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Drosos K, Tafiadis D, Voniati L, Papanicolaou A, Thodi C. Preliminary Validation of the Children's Auditory Performance Scale (CHAPS) and the Auditory Processing Domain Questionnaire (APDQ) in Greek Cypriot Children. Audiol Res 2024; 14:625-639. [PMID: 39051197 PMCID: PMC11270421 DOI: 10.3390/audiolres14040053] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2024] [Revised: 07/12/2024] [Accepted: 07/12/2024] [Indexed: 07/27/2024] Open
Abstract
BACKGROUND Identification of auditory processing disorders is achieved using questionnaires along with linguistic, non-linguistic, and auditory processing tests. Notably, the questionnaires "Children's Auditory Performance Scale" (CHAPS) and "Auditory Processing Domain Questionnaire" (APDQ) are widely recognized and used. The current study investigated the psychometric properties of the CHAPS and APDQ in Greek Cypriot children. METHODS The CHAPS and APDQ questionnaires were completed by parents of 40 Greek Cypriot children, 16 typically developing (TD) children, and 24 children with a history of Speech Sound Disorders (SSDs). RESULTS There were significant differences between the two groups on both questionnaires. Cronbach's alpha was calculated at α = 0.922 for the CHAPS total score and α = 0.926 for the APDQ total score. The Receiver Operating Curve (ROC) analysis provided a cut-off point equal to -0.30 (AUC 0.849, p < 0.001) for CHAPS and a cut-off point equal to 90.00 (AUC 0.820, p < 0.001) for APDQ. Significant positive Spearman ρ correlations were observed between the CHAPS and APDQ (ρ = 0.639, p = 0.001). CONCLUSIONS The CHAPS and APDQ can identify distinct auditory processing characteristics between in children with SSDs and TD children.
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Affiliation(s)
- Konstantinos Drosos
- School of Sciences, Speech and Language Therapy, European University Cyprus, 2404 Nicosia, Cyprus; (L.V.); (C.T.)
| | - Dionysios Tafiadis
- Department of Speech and Language Therapy, University of Ioannina, GR-45500 Ioannina, Greece;
| | - Louiza Voniati
- School of Sciences, Speech and Language Therapy, European University Cyprus, 2404 Nicosia, Cyprus; (L.V.); (C.T.)
| | - Alexandra Papanicolaou
- Department of Hearing and Speech Sciences, University of Maryland College Park, College Park, MD 20740, USA;
| | - Chryssoula Thodi
- School of Sciences, Speech and Language Therapy, European University Cyprus, 2404 Nicosia, Cyprus; (L.V.); (C.T.)
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Källstrand J, Niklasson K, Lindvall M, Claesdotter-Knutsson E. Reduced thalamic activity in ADHD under ABR forward masking conditions. APPLIED NEUROPSYCHOLOGY. CHILD 2024; 13:222-228. [PMID: 36524942 DOI: 10.1080/21622965.2022.2155520] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
Abstract
Attention-deficit hyperactivity disorder (ADHD) is a common chronic neurodevelopmental disorder characterized by symptoms of inattention, overactivity, and/or impulsiveness. The prevalence of ADHD varies in different settings and there have been voices raised to call for more objective measures in order to avoid over- and underdiagnosing of ADHD. Auditory Brainstem Response (ABR) is a method where click shaped sounds evoke potentials that are recorder from electrodes on the skull of a patient. The aim of this study was to explore possible alterations in the ABR of 29 patients with ADHD compared to 39 healthy controls. We used a forward masked sound. We found differences in ABR that correspond to the thalamic area. The thalamus seems to play an active role in regulation of activity level in ADHD. More research is needed to draw any further conclusions on using ABR as an objective measurement to detect ADHD.
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Affiliation(s)
| | - Katalin Niklasson
- Outpatient Department, Child and Adolescent Psychiatry Clinic, Region Skåne, Lund, Sweden
| | - Magnus Lindvall
- Outpatient Department, Child and Adolescent Psychiatry Clinic, Region Skåne, Lund, Sweden
- Department of Clinical Sciences, Faculty of Medicine, Lund University, Lund, Sweden
| | - Emma Claesdotter-Knutsson
- Outpatient Department, Child and Adolescent Psychiatry Clinic, Region Skåne, Lund, Sweden
- Department of Clinical Sciences, Faculty of Medicine, Lund University, Lund, Sweden
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Moore DR, Lin L, Bhalerao R, Caldwell-Kurtzman J, Hunter LL. Multidisciplinary assessment and interventions for childhood auditory processing disorder (APD) and listening difficulties (LiD). MEDRXIV : THE PREPRINT SERVER FOR HEALTH SCIENCES 2024:2024.06.12.24308837. [PMID: 38946985 PMCID: PMC11213078 DOI: 10.1101/2024.06.12.24308837] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 07/02/2024]
Abstract
Purpose Auditory processing disorder (APD) has been studied in both research and clinic settings, but the relation between the two has not been addressed. In a longitudinal research study (SICLiD), we found that children with clinically normal audiometry who had caregiver-reported listening difficulties (LiD), with or without clinically assessed APD, performed poorly on both listening and cognitive tests. Specific questions asked here were, for the children with LiD, what other neurodevelopmental clinical conditions were identified, what interventions were used by different clinical providers, and how clinical practice was predicted by research results. Methods Study setting was a large, research-led, tertiary pediatric hospital. Electronic medical records of 74 children aged 6-13 years, recruited into SICLiD and assigned to an LiD group based on a validated and reliable caregiver report (ECLiPS), were independently reviewed. Focus was on clinical assessments and interventions following appointments provided in the Hospital Divisions of Audiology, Occupational Therapy, Psychology (Developmental and Behavioral Pediatrics), and Speech-Language Pathology (SLP), prior to participation in SICLiD. Descriptive statistics on clinical encounters, identified conditions, and interventions were compared with quantitative, standardized performance on SICLiD assessments of listening and cognitive function. SICLiD z-scores were compared for participants with and without each clinical condition using univariate and logistic prediction analyses. Results Most (86%) of the children with LiD had been evaluated by at least one clinical service. Overall, 24 assessment categories related to LiD, including APD, were identified. Most common conditions were attention (32%), language (28%), hearing (18%), anxiety (16%), and autism spectrum (6%) disorders. Performance on SICLiD measures varied significantly between providers, conditions, and interventions. Significant relationships between SICLiD and clinical conditions were mostly caregiver-reported items from the ECLiPS or the Children's Communication Checklist (CCC-2). Other significant correlations were scarce, but included the SCAN composite score, which predicted clinical language and attention, but not other auditory abilities or APD. SICLiD data combined with caregiver reports provided reliable predictions of all clinical conditions except APD. Conclusions The variety of disciplines, assessments, conditions and interventions revealed here supports previous studies showing that LiD and APD are multifaceted problems of neurodevelopment. Comparisons between clinical- and research-based assessments suggest a diagnostic path that prioritizes caregiver reports and selected psychometric tests for screening and diagnostic purposes.
