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Updated: Jun 24, 2026

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Behavioral Assessment of Hearing in 2 to 4 Year-old Children: A Two-interval, Observer-based Procedure Using Conditioned Play-based Responses
Published on: January 23, 2017
[Selected performances in speech perception in children with APD].
1Universitätsmedizin Göttingen, Klinik für Hals-Nasen-Ohrenheilkunde. ckiese@med.uni-goettingen.de
Laryngo- Rhino- Otologie
|March 19, 2009
Summary
Phonological processing tests, including sound blending and auditory closure, did not significantly differentiate children with auditory processing disorders (APD) from controls. These auditory-verbal skills are not recommended for diagnosing APD or related conditions.
Area of Science:
- Auditory processing disorders
- Child psychology
- Linguistics
Context:
- Phonological processing is crucial for language acquisition.
- The diagnostic value of auditory-verbal tests for (central) auditory processing disorders (C)APD is debated.
- Auditory-verbal stimuli can involve significant linguistic load.
Purpose:
- To retrospectively analyze phonological synthesis and verbal auditory closure data in children diagnosed with auditory processing deficits.
- To determine if specific auditory-verbal subtests differentiate between children with monosymptomatic APD, APD with co-morbid conditions, and typically developing controls.
Summary:
- Children with and without auditory processing disorders (APD) showed no significant differences in "Sound Blending" test scores.
- "Auditory Closure" test scores were poorer in APD groups but did not statistically differ from controls.
- The study included children with monosymptomatic APD, APD plus developmental language impairment, APD plus developmental dyslexia, and a control group.
Impact:
- Findings suggest that "Sound Blending" and "Auditory Closure" subtests may not be reliable discriminators for diagnosing (C)APDs.
- Experts