 20 matched control children. Three tasks of auditory processing of non-verbal stimuli, involving discrimination and reproduction of sequences of rapidly presented short sounds were expressly created. Dyslexic subjects performed more poorly than control children, suggesting the presence of a deficit only partially influenced by the duration of the stimuli and of inter-stimulus intervals (ISIs).

Dyslexia (neuropsychological)

In this article, we review research into the underlying deficits associated with the failure to learn to read normally, or developmental dyslexia. We focus on the heterogeneity within this broad category of disorder and on the relationship between the proposed deficits and the acquisition of specific kinds of reading skill. We also distinguish between 'high-level' cognitive or language deficits associated with developmental dyslexia and 'low-level' perceptual or neurological deficits. We conclude that the mixed and sometimes contradictory sets of findings associated with most of the proposed deficits reveal something important: that there is no single cause of developmental dyslexia and that it is likely that multiple causes interact in complex ways to impair reading acquisition. Copyright © 2010 John Wiley & Sons, Ltd. For further resources related to this article, please visit the WIREs website.

Temporal event-structure coding in developmental dyslexia: Evidence from explicit and implicit temporal processes

As an alternative to theories positing visual or phonological deficits it has been suggested that the aetiology of dyslexia takes the form of a temporal processing deficit that may refer to impairment in the functional connectivity of the processes involved in reading. Here we investigated this idea in an experimental task designed to measure simultaneity thresholds. Fifteen children diagnosed with developmental dyslexia, alongside a matched sample of 13 normal readers undertook a series of threshold determination procedures designed to locate visual simultaneity thresholds and to assess the influence of subthreshold synchrony or asynchrony upon these thresholds. While there were no significant differences in simultaneity thresholds between dyslexic and normal readers, indicating no evidence of an altered perception, or temporal quantization of events, the dyslexic readers reported simultaneity significantly less frequently than normal readers, with the reduction largely attributable presentation of a subthreshold asynchrony. The results are discussed in terms of a whole systems approach to maintaining information processing integrity.

Comorbidity of auditory processing, language, and reading disorders

PURPOSE

The authors assessed comorbidity of auditory processing disorder (APD), language impairment (LI), and reading disorder (RD) in school-age children.

METHOD

Children (N = 68) with suspected APD and nonverbal IQ standard scores of 80 or more were assessed using auditory, language, reading, attention, and memory measures. Auditory processing tests included the Frequency Pattern Test (FPT; F. E. Musiek, 1994; D. Noffsinger, R. H. Wilson, & F. E. Musiek, 1994); the Dichotic Digit Test Version 2 (DDT; F. E. Musiek, 1983); the Random Gap Detection Test (R. W. Keith, 2000); the 500-Hz tone Masking Level Difference (V. Aithal, A. Yonovitz, & S. Aithal, 2006); and a monaural low-redundancy speech test (compressed and reverberant words; A. Boothroyd & S. Nittrouer, 1988). The Clinical Evaluation of Language Fundamentals, Fourth Edition (E. Semel, E. Wiig, & W. Secord, 2003) was used to assess language abilities (including auditory memory). Reading accuracy and fluency and phonological awareness abilities were assessed using the Wheldall Assessment of Reading Passages (A. Madelaine & K. Wheldall, 2002) and the Queensland University Inventory of Literacy (B. Dodd, A. Holm, M. Orelemans, & M. McCormick, 1996). Attention was measured using the Integrated Visual and Auditory Continuous Performance Test (J. A. Sandford & A. Turner, 1995).

RESULTS

Of the children, 72% had APD on the basis of these test results. Most of these children (25%) had difficulty with the FPT bilaterally. A further 22% had difficulty with the FPT bilaterally and had right ear deficits for the DDT. About half of the children (47%) had problems in all 3 areas (APD, LI, and RD); these children had the poorest FPT scores. More had APD-RD, or APD-LI, than APD, RD, or LI alone. There were modest correlations between FPT scores and attention and memory, and between DDT scores and memory.

CONCLUSIONS

LI and RD commonly co-occur with APD. Attention and memory are linked to performance on some auditory processing tasks but only explain a small amount of the variance in scores. Comprehensive assessment across a range of areas is required to characterize the difficulties experienced by children with APD.