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Affiliation(s)
- David R Moore
- Communication Sciences Research Center, Division of Patient Services Research, Cincinnati Children's Hospital Medical Center, OH
- Department of Otolaryngology-Head & Neck Surgery, University of Cincinnati, OH
- Manchester Centre for Audiology and Deafness, University of Manchester, United Kingdom
| | - Li Lin
- Communication Sciences Research Center, Division of Patient Services Research, Cincinnati Children's Hospital Medical Center, OH
| | - Ritu Bhalerao
- Communication Sciences Research Center, Division of Patient Services Research, Cincinnati Children's Hospital Medical Center, OH
| | - Jody Caldwell-Kurtzman
- Communication Sciences Research Center, Division of Patient Services Research, Cincinnati Children's Hospital Medical Center, OH
| | - Lisa L Hunter
- Communication Sciences Research Center, Division of Patient Services Research, Cincinnati Children's Hospital Medical Center, OH
- Department of Otolaryngology-Head & Neck Surgery, University of Cincinnati, OH
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Bigras J, Lagacé J, El Mawazini A, Lessard-Dostie H. Interventions for School-Aged Children with Auditory Processing Disorder: A Scoping Review. Healthcare (Basel) 2024; 12:1161. [PMID: 38921276 PMCID: PMC11203214 DOI: 10.3390/healthcare12121161] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2024] [Revised: 05/24/2024] [Accepted: 05/31/2024] [Indexed: 06/27/2024] Open
Abstract
(1) Background: Auditory processing (AP) disorder is associated with learning difficulties and poses challenges to school-aged children in their daily activities. This scoping review identifies interventions and provides audiologists with protocol insights and outcome measures. (2) Methods: A systematic search of both peer-reviewed and grey literature (January 2006 to August 2023) covered ten databases. Studies included had the following characteristics: (i) published in French or English; (ii) participants were school-aged, and had a normal audiogram, AP difficulties or disorder, and no cognitive, developmental, congenital or neurological disorder (with the exception of learning, attention, and language disabilities); (iii) were intervention studies or systematic reviews. (3) Results: Forty-two studies were included, and they predominantly featured auditory training (AT), addressing spatial processing, dichotic listening, temporal processing and listening to speech in noise. Some interventions included cognitive or language training, assistive devices or hearing aids. Outcome measures listed included electrophysiological, AP, cognitive and language measures and questionnaires addressed to parents, teachers or the participants. (4) Conclusions: Most interventions focused on bottom-up approaches, particularly AT. A limited number of top-down approaches were observed. The compiled tools underscore the need for research on metric responsiveness and point to the inadequate consideration given to understanding how children perceive change.
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Affiliation(s)
- Jacynthe Bigras
- School of Rehabilitation Sciences, Faculty of Health Sciences, University of Ottawa, Ottawa, ON K1N 6N5, Canada; (J.L.); (A.E.M.); (H.L.-D.)
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Maggu AR, Sharma B. Relationship Between Cognitive Abilities and Basic Auditory Processing in Young Adults. Am J Audiol 2024; 33:422-432. [PMID: 38501921 DOI: 10.1044/2024_aja-23-00261] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/20/2024] Open
Abstract
PURPOSE The diagnosis of auditory processing disorder (APD) is controversial particularly due to the influence of higher order factors of language and cognition on the diagnostic APD testing. As a result, there might be a need for testing for other domains (e.g., cognition) along with conducting the diagnostic APD testing to rule out the influence of other domains. In order to make recommendations on whether cognitive testing is needed along with the auditory processing testing, as a starting point, the current study was conducted to examine the relationship between cognitive abilities and basic auditory processing in young adults. METHOD A total of 38 young adults with normal audiometric thresholds between 250 and 8000 Hz participated in this study. They were tested on their executive function, language, processing speed, working memory, and episodic memory components of cognitive testing and tests for temporal fine structure and spectrotemporal sensitivity for auditory processing testing. RESULTS No significant correlation was found between the cognitive tests and the tests for basic auditory processing in young adults. CONCLUSIONS These findings present contrast to the existing findings in children and older adults where a stronger correlation between cognitive abilities and auditory processing has been found. The current findings suggest that testing for cognitive abilities may not be needed when testing for basic auditory processing in young adults.
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Affiliation(s)
- Akshay R Maggu
- Department of Speech, Language, and Hearing Sciences, University of Connecticut, Storrs
- Department of Speech-Language-Hearing Sciences, Hofstra University, Hempstead, NY
- The Institute for the Brain and Cognitive Sciences, University of Connecticut, Storrs
| | - Bhamini Sharma
- Department of Communication Arts, Sciences, and Disorders, Brooklyn College, The City University of New York, NY
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Denys S, Barry J, Moore DR, Verhaert N, van Wieringen A. A Multi-Sample Comparison and Rasch Analysis of the Evaluation of Children's Listening and Processing Skills Questionnaire. Ear Hear 2024:00003446-990000000-00291. [PMID: 38825739 DOI: 10.1097/aud.0000000000001509] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/04/2024]
Abstract
OBJECTIVES Assessing listening difficulties and associated complaints can be challenging. Often, measures of peripheral auditory functions are within normal ranges, making clinicians feel unsure about proper management strategies. The range and nature of observed or experienced difficulties might be better captured using a qualitative measure. The Evaluation of Children's Listening and Processing Skills (ECLiPS) questionnaire was designed to broadly profile the auditory and cognitive problems often present in children with listening difficulties. This 38-item questionnaire was initially standardized in British children aged 6 to 11 years, was subsequently modified for use with North-American children, and was recently translated into Flemish-Dutch. This study aimed to compare typical scores of the Flemish version with the UK and US versions, and to evaluate and compare its psychometric quality based on Rasch analysis. DESIGN We selected 112 Flemish children aged 6 to 11 years with verified normal hearing and typical development, and asked two caregivers of every child to fill out the ECLiPS. Data from two comparator samples were analyzed, including responses for 71 North-American children and 650 British children. Typical values for ECLiPS factors and aggregates were determined as a function of age and gender, and meaningful differences across samples were analyzed. Rasch analyses were performed to evaluate whether ECLiPS response categories work as intended, and whether item scores fit a linear equal interval measurement scale that works the same way for everyone. Item and person metrics were derived, including separation and reliability indices. We investigated whether items function similarly across linguistically and culturally different samples. RESULTS ECLiPS scores were relatively invariant to age. Girls obtained higher scores compared with boys, mainly for items related to memory and attention, and pragmatic and social skills. Across ECLiPS versions, the most pronounced differences were found for items probing social skills. With respect to its psychometric quality, ECLiPS response categories work as intended, and ECLiPS items were found to fit the Rasch measurement scale. Cultural differences in responses were noted for some items, belonging to different factors. Item separation and reliability indices generally pointed toward sufficient variation in item difficulty. In general, person separation (and reliability) metrics, quantifying the instrument's ability to distinguish between poor and strong performers (in a reproducible manner), were low. This is expected from samples of typically developing children with homogeneous and high levels of listening ability. CONCLUSIONS Across the languages assessed here, the ECLiPS caregiver questionnaire was verified to be a psychometrically valid qualitative measure to assess listening and processing skills, which can be used to support the assessment and management of elementary school children referred with LiD.
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Affiliation(s)
- Sam Denys
- University of Leuven, Department of Neurosciences, Research Group Experimental Otorhinolaryngology (ExpORL), Leuven, Belgium
- University Hospitals of Leuven, Department of Otorhinolaryngology - Head and Neck Surgery, Multidisciplinary University Center for Speech-Language Pathology and Audiology, Leuven, Belgium
| | - Johanna Barry
- Otorhinolaryngology - Head and Neck Surgery, Nottingham University Hospitals National Health Service Trust, Nottingham, United Kingdom
| | - David R Moore
- Communication Sciences Research Center, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA
- Manchester Centre for Audiology and Deafness, University of Manchester, Manchester, United Kingdom
| | - Nicolas Verhaert
- University of Leuven, Department of Neurosciences, Research Group Experimental Otorhinolaryngology (ExpORL), Leuven, Belgium
- University Hospitals of Leuven, Department of Otorhinolaryngology - Head and Neck Surgery, Multidisciplinary University Center for Speech-Language Pathology and Audiology, Leuven, Belgium
| | - Astrid van Wieringen
- University of Leuven, Department of Neurosciences, Research Group Experimental Otorhinolaryngology (ExpORL), Leuven, Belgium
- Department of Special Needs Education, University of Oslo, Oslo, Norway
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Altamimi AAH, Robinson M, Alenezi EMA, Veselinović T, Choi RSM, Brennan‐Jones CG. Recurrent otitis media and behaviour problems in middle childhood: A longitudinal cohort study. J Paediatr Child Health 2024; 60:12-17. [PMID: 37961922 PMCID: PMC10952300 DOI: 10.1111/jpc.16518] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/11/2023] [Revised: 09/12/2023] [Accepted: 11/02/2023] [Indexed: 11/15/2023]
Abstract
AIM To investigate the long-term effects of early-life recurrent otitis media (OM) and subsequent behavioural problems in children at the age of 10 years. METHODS Data from the Raine Study, a longitudinal pregnancy cohort, were used to categorise children into those with three or more episodes of OM (rOM group) and those without a history of recurrent OM in the first 3 years of life (reference group). The parent report Strengths and Difficulties Questionnaire was used to assess child behaviour at the age of 10 years. Parental questionnaires were used to report past and present diagnoses of various mental health and developmental conditions, including attention, anxiety, depression, learning, and speech-language problems. Multiple linear and logistic models were used to analyse the data and were adjusted for a fixed set of key confounding variables. RESULTS The linear regression analysis revealed significant, independent associations between a history of recurrent OM and higher Strengths and Difficulties Questionnaire scores, including total, internalising, externalising, emotional, attention/hyperactivity and peer problems subscales. Logistic regression analyses revealed an independent increased likelihood for children in the rOM group to have a diagnosis of attention, anxiety, learning and speech-language problems. CONCLUSION Children at 10 years of age with an early history of recurrent OM are more likely to exhibit attentional and behavioural problems when compared to children without a history of recurrent OM. These findings highlight the association between early-life recurrent OM and later behavioural problems that may require professional allied health-care interventions.
