Dichotic listening deficits and the prediction of substance use in young boys
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Updated: Sep 15, 2026

Making Sense of Listening: The IMAP Test Battery
Published on: October 11, 2010
G A Wasserman1, D S Pine, S B Workman
1Department of Child and Adolescent Psychiatry, New York State Psychiatric Institute, NY 10032, USA. Wassermg@child.cpmc.columbia.edu
Objective:
Prior studies note relationships among verbal deficits, disruptive psychopathology, and substance use. The current study examines the relationship between verbal deficits, assessed through a dichotic listening test, and children's substance use.
Method:
A series of 87 young boys was prospectively followed over a 1- to 2-year period. A prior study in these boys noted a cross-sectional relationship between disruptive psychopathology and deficits on a dichotic consonant-vowel listening test. The current study examines the predictive relationship between this language-related deficit at one study wave and substance use assessed during a follow-up study wave.
Results:
Reduced right ear accuracy, reflecting a deficit in left hemisphere processing ability, predicted substance use at follow-up. This association was independent of any other predictors, including cognitive or behavioral indices of substance use risk.
Conclusions:
A lateralized deficit in verbal processing on a dichotic listening task predicts change in substance use by follow-up. Findings are consistent with other evidence linking early childhood lateralization abnormalities to development of disruptive psychopathology.
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