Frequency discrimination learning in children

Psychoacoustic thresholds of pure tone frequency discrimination (FD) in children are elevated relative to those of adults. It has been shown that it is possible to improve FD thresholds in adults, following a single (subhour) training session. To determine whether FD thresholds in children may be improved by training and, consequently, reduced to adult levels, 100 normally hearing 6- to 11-year-old children and adults received approximately 1 h of training on a FD task at 1 kHz. At the start of training, a quarter of all child participants had FD thresholds that resembled those of naive adults (adult-like subgroup). Another quarter achieved thresholds that were adult-like at some point during training (trainable subgroup). For the remainder (nonadult-like subgroup), thresholds did not reach those of naive adult listeners at any point in the training session. Subgroup membership was linked to the influence of three factors-age, nonverbal IQ, and attention. However, across subgroups, learning was found not to generalize to either a different standard frequency (4 kHz) or a variable (roving) presentation paradigm. The results indicate that it is possible for some children to achieve FD thresholds comparable to those of naive adults, either natively or after limited training.

Auditory processing disorders, verbal disfluency, and learning difficulties: a case study

This case study reports the findings of auditory behavioral and electrophysiological measures performed on a graduate student (identified as LN) presenting verbal disfluency and learning difficulties. Results of behavioral audiological testing documented the presence of auditory processing disorders, particularly temporal processing and binaural integration. Electrophysiological test results, including middle latency, late latency and cognitive potentials, revealed that LN's central auditory system processes acoustic stimuli differently to a reference group with normal hearing.

Auditory pattern recognition and brief tone discrimination of children with reading disorders

Auditory pattern recognition skills in children with reading disorders were investigated using perceptual tests involving discrimination of frequency and duration tonal patterns. A behavioral test battery involving recognition of the pattern of presentation of tone triads was used in which individual components differed in either frequency or duration. A test involving measurement of difference limens for long and short duration tones was also administered. In comparison to controls, children with reading disorders exhibited significantly higher error rates in discrimination of duration and frequency patterns, as well as larger brief tone frequency difference limens. These results suggest that difficulties in the recognition and processing of auditory patterns may co-occur with decoding deficits in children with reading disorders.

LEARNING OUTCOMES

(1) As a result of this activity, the participant will be able to identify a relationship between reading and temporal processing. (2) As a result of this activity, the reader will be able to discuss the difference between sight-word decoding and phonological decoding. (3) As a result of this activity, the reader will be able to explain a relationship between reading skills and the identification of auditory patterns.

Frequency discrimination and literacy skills in children with mild to moderate sensorineural hearing loss

It has been suggested that specific reading disability (SRD) may be attributable to an impaired ability to perceive spectral differences between sounds that leads to a deficit in frequency discrimination and subsequent problems with language and literacy. The objective of the present study was three-fold. We aimed to (a) determine whether children with mild to moderate sensorineural hearing loss were impaired in their ability to discriminate frequency, (b) assess the extent to which any such deficits may be due to an inability to use information derived from phase locking, and (c) examine whether frequency discrimination abilities were predictive of measures of word and nonword reading and nonword repetition. Difference limens for frequency (DLFs) were obtained for 22 children with mild to moderate hearing loss (SNH group) and 22 age-matched controls (CA group) at central frequencies of 1 kHz, where phase-locking information is available, and 6 kHz, where it is not. A battery of standardized tests of language and literacy was also administered. The SNH group exhibited significantly elevated DLFs at both 1 and 6 kHz relative to controls, despite considerable variability of thresholds in both groups. Although no group differences were found for receptive and expressive vocabulary, receptive grammar, and nonword reading, the SNH group performed worse than controls on word reading and nonword repetition, even though word reading scores were age-appropriate. Frequency discrimination abilities were associated with reading and nonword repetition across groups, but these correlations largely disappeared when the two groups were analyzed separately. Together, these results provide evidence for a dissociation between impaired frequency discrimination and relatively "spared" language and literacy in children with mild to moderate sensorineural hearing loss. These results cast doubt on the assertion that a deficit in frequency discrimination necessarily leads to marked deficits in the development of language and literacy.