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Affiliation(s)
- Ali AH Altamimi
- Telethon Kids InstituteThe University of Western AustraliaPerthWestern AustraliaAustralia
- School of MedicineThe University of Western AustraliaPerthWestern AustraliaAustralia
- Faculty of Life SciencesKuwait UniversityKuwait CityKuwait
| | - Monique Robinson
- Telethon Kids InstituteThe University of Western AustraliaPerthWestern AustraliaAustralia
| | - Eman MA Alenezi
- Telethon Kids InstituteThe University of Western AustraliaPerthWestern AustraliaAustralia
- School of MedicineThe University of Western AustraliaPerthWestern AustraliaAustralia
- Faculty of Allied Health SciencesKuwait UniversityKuwait CityKuwait
| | - Tamara Veselinović
- Telethon Kids InstituteThe University of Western AustraliaPerthWestern AustraliaAustralia
- School of Human SciencesThe University of Western AustraliaPerthWestern AustraliaAustralia
| | - Robyn SM Choi
- Telethon Kids InstituteThe University of Western AustraliaPerthWestern AustraliaAustralia
- School of Human SciencesThe University of Western AustraliaPerthWestern AustraliaAustralia
- School of Allied HealthFaculty of Health Sciences, Curtin UniversityPerthWestern AustraliaAustralia
| | - Christopher G Brennan‐Jones
- Telethon Kids InstituteThe University of Western AustraliaPerthWestern AustraliaAustralia
- School of MedicineThe University of Western AustraliaPerthWestern AustraliaAustralia
- Audiology DepartmentPerth Children's HospitalPerthWestern AustraliaAustralia
- School of Allied HealthFaculty of Health Sciences, Curtin UniversityPerthWestern AustraliaAustralia
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Boerma T, Ter Haar S, Ganga R, Wijnen F, Blom E, Wierenga CJ. What risk factors for Developmental Language Disorder can tell us about the neurobiological mechanisms of language development. Neurosci Biobehav Rev 2023; 154:105398. [PMID: 37741516 DOI: 10.1016/j.neubiorev.2023.105398] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2023] [Revised: 07/03/2023] [Accepted: 09/17/2023] [Indexed: 09/25/2023]
Abstract
Language is a complex multidimensional cognitive system that is connected to many neurocognitive capacities. The development of language is therefore strongly intertwined with the development of these capacities and their neurobiological substrates. Consequently, language problems, for example those of children with Developmental Language Disorder (DLD), are explained by a variety of etiological pathways and each of these pathways will be associated with specific risk factors. In this review, we attempt to link previously described factors that may interfere with language development to putative underlying neurobiological mechanisms of language development, hoping to uncover openings for future therapeutical approaches or interventions that can help children to optimally develop their language skills.
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Affiliation(s)
- Tessel Boerma
- Institute for Language Sciences, Department of Languages, Literature and Communication, Utrecht University, Utrecht, the Netherlands
| | - Sita Ter Haar
- Institute for Language Sciences, Department of Languages, Literature and Communication, Utrecht University, Utrecht, the Netherlands; Cognitive Neurobiology and Helmholtz Institute, Department of Psychology, Utrecht University/Translational Neuroscience, University Medical Center Utrecht, the Netherlands
| | - Rachida Ganga
- Institute for Language Sciences, Department of Languages, Literature and Communication, Utrecht University, Utrecht, the Netherlands
| | - Frank Wijnen
- Institute for Language Sciences, Department of Languages, Literature and Communication, Utrecht University, Utrecht, the Netherlands
| | - Elma Blom
- Department of Development and Education of youth in Diverse Societies (DEEDS), Utrecht University, Utrecht, the Netherlands; Department of Language and Culture, The Arctic University of Norway UiT, Tromsø, Norway.
| | - Corette J Wierenga
- Biology Department, Faculty of Science, Utrecht University, the Netherlands; Donders Institute for Brain, Cognition and Behaviour, Radboud University, Nijmegen, the Netherlands.
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Chokron S, Dutton GN. From vision to cognition: potential contributions of cerebral visual impairment to neurodevelopmental disorders. J Neural Transm (Vienna) 2023; 130:409-424. [PMID: 36547695 DOI: 10.1007/s00702-022-02572-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2022] [Accepted: 11/28/2022] [Indexed: 12/24/2022]
Abstract
Vision has a crucial role to play in human development and functioning. It is, therefore, not surprising that vision plays a fundamental role in the development of the child. As a consequence, an alteration in visual function is, therefore, likely to hinder the child's development. Although ocular disorders are well known, diagnosed and taken into account, cerebral visual impairments (CVI) resulting from post-chiasmatic damage are largely underdiagnosed. However, among the disorders resulting from an episode of perinatal asphyxia and/or associated with prematurity, or neonatal hypoglycaemia, CVIs are prominent. In this article, we focus on the role of the possible effects of CVI on a child's learning abilities, leading to major difficulty in disentangling the consequences of CVI from other neurodevelopmental disorders (NDD) such as dyslexia, dyscalculia, dysgraphia, attention-deficit/hyperactivity disorder (ADHD), developmental coordination disorder (DCD) and autism spectrum disorders (ASD). Although we focus here on the possible overlap between children with CVI and children with other NDD, De Witt et al. (Wit et al. Ear Hear 39:1-19, 2018) have raised exactly the same question regarding children with auditory processing disorders (the equivalent of CVI in the auditory modality). We underline how motor, social and cognitive development as well as academic success can be impaired by CVI and raise the question of the need for systematic evaluation for disorders of vision, visual perception and cognition in all children presenting with a NDD and/or previously born under adverse neurological conditions.
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Affiliation(s)
- Sylvie Chokron
- INCC, CNRS, UMR8002, Université de Paris-Cité, Paris, France.
- Institut de Neuropsychologie, Neurovision et Neurocognition, Hôpital-Fondation A. de Rothschild, Paris, France.
| | - Gordon N Dutton
- Department of Vision Science, Glasgow Caledonian University, Glasgow, UK
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Macaskill M, Omidvar S, Koravand A. Long Latency Auditory Evoked Responses in the Identification of Children With Central Auditory Processing Disorders: A Scoping Review. JOURNAL OF SPEECH, LANGUAGE, AND HEARING RESEARCH : JSLHR 2022; 65:3595-3619. [PMID: 36037462 DOI: 10.1044/2022_jslhr-21-00544] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
PURPOSE The long latency auditory evoked responses (LLAERs), originating in the auditory cortex, are often considered a biomarker for maturity in the central auditory system and may therefore be useful in the evaluation of children with central auditory processing disorder (CAPD). However, the characteristics of the LLAERs elicited in this population have not been widely described, and clinical applications remain unclear. The goal of this scoping review was to investigate if LLAERs can be used to identify children with CAPD. METHOD A systematic search strategy was used to identify studies that analyzed the latencies and amplitudes of P1, N1, P2, and N2 waveforms of the LLAERs. The online databases, including Embase, Web of Science, MEDLINE, PubMed, ProQuest, and CINAHL, as well as the gray literature were searched for papers published in English and French between January 1980 and May 2021. RESULTS Seventeen papers met the eligibility criteria and were included in the study. Four papers had pre- and posttraining study designs, and the remaining studies were cross-sectional. Several studies reported significant differences in LLAERs between children with CAPD and their normal-hearing peers, and the results tended toward longer latencies and smaller amplitudes regardless of LLAER waves considered. N1 and/or N2 results were most likely to reveal significant differences between children with CAPD and normal-hearing controls and could potentially be considered a biomarker for CAPD. CONCLUSIONS It seems that LLAER assessments, especially waves N1 and N2, might assist in better identification of CAPD children. However, considering heterogeneity in the methodology among the included studies, the results should be interpreted with caution. Well-designed studies on children with confirmed CAPD using standard diagnostic and assessment protocols are suggested.
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Affiliation(s)
- Melissa Macaskill
- Audiology and Speech-Language Pathology Program, School of Rehabilitation Sciences, Faculty of Health Sciences, University of Ottawa, Ontario, Canada
| | - Shaghayegh Omidvar
- Audiology and Speech-Language Pathology Program, School of Rehabilitation Sciences, Faculty of Health Sciences, University of Ottawa, Ontario, Canada
| | - Amineh Koravand
- Audiology and Speech-Language Pathology Program, School of Rehabilitation Sciences, Faculty of Health Sciences, University of Ottawa, Ontario, Canada
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Maggu AR. Auditory Evoked Potentials in Communication Disorders: An Overview of Past, Present, and Future. Semin Hear 2022; 43:137-148. [PMID: 36313051 PMCID: PMC9605805 DOI: 10.1055/s-0042-1756160] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/16/2023] Open
Abstract
This article provides a brief overview of auditory evoked potentials (AEPs) and their application in the areas of research and clinics within the field of communication disorders. The article begins with providing a historical perspective within the context of the key scientific developments that led to the emergence of numerous types of AEPs. Furthermore, the article discusses the different AEP techniques in the light of their feasibility in clinics. As AEPs, because of their versatility, find their use across disciplines, this article also discusses some of the research questions that are currently being addressed using AEP techniques in the field of communication disorders and beyond. At the end, this article summarizes the shortcomings of the existing AEP techniques and provides a general perspective toward the future directions. The article is aimed at a broad readership including (but not limited to) students, clinicians, and researchers. Overall, this article may act as a brief primer for the new AEP users, and as an overview of the progress in the field of AEPs along with future directions, for those who already use AEPs on a routine basis.
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Affiliation(s)
- Akshay R. Maggu
- Department of Speech-Language-Hearing Sciences, Hofstra University, Hempstead, New York
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12
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Ahmmed AU, Asif A, Winterburn S. Visual Processing Impairment in Children With Suspected Auditory Processing Disorder: A Transdisciplinary Dimensional Approach to Diagnosis. Am J Audiol 2022; 31:268-283. [PMID: 35290100 DOI: 10.1044/2021_aja-21-00168] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
Abstract
PURPOSE The purpose of this study is to explore the utility of impairment(s) in language (LI), manual dexterity (IMD), and visual perceptual skills (IVPS) as a reference standard for diagnosing auditory processing disorder (APD). METHOD Data from 104 participants with suspected APD (males = 57, females = 47; 6-16 years) were retrospectively analyzed. Index auditory processing (AP) tests included Auditory Figure Ground 0 dB, Competing Words-Directed Ear (CW-DE), and Time-Compressed Sentences (TCS). General Communication Composite (GCC) of the Children's Communication Checklist-2, manual dexterity (MD) component of the Movement Assessment Battery for Children-Second Edition, and Test for Visual Perceptual Skills-Third Edition (TVPS-3) were used to identify LI, IMD, and IVPS, respectively. RESULTS Eighty-one (77.8%), 58 (55.8%), and 37 (35.6%) participants had LI, IVPS, and IMD, respectively. Four factors explaining 67.69% of the variance were extracted. TVPS-3 (except visual closure [VClo]) represented the first; AFG 0, VClo, and MD the second; CW-DE and GCC the third; and TCS the fourth. APD diagnosed by combining AP tests and comorbidities had better accuracy compared to AP tests alone. The combined approach had overall diagnostic accuracy of 92.2%, 88.4%, and 81.7% for the 9th, 5th, and 2nd percentile AP test cutoffs, respectively. CONCLUSIONS First-order AP tests in this study were related to language, MD, and visual perceptual skills. Given the overlap of LI, IMD, and IVPS with impaired AP, these comorbidities are an effective reference standard for APD. APD can be diagnosed following failing one AP test if one or more comorbidities exist. Ninth percentile AP test cutoff had better diagnostic accuracy compared to the currently used 2nd percentile cutoff.
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Affiliation(s)
- Ansar U. Ahmmed
- Lancashire Teaching Hospitals NHS Foundation Trust, Preston, United Kingdom
| | - Aysha Asif
- Lancashire Teaching Hospitals NHS Foundation Trust, Preston, United Kingdom
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Kobosko J, Fludra M, Śliwa L, Ganc M, Jedrzejczak WW, Skoczylas A, Skarzynski H. Self-perceived stress and the personality of mothers of children with central auditory processing disorders - Differences from mothers of typically developing children. J Pediatr Nurs 2022; 63:e58-e63. [PMID: 34716059 DOI: 10.1016/j.pedn.2021.10.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/15/2021] [Revised: 09/29/2021] [Accepted: 10/13/2021] [Indexed: 10/20/2022]
Abstract
PURPOSE To investigate the relationship between self-perceived global stress and the personality traits of mothers of children with central auditory processing disorders (APD), and make a comparison with mothers of typically developing (TD) children. DESIGN AND METHODS A cross-sectional study using two questionnaires - the Perceived Stress Scale (PSS-10) and the Short Big Five Markers (IPIP-BFM-20) - to assess five personality dimensions: extraversion, agreeableness, conscientiousness, emotional stability, and intellect/imagination. The study material included 187 mothers, of whom 108 were mothers of children with APD. The average age of the children with APD was 10 years. RESULTS The average level of global stress was similar in mothers of children with APD and mothers of TD children. Mothers of APD children had significantly lower scores for personality dimensions such as: emotional stability, conscientiousness, and intellect/imagination. Increased perceived stress level in mothers of children with APD was inversely correlated with extraversion, conscientiousness, and emotional stability. However, for both groups of mothers, the only significant predictor of global stress level was emotional stability. CONCLUSION Mothers of children with APD, despite having similar global stress levels to other mothers, were different in terms of three personality dimensions, and these, especially lowered emotional stability, may play a negative role in coping with global self-perceived stress. PRACTICE IMPLICATIONS The results of this study might be helpful in parental support interventions, including psychological therapy and counselling, and also in parental implementation interventions aimed at mothers of children with APD, especially those mothers who have high global stress and/or low emotional stability.
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Affiliation(s)
- Joanna Kobosko
- Institute of Physiology and Pathology of Hearing, ul. M. Mochnackiego 10, 02-042 Warsaw, Poland; World Hearing Center, ul. Mokra 17, Kajetany 05-830, Nadarzyn, Poland
| | - Małgorzata Fludra
- Institute of Physiology and Pathology of Hearing, ul. M. Mochnackiego 10, 02-042 Warsaw, Poland; World Hearing Center, ul. Mokra 17, Kajetany 05-830, Nadarzyn, Poland
| | - Lech Śliwa
- Institute of Physiology and Pathology of Hearing, ul. M. Mochnackiego 10, 02-042 Warsaw, Poland; World Hearing Center, ul. Mokra 17, Kajetany 05-830, Nadarzyn, Poland
| | - Małgorzata Ganc
- Institute of Physiology and Pathology of Hearing, ul. M. Mochnackiego 10, 02-042 Warsaw, Poland; World Hearing Center, ul. Mokra 17, Kajetany 05-830, Nadarzyn, Poland
| | - W Wiktor Jedrzejczak
- Institute of Physiology and Pathology of Hearing, ul. M. Mochnackiego 10, 02-042 Warsaw, Poland; World Hearing Center, ul. Mokra 17, Kajetany 05-830, Nadarzyn, Poland.