Categorical perception of speech stimuli in children at risk for reading difficulty

Children determined to be at risk (n = 24) or not at risk (n = 13) for reading difficulty listened to tokens from a voice onset time (VOT) (/ga/-/ka/) or tone series played in a continuous unbroken rhythm. Changes between tokens occurred at random intervals and children were asked to press a button as soon as they detected a change. For the VOT series, at-risk children were less sensitive than not-at-risk children to changes between tokens that crossed the phonetic boundary. Maps of group stimulus space produced using multidimensional scaling of reaction times for the VOT series indicated that at-risk children may attend less to the phonological information available in the speech stimuli and more to subtle acoustic differences between phonetically similar stimuli than not-at-risk children. Better phonological processing was associated with greater sensitivity to changes between VOT tokens that crossed the phonetic boundary and greater relative weighting of the phonological compared to the acoustic dimension across both groups.

Effect-size reporting practices in AJSLP and other ASHA journals, 1999-2003

A census of effect-size practices in the past 5 volumes of American Speech-Language-Hearing Association journals was accomplished. Inclusion of effect size in quantitative research reports increased from 5 reports with effect size in 1990 to 1994 to 120 reports in 1999 to 2003. Nonetheless, effect size was reported less than 30% of the time when inferential statistics were used, and only half of those reports included an interpretation of effect size. This article presents case exemplars to illustrate the use and value of effect size and includes suggestions for interpreting effect size. Researchers are encouraged to routinely report effect size and to interpret effect size in a way that facilitates the application of research to practice.

Sex-Linked Differences in the Anatomy of the Perisylvian Language Cortex: A Volumetric MRI Study of Gray Matter Volumes

Perisylvian regions important for auditory processing include Heschl's gyrus (HG), the planum temporale (PT), the posterior superior temporal gyrus (pSTG), and the posterior ascending ramus (PAR). Sex-linked differences in language functions and anatomy have been suggested. To examine sex-linked differences, the authors used MRI to measure HG, PT, pSTG, and PAR volumes. Sex differences were found in right HG and right pSTG volumes but not in the left volumes of these structures. For the PT, there were sex differences in asymmetry; women exhibited leftward asymmetry of the PT, whereas men did not exhibit PT asymmetry. These findings suggest that there are sex-linked differences in the anatomy of primary and association auditory cortices.

Comorbid Auditory Processing Disorder in Developmental Dyslexia

OBJECTIVE

The primary objective of this study was to investigate the extent of comorbid auditory processing disorder (APD) in a group of adults with developmental dyslexia. An additional objective was to compare performance on auditory tasks to results from standardized tests of reading in an attempt to generate a clinically useful profile of developmental dyslexics with comorbid APD.

DESIGN

A group of eleven persons with developmental dyslexia and 14 age- and intelligence-matched controls participated in the study. Behavioral audiograms, 226-Hz tympanograms, and word recognition scores were obtained binaurally from all subjects. Both groups were administered the frequency-pattern test (FPT) and duration-pattern test (DPT) monaurally (30 items per ear) in both the left and right ear. Gap detection results were obtained in both groups (binaural presentation) using narrowband noise centered at 1 kHz in an adaptive two-alternative forced-choice (2-AFC) paradigm. The FPT, DPT, and gap detection results were analyzed for interaural (where applicable), intergroup, and intragroup differences. Correlations between performance on the auditory tasks and the standardized tests of reading were examined. Additive logistic regression models were fit to the data to determine which auditory tests proved to be the best predictors of group membership.

RESULTS

The persons with developmental dyslexia as a group performed significantly poorer than controls on both the FPT and DPT. Furthermore, the group differences were significant in both monaural conditions. On the FPT and DPT, five of the eleven participants with dyslexia performed below the widely used clinical criterion for APD of 70% correct in either ear. All five of these participants performed below criterion on the FPT, whereas four of the five additionally performed below 70% on the DPT. The data also were analyzed by fitting a series of stepwise logistic regression models, which indicated that gap detection did not significantly predict group membership, whereas the FPT and DPT were significant predictors. The addition of the FPT score after the DPT did not result in a significant change in the residual deviance.

CONCLUSIONS

Approximately half of the participants with developmental dyslexia showed clinically significant diminished performance on the FPT and DPT indicative of APD. These results indicate that the percentage of persons with developmental dyslexia and comorbid APD may be substantial enough to warrant serious clinical considerations.