| | - Anna Skoczylas
- Institute of Physiology and Pathology of Hearing, ul. M. Mochnackiego 10, 02-042 Warsaw, Poland; World Hearing Center, ul. Mokra 17, Kajetany 05-830, Nadarzyn, Poland
| | - Henryk Skarzynski
- Institute of Physiology and Pathology of Hearing, ul. M. Mochnackiego 10, 02-042 Warsaw, Poland; World Hearing Center, ul. Mokra 17, Kajetany 05-830, Nadarzyn, Poland
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Back NCF, Crippa ACDS, Riechi TIJDS, Pereira LD. Central Auditory Processing and Cognitive Functions in Children. Int Arch Otorhinolaryngol 2022; 26:e020-e031. [PMID: 35096155 PMCID: PMC8789494 DOI: 10.1055/s-0040-1722158] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/12/2020] [Accepted: 10/12/2020] [Indexed: 12/03/2022] Open
Abstract
Introduction Nowadays, there is no consensus on whether central auditory processing disorder is a primary or a secondary deficit to other cognitive deficits. A better understanding of the association between cognitive functions and central auditory skills may help elucidate this dilemma. Objective To investigate possible associations between auditory abilities and cognitive functions in schoolchildren. Methods Fifty-eight schoolchildren, aged between 8 years and 0 months old and 11 years and 11 months old, who underwent the following tests: masking level difference, gaps in noise, pitch pattern sequence test, dichotic digits test, sustained auditory attention ability test, Wechsler intelligence scale for children - IV, junior Hayling test, five digits test, and behavior rating inventory of executive function. Results Significant correlations were found between the hearing ability of temporal resolution and executive functions, temporal ordering/sequencing, binaural integration and separation, and sustained auditory attention, operational memory, inhibitory control, and cognitive flexibility; binaural integration was also associated with intelligence. The statistically significant positive correlation found between the ability of binaural interaction and the components of emotional control and behavior regulation of the behavior rating inventory of executive function was unexpected. Conclusion The associations identified reinforce the complexity of the tasks involved in the evaluation of central auditory processing and the need for multidisciplinary evaluation for the differential diagnosis of auditory processing disorder. Confirmation of the presence or absence of comorbidities between different disorders allows directing the therapeutic behaviors and reducing the impact of possible auditory and/or cognitive deficits in the different daily life situations of children.
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Ahmmed AU. Combination of Comorbidities as a Reference Standard for Evaluating Auditory Processing Disorder: Response to the Letter to the Editor From Schow et al. (2021). Am J Audiol 2021; 30:1142-1145. [PMID: 34586916 DOI: 10.1044/2021_aja-21-00141] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022] Open
Abstract
PURPOSE Concerns expressed by Schow et al. (2021) around the evidence-based diagnostic criteria suggested by Ahmmed (2021a) are addressed here. The use of combination of comorbidities as a reference standard for evaluating auditory processing tests is a valid strategy, consistent with the Research Domain Criteria framework from the National Institute of Mental Health as well as the Standards for Reporting of Diagnostic Accuracy Studies. The correlations between auditory processing tests and some comorbidities in Ahmmed (2021a) were significant at p < .01. The low sensitivity and specificity reported was not related to the principle of using comorbidities as a reference standard but due to the choice of comorbidities combined in the reference standard. Ahmmed (2021a) suggested the option of inclusion of other comorbidities in addition to language impairment and impaired manual dexterity in the reference standard. Visual processing impairment could be considered as the additional comorbidity to improve sensitivity and specificity of the approach suggested by Ahmmed (2021a).
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Affiliation(s)
- Ansar U. Ahmmed
- Lancashire Teaching Hospitals NHS Foundation Trust, Preston, United Kingdom
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Magimairaj BM, Nagaraj NK, Champlin CA, Thibodeau LK, Loeb DF, Gillam RB. Speech Perception in Noise Predicts Oral Narrative Comprehension in Children With Developmental Language Disorder. Front Psychol 2021; 12:735026. [PMID: 34744907 PMCID: PMC8566731 DOI: 10.3389/fpsyg.2021.735026] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2021] [Accepted: 09/17/2021] [Indexed: 11/13/2022] Open
Abstract
We examined the relative contribution of auditory processing abilities (tone perception and speech perception in noise) after controlling for short-term memory capacity and vocabulary, to narrative language comprehension in children with developmental language disorder. Two hundred and sixteen children with developmental language disorder, ages 6 to 9 years (Mean = 7; 6), were administered multiple measures. The dependent variable was children's score on the narrative comprehension scale of the Test of Narrative Language. Predictors were auditory processing abilities, phonological short-term memory capacity, and language (vocabulary) factors, with age, speech perception in quiet, and non-verbal IQ as covariates. Results showed that narrative comprehension was positively correlated with the majority of the predictors. Regression analysis suggested that speech perception in noise contributed uniquely to narrative comprehension in children with developmental language disorder, over and above all other predictors; however, tone perception tasks failed to explain unique variance. The relative importance of speech perception in noise over tone-perception measures for language comprehension reinforces the need for the assessment and management of listening in noise deficits and makes a compelling case for the functional implications of complex listening situations for children with developmental language disorder.
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Affiliation(s)
- Beula M Magimairaj
- Communicative Disorders and Deaf Education, Emma Eccles Jones Early Childhood Education and Research Center, Utah State University, Logan, UT, United States
| | - Naveen K Nagaraj
- Communicative Disorders and Deaf Education, Emma Eccles Jones Early Childhood Education and Research Center, Utah State University, Logan, UT, United States
| | - Craig A Champlin
- Speech, Language, and Hearing Sciences, The University of Texas at Austin, Austin, TX, United States
| | - Linda K Thibodeau
- Callier Center for Communication Disorders, The University of Texas at Dallas, Dallas, TX, United States
| | - Diane F Loeb
- Communication Sciences and Disorders, Baylor University, Waco, TX, United States
| | - Ronald B Gillam
- Communicative Disorders and Deaf Education, Emma Eccles Jones Early Childhood Education and Research Center, Utah State University, Logan, UT, United States
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Maggu AR, Overath T. An Objective Approach Toward Understanding Auditory Processing Disorder. Am J Audiol 2021; 30:790-795. [PMID: 34153205 DOI: 10.1044/2021_aja-21-00007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
Abstract
Purpose In the field of audiology, auditory processing disorder (APD) continues to be a topic of ongoing debate for clinicians and scientists alike, both in terms of theory and clinical practice. In the current viewpoint, we first lay out the main issues that are central to the controversy surrounding APD, and then suggest a framework toward their resolution. Method The current viewpoint is informed by reviewing existing studies in the field of APD to better understand the issues contributing to the controversies in APD. Results We found that, within the current definition of APD, the two main issues that make the APD diagnosis controversial are (a) comorbidity with other disorders and (b) the lack of domain specificity. These issues remain unresolved, especially with the use of the existing behavioral APD test batteries. In this viewpoint, we shed light on how they can be mitigated by implementing the administration of an objective, physiological test battery. Conclusions By administering an objective test battery, as proposed in this viewpoint, we believe that it will be possible to achieve a higher degree of specificity to the auditory domain that will not only contribute towards clinical practice but also contribute towards strengthening APD as a theoretical construct.
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Affiliation(s)
- Akshay R. Maggu
- Department of Psychology & Neuroscience, Duke University, Durham, NC
| | - Tobias Overath
- Department of Psychology & Neuroscience, Duke University, Durham, NC
- Duke Institute for Brain Sciences, Duke University, Durham, NC
- Center for Cognitive Neuroscience, Duke University, Durham, NC
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Trudeau S, Anne S, Otteson T, Hopkins B, Georgopoulos R, Wentland C. Diagnosis and patterns of hearing loss in children with severe developmental delay. Am J Otolaryngol 2021; 42:102923. [PMID: 33486206 DOI: 10.1016/j.amjoto.2021.102923] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/29/2020] [Revised: 01/08/2021] [Accepted: 01/10/2021] [Indexed: 11/15/2022]
Abstract
INTRODUCTION & OBJECTIVE Children with cognitive delay often experience challenges with obtaining hearing thresholds through behavioral audiometry (BA). This necessitates sedated Auditory Brainstem Response (sABR) testing. This study aimed to evaluate diagnostic and hearing patterns in children with Down Syndrome (DS), Autism Spectrum Disorder (ASD), Global Developmental delay (GDD), and Cerebral Palsy (CP) who were unable to complete reliable BA testing due to severe cognitive delay. METHODS Retrospective chart review on a cohort of children aged 0.5-18 years with a diagnosis of DS, ASD, GDD, or CP who underwent sABR due to unsuccessful BA testing. This was performed at a tertiary care institution from 2014 to 2019. Testing patterns and audiometric data were collected. RESULTS Across 15 DS, 39 ASD, 10 GDD, and 11 CP patients, the average time from first nondiagnostic BA to sABR ranged from 8.6 months (in GDD) to 21.8 months (in DS). The average number of BAs performed before sABR ranged from 1.6 (in ASD and GDD) to 2.7 (in DS). Hearing loss (HL) was diagnosed in 10%, 13%, 36% and 46% of patients with GDD, ASD, CP and DS respectively. Up to 75% of the HL was sensorineural (in CP patients). CONCLUSION In children with significant cognitive delays, a high incidence of HL (especially SNHL) was identified, therefore high suspicion for HL should be held in these patients. Multiple unsuccessful BAs contribute to prolonged time to diagnosis and treatment, thus prompt sABR should be performed in patients whose severe cognitive delay inhibits reliable testing with BA.
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Affiliation(s)
- Stephen Trudeau
- Case Western Reserve University School of Medicine, Cleveland, OH, United States of America
| | - Samantha Anne
- Cleveland Clinic Foundation Head & Neck Institute, Cleveland, OH, United States of America
| | - Todd Otteson
- University Hospitals Department of Otolaryngology - Head & Neck Surgery, Cleveland, OH, United States of America
| | - Brandon Hopkins
- Cleveland Clinic Foundation Head & Neck Institute, Cleveland, OH, United States of America
| | - Rachael Georgopoulos
- Cleveland Clinic Foundation Head & Neck Institute, Cleveland, OH, United States of America
| | - Carissa Wentland
- University Hospitals Department of Otolaryngology - Head & Neck Surgery, Cleveland, OH, United States of America.
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Ahmmed AU. Auditory Processing Disorder and Its Comorbidities: A Need for Consistency in Test Cutoff Scores. Am J Audiol 2021; 30:128-144. [PMID: 33656911 DOI: 10.1044/2020_aja-20-00103] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
Abstract
Purpose No gold standard criteria exist for diagnosing developmental auditory processing disorder (APD). This study aimed to identify APD criteria, which are consistent with that used for comorbidities, and how comorbidities predicted APD. Method A retrospective study of 167 participants (males = 105, females = 62; age: 6-16 years; nonverbal IQ > 80) with suspected APD is presented. Five SCAN-3 tests evaluated auditory processing (AP). Comorbidities included attention-deficit/hyperactivity disorder, language impairment, and impaired manual dexterity, which were identified using percentile ≤ 5 in the Swanson, Nolan and Pelham parental rating scale; Children's Communication Checklist-2; and Movement Assessment Battery for Children-2, respectively. Results Percentiles ≤ 9, ≤ 5, and < 2 in two or more AP tests had sensitivities (specificities) of 76% (70.6%), 59.3% (76.5%), and 26% (82.4%), respectively, in predicting comorbidities, which were present in 150 of the 167 participants. The criterion of "≤ 9 percentile in two or more AP tests" (Approach I) diagnosed APD in 119 participants, and criterion "≤ 5 percentile in two or more AP tests or ≤ 5 percentile in one AP plus one or more measures of comorbidities" (Approach II) diagnosed 123. The combination of approaches diagnosed 128 participants (76.6%) with APD, of which 114 were diagnosed by each approach (89%). Language impairment and impaired manual dexterity, but not attention-deficit/hyperactivity disorder, predicted APD. Conclusions "Percentile ≤ 9 in two or more AP tests" or "percentile ≤ 5 in one AP plus one or more measures of comorbidities" are evidence-based APD diagnostic criteria. Holistic and interprofessional practice evaluating comorbidities including motor skills is important for APD.
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Affiliation(s)
- Ansar U. Ahmmed
- Lancashire Teaching Hospitals NHS Foundation Trust, Preston, United Kingdom
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Agrawal D, Dritsakis G, Mahon M, Mountjoy A, Bamiou DE. Experiences of Patients With Auditory Processing Disorder in Getting Support in Health, Education, and Work Settings: Findings From an Online Survey. Front Neurol 2021; 12:607907. [PMID: 33679580 PMCID: PMC7930331 DOI: 10.3389/fneur.2021.607907] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2020] [Accepted: 01/26/2021] [Indexed: 11/18/2022] Open
Abstract
Objective: To explore the views and experiences of individuals with Auditory Processing Disorder (APD) and/or their families in getting support from services and to receive their suggestions for improvement. Design: Cross-sectional random sample survey with descriptive analysis. Settings: Online survey. Participants: One hundred and fifty six individuals with APD and/or their family members from the APD Support UK patient support organization and four associated APD Facebook groups. Main Outcome Measure: A 16-item questionnaire on negative and positive experiences in getting a referral for diagnosis, funding for the FM system, and overall support for APD. Results: The key findings that emerged included reports of difficulty in getting a referral for diagnosis (54%), obtaining funding for an FM system (45%), getting support for APD (61%), and poor recognition and awareness of APD (63%) in Education, Health or Work settings. The positive experiences reported were ease in getting a referral for diagnosis (46%), in obtaining an FM system (20%), and with diagnosis leading to help at school or to a better understanding of the condition and the required adjustments. The recommended improvement areas were raising awareness of APD and related management in Education (30%), the Health sector (25%), and the public (18%). Conclusions: Individuals and families of individuals with APD overwhelmingly report a lack of awareness of APD across health, education, and work sectors, and difficulties in getting access to diagnosis and support. This information may provide an initial understanding of the patients' needs for clinical services for APD, identify research priorities, and influence longer-term public health decisions toward improved care.
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Affiliation(s)
| | | | - Merle Mahon
- Psychology and Language Sciences, University College London, London, United Kingdom
| | | | - Doris E Bamiou
- University College London Ear Institute, London, United Kingdom.,University College London Hospitals NHS Foundation Trust National Hospital for Neurology and Neurosurgery, Neuro-Otology, London, United Kingdom.,National Institute of Health Research (NIHR) University College London Hospitals Biomedical Research Centre, London, United Kingdom.,Audiological Medicine Department, Great Ormond Street Hospital, London, United Kingdom
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Silva TDC, Nunes ADDS, Farias TRFD, Santos AB, Taveira KVM, Balen SA. Accuracy of screening instruments in identifying central auditory processing disorders: an integrative literature review. REVISTA CEFAC 2021. [DOI: 10.1590/1982-0216/202123311720] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
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Auditory processing, co-morbidities, and parental report of sleep disturbance in children with auditory processing disorder (APD). Int J Pediatr Otorhinolaryngol 2020; 135:110117. [PMID: 32460044 DOI: 10.1016/j.ijporl.2020.110117] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/09/2020] [Revised: 04/13/2020] [Accepted: 05/10/2020] [Indexed: 11/20/2022]
Abstract
OBJECTIVES To evaluate the prevalence of sleep disturbance and its relationship with auditory processing (AP) and co-morbidities in children diagnosed with auditory processing disorder (APD). METHODS Data from 109 children (Males = 59, Females = 50) with mean non-verbal intelligence quotient (NVIQ) of 89.44 (SD:18.16), aged between 6 and 16 years (mean: 10 years 7 months; SD: 2 years 9 months) with a diagnosis of APD were analysed. Participants performed ≤1.33 SD below the mean in two or more out of five SCAN-3 diagnostic APD tests that included 'Filtered Words' (FW), 'Auditory Figure Ground 0 dB' (AFG0), 'Competing Words-Directed Ear' (CW-DE), 'Competing Sentences' (CS) and 'Time Compressed Sentences' (TCS). Concern about sleep in addition to other symptoms and medical history were documented from structured parental history sheet which forms part of the routine APD assessment. Language impairment (LI), attention-deficit-hyperactivity-disorder (ADHD) and oppositional defiant disorder (ODD), and anxiety were evaluated using the 'Children's Communication Checklist-2' (CCC-2), 'Swanson Nolan and Pelham rating scale' (SNAP-IV) and 'Anxiety Scale for Children-Autism Spectrum Disorder' (ASC-ASD) respectively. RESULTS Sixty children had sleep disturbance, a prevalence of 55% (95% CI 45.2%-64.6%). The two groups of APD children, with (n = 49) and without sleep (n = 60) disturbance, did not vary in their auditory processing abilities. The sleep disturbed group had significant issues with pragmatic language impairment, hyperactivity/impulsivity, oppositional defiant symptoms and anxiety compared to the group without sleep disturbance when they were analysed separately. After the variables were considered in step wise fashion in binary logistic regression analyses, only pragmatic language impairment and anxiety predicted sleep disturbance (p < .01). CONCLUSION In APD the prevalence of sleep disturbance is high, justifying screening within a transdisciplinary APD assessment protocol. Sleep disturbance in APD is predicted by pragmatic language impairment and anxiety, but not by ADHD symptoms or ODD.
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Ahmmed AU. A transdisciplinary protocol evaluating auditory processing disorder (APD) in children using speech and non-speech stimuli and tools for common co-morbidities: time to re-evaluate APD diagnostic criteria. HEARING BALANCE AND COMMUNICATION 2020. [DOI: 10.1080/21695717.2020.1753416] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Affiliation(s)
- Ansar Uddin Ahmmed
- Paediatric Audiology Service, Lancashire Teaching Hospitals NHS Foundation Trust, Preston, UK
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Vilela N, Sanches SGG, Carvallo RMM. Development of auditory perception in preschool children. Int J Pediatr Otorhinolaryngol 2020; 129:109777. [PMID: 31756662 DOI: 10.1016/j.ijporl.2019.109777] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/01/2019] [Revised: 11/10/2019] [Accepted: 11/10/2019] [Indexed: 10/25/2022]
Abstract
OBJECTIVE The aim of this study was to determine whether the auditory skills presented by five-year-old children can predict their performance in auditory processing (AP) tests at seven years old. DESIGN Thirty-five children were evaluated for AP at two different times. At evaluation 1, the children were between 5 years 2 months and 6 years 1 month of age, and at evaluation 2, they were between 7 years 1 month and 7 years 8 months of age. The interval between the evaluations ranged from 18 to 23 months. After evaluation 2, the 7-year-olds were classified according to their performance on central AP tests. The children were divided into three groups: GI included nine children with at least two AP tests that scored two standard deviations below the mean and the presence of a speech complaint; GII included 18 children with at least two AP tests that scored two standard deviations below the mean and no speech complaints; and GIII included eight children with no more than one test scored two standard deviations below the mean and no speech disorders complaint. The analysis was performed considering each test individually and as a battery of applied tests. From the results obtained, a discriminant analysis was performed to assess the differences in test performance between the groups when the children were 5 years old. RESULTS The discriminant analysis showed that with the results obtained during evaluation 1, it was possible to predict which group 74.3% of the children would be classified into after evaluation 2. The percentage of correct classifications for each group was 77.8% for GI, 66.7% for GII and 87.5% for GIII. That is, 87.5% of the children who were classified as GIII after evaluation 2 had already demonstrated good auditory performance in the tests applied at 5 years of age. CONCLUSIONS Children who exhibited lower scores on AP tests at 7 years of age had demonstrated poor auditory perception at 5 years of age. This finding is relevant because it offers the possibility of stimulating or training these auditory skills in preschoolers to foster their development.
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Affiliation(s)
- Nadia Vilela
- Department of Physiotherapy, Communication Science & Disorders, Occupational Therapy, Faculdade de Medicina Universidade de Sao Paulo - FMUSP, Sao Paulo, Brazil.
| | - Seisse Gabriela Gandolfi Sanches
- Department of Physiotherapy, Communication Science & Disorders, Occupational Therapy, Faculdade de Medicina Universidade de Sao Paulo - FMUSP, Sao Paulo, Brazil
| | - Renata Mota Mamede Carvallo
- Department of Physiotherapy, Communication Science & Disorders, Occupational Therapy, Faculdade de Medicina Universidade de Sao Paulo - FMUSP, Sao Paulo, Brazil
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Ahmmed AU. Manual dexterity and outcomes in a commonly used test battery to assess auditory processing disorder (APD) in children. HEARING BALANCE AND COMMUNICATION 2019. [DOI: 10.1080/21695717.2019.1644862] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/09/2023]
Affiliation(s)
- Ansar Uddin Ahmmed
- Fulwood Audiology Clinic, Lancashire Teaching Hospitals NHS Foundation Trust, Preston, UK
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McLaughlin SA, Thorne JC, Jirikowic T, Waddington T, Lee AKC, Astley Hemingway SJ. Listening Difficulties in Children With Fetal Alcohol Spectrum Disorders: More Than a Problem of Audibility. JOURNAL OF SPEECH, LANGUAGE, AND HEARING RESEARCH : JSLHR 2019; 62:1532-1548. [PMID: 31039324 DOI: 10.1044/2018_jslhr-h-18-0359] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
Purpose Data from standardized caregiver questionnaires indicate that children with fetal alcohol spectrum disorders (FASDs) frequently exhibit atypical auditory behaviors, including reduced responsivity to spoken stimuli. Another body of evidence suggests that prenatal alcohol exposure may result in auditory dysfunction involving loss of audibility (i.e., hearing loss) and/or impaired processing of clearly audible, "suprathreshold" sounds necessary for sound-in-noise listening. Yet, the nexus between atypical auditory behavior and underlying auditory dysfunction in children with FASDs remains largely unexplored. Method To investigate atypical auditory behaviors in FASDs and explore their potential physiological bases, we examined clinical data from 325 children diagnosed with FASDs at the University of Washington using the FASD 4-Digit Diagnostic Code. Atypical behaviors reported on the "auditory filtering" domain of the Short Sensory Profile were assessed to document their prevalence across FASD diagnoses and explore their relationship to reported hearing loss and/or central nervous system measures of cognition, attention, and language function that may indicate suprathreshold processing deficits. Results Atypical auditory behavior was reported among 80% of children with FASDs, a prevalence that did not vary by FASD diagnostic severity or hearing status but was positively correlated with attention-deficit/hyperactivity disorder. In contrast, hearing loss was documented in the clinical records of 40% of children with fetal alcohol syndrome (FAS; a diagnosis on the fetal alcohol spectrum characterized by central nervous system dysfunction, facial dysmorphia, and growth deficiency), 16-fold more prevalent than for those with less severe FASDs (2.4%). Reported hearing loss was significantly associated with physical features characteristic of FAS. Conclusion Children with FAS but not other FASDs may be at a particular risk for hearing loss. However, listening difficulties in the absence of hearing loss-presumably related to suprathreshold processing deficits-are prevalent across the entire fetal alcohol spectrum. The nature and impact of both listening difficulties and hearing loss in FASDs warrant further investigation.
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Affiliation(s)
- Susan A McLaughlin
- Institute for Learning & Brain Sciences, University of Washington, Seattle
| | - John C Thorne
- Department of Speech & Hearing Sciences, University of Washington, Seattle
| | - Tracy Jirikowic
- Division of Occupational Therapy, Department of Rehabilitation Medicine, School of Medicine, University of Washington, Seattle
| | - Tiffany Waddington
- Institute for Learning & Brain Sciences, University of Washington, Seattle
| | - Adrian K C Lee
- Institute for Learning & Brain Sciences, University of Washington, Seattle
- Department of Speech & Hearing Sciences, University of Washington, Seattle
| | - Susan J Astley Hemingway
- Department of Epidemiology, University of Washington, Seattle
- Department of Pediatrics, University of Washington, Seattle
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Nickisch A, Kiese-Himmel C, Wiesner T, Schönweiler R. Leitlinie „Auditive Verarbeitungs- und Wahrnehmungsstörungen“: Differenzialdiagnose. HNO 2019; 67:576-583. [DOI: 10.1007/s00106-019-0645-3] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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Neijenhuis K, Campbell NG, Cromb M, Luinge MR, Moore DR, Rosen S, de Wit E. An Evidence-Based Perspective on "Misconceptions" Regarding Pediatric Auditory Processing Disorder. Front Neurol 2019; 10:287. [PMID: 30972015 PMCID: PMC6443922 DOI: 10.3389/fneur.2019.00287] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2018] [Accepted: 03/05/2019] [Indexed: 11/13/2022] Open
Affiliation(s)
- Karin Neijenhuis
- Research Centre Innovations in Care, Rotterdam University of Applied Sciences, Rotterdam, Netherlands
| | - Nicole G Campbell
- USAIS, Faculty of Engineering and Physical Sciences, University of Southampton, Southampton, United Kingdom
| | - Martin Cromb
- Temple Street Children's University Hospital, Dublin, Ireland
| | - Margreet R Luinge
- Research Group Healthy Ageing, Allied Health Care and Nursing, Hanze University of Applied Sciences, Groningen, Netherlands.,Department of Otorhinolaryngology, Head & Neck Surgery, University of Groningen, University Medical Center Groningen, Groningen, Netherlands
| | - David R Moore
- Communication Sciences Research Center, Cincinnati Children's Hospital, Cincinnati, OH, United States.,Department of Otolaryngology, University of Cincinnati, Cincinnati, OH, United States.,Manchester Centre for Audiology and Deafness, University of Manchester, Manchester, United Kingdom
| | - Stuart Rosen
- UCL Speech, Hearing & Phonetic Sciences, London, United Kingdom
| | - Ellen de Wit
- Research Group Healthy Ageing, Allied Health Care and Nursing, Hanze University of Applied Sciences, Groningen, Netherlands.,Department of Otorhinolaryngology, Head & Neck Surgery, University of Groningen, University Medical Center Groningen, Groningen, Netherlands.,Graduate School of Medical Sciences, Research School of Behavioral and Cognitive Neurosciences, University of Groningen, Groningen, Netherlands
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Letter to the Editor: An Affront to Scientific Inquiry Re: Moore, D. R. (2018) Editorial: Auditory Processing Disorder, Ear Hear, 39, 617-620. Ear Hear 2018; 39:1236-1242. [PMID: 30106770 DOI: 10.1097/aud.0000000000000644] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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McDowell M. Specific learning disability. J Paediatr Child Health 2018; 54:1077-1083. [PMID: 30294983 DOI: 10.1111/jpc.14168] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/04/2018] [Accepted: 07/04/2018] [Indexed: 12/24/2022]
Abstract
Specific learning disabilities (SLD) have an impact on discrete areas of academic function. They result in a level of difficulty that is unexpected when considered in the context of a student's overall intellectual and academic competence. A common example is dyslexia, an SLD that affects the acquisition of literacy. Medical professionals have an important role to play in the evaluation and management of SLD. The medical role is founded on the fact that these conditions are biologically based and have the potential to cause significant harm for the developing child. Even if details of biological causation are not possible to demonstrate for individual children, medical professionals may, nevertheless, make an important judgement call regarding the likelihood of aetiology. When learning problems are medically based, it is clearly unreasonable to expect children to do more than they are able and to learn faster than is reasonable. Advocacy around these biological presumptions and their implications is a major contribution to the well-being of children who have SLD.
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Affiliation(s)
- Michael McDowell
- School of Medicine, University of Queensland, Brisbane, Queensland, Australia.,Child Development Network, Brisbane, Queensland, Australia.,Neurodevelopmental and Behavioural Paediatric Society of Australasia (https://nbpsa.org/)
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de Wit E, Steenbergen B, Visser-Bochane MI, van der Schans CP, van Dijk P, Luinge MR. Response to the Letter to the Editor From Moncrieff (2017) Regarding de Wit et al. (2016), "Characteristics of Auditory Processing Disorders: A Systematic Review". JOURNAL OF SPEECH, LANGUAGE, AND HEARING RESEARCH : JSLHR 2018; 61:1517-1519. [PMID: 29800061 DOI: 10.1044/2018_jslhr-h-17-0412] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/06/2017] [Accepted: 12/18/2017] [Indexed: 06/08/2023]
Abstract
PURPOSE The purpose of this letter is to respond to Moncrieff's (2017) letter to the editor, "Response to de Wit et al., 2016, 'Characteristics of Auditory Processing Disorders: A Systematic Review,'" published in May 2017 by the Journal of Speech, Language, and Hearing Research. CONCLUSION We believe that our original conclusions are valid given the limited evidence that is currently available about the etiology of auditory processing disorders (APD). The focus of our systematic review was to identify the characteristics of children with a diagnosis of APD or a suspicion of APD. The results of our study showed that the characteristics of these children are not specific or limited to the auditory modality but are multimodal instead. In our view, it is incorrect to use the diagnosis APD, because there is not necessarily a specific auditory deficit in a large group of children suffering from listening difficulties. Before we start using any new diagnoses, a better insight into how bottom-up and top-down processes are precisely involved in listening needs to be developed. In addition, more insight is needed with respect to the similarities and differences between the different developmental disorders of children.
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Affiliation(s)
- Ellen de Wit
- Research Group Healthy Ageing, Allied Health Care and Nursing, Hanze University of Applied Sciences, Groningen, the Netherlands
- Department of Otorhinolaryngology, Head & Neck Surgery, University of Groningen, University Medical Center Groningen, the Netherlands
- University of Groningen, Graduate School of Medical Sciences, Research School of Behavioral and Cognitive Neurosciences, the Netherlands
| | - Bert Steenbergen
- Behavioural Science Institute, Radboud University Nijmegen, the Netherlands
- Australian Catholic University, Melbourne, Australia
| | - Margot I Visser-Bochane
- Research Group Healthy Ageing, Allied Health Care and Nursing, Hanze University of Applied Sciences, Groningen, the Netherlands
| | - Cees P van der Schans
- Research Group Healthy Ageing, Allied Health Care and Nursing, Hanze University of Applied Sciences, Groningen, the Netherlands
- Department of Rehabilitation, University Medical Center Groningen, University of Groningen, the Netherlands
| | - Pim van Dijk
- Department of Otorhinolaryngology, Head & Neck Surgery, University of Groningen, University Medical Center Groningen, the Netherlands
- University of Groningen, Graduate School of Medical Sciences, Research School of Behavioral and Cognitive Neurosciences, the Netherlands
| | - Margreet R Luinge
- Research Group Healthy Ageing, Allied Health Care and Nursing, Hanze University of Applied Sciences, Groningen, the Netherlands
- Department of Otorhinolaryngology, Head & Neck Surgery, University of Groningen, University Medical Center Groningen, the Netherlands
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Magimairaj BM, Nagaraj NK, Benafield NJ. Children's Speech Perception in Noise: Evidence for Dissociation From Language and Working Memory. JOURNAL OF SPEECH, LANGUAGE, AND HEARING RESEARCH : JSLHR 2018; 61:1294-1305. [PMID: 29800354 DOI: 10.1044/2018_jslhr-h-17-0312] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/18/2017] [Accepted: 01/12/2018] [Indexed: 06/08/2023]
Abstract
PURPOSE We examined the association between speech perception in noise (SPIN), language abilities, and working memory (WM) capacity in school-age children. Existing studies supporting the Ease of Language Understanding (ELU) model suggest that WM capacity plays a significant role in adverse listening situations. METHOD Eighty-three children between the ages of 7 to 11 years participated. The sample represented a continuum of individual differences in attention, memory, and language abilities. All children had normal-range hearing and normal-range nonverbal IQ. Children completed the Bamford-Kowal-Bench Speech-in-Noise Test (BKB-SIN; Etymotic Research, 2005), a selective auditory attention task, and multiple measures of language and WM. RESULTS Partial correlations (controlling for age) showed significant positive associations among attention, memory, and language measures. However, BKB-SIN did not correlate significantly with any of the other measures. Principal component analysis revealed a distinct WM factor and a distinct language factor. BKB-SIN loaded robustly as a distinct 3rd factor with minimal secondary loading from sentence recall and short-term memory. Nonverbal IQ loaded as a 4th factor. CONCLUSIONS Results did not support an association between SPIN and WM capacity in children. However, in this study, a single SPIN measure was used. Future studies using multiple SPIN measures are warranted. Evidence from the current study supports the use of BKB-SIN as clinical measure of speech perception ability because it was not influenced by variation in children's language and memory abilities. More large-scale studies in school-age children are needed to replicate the proposed role played by WM in adverse listening situations.
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Affiliation(s)
- Beula M Magimairaj
- Cognition and Language Lab, Communication Sciences and Disorders, University of Central Arkansas, Conway
| | - Naveen K Nagaraj
- Cognitive Hearing Science Lab, University of Arkansas for Medical Sciences/University of Arkansas at Little Rock
| | - Natalie J Benafield
- Cognition and Language Lab, Communication Sciences and Disorders, University of Central Arkansas, Conway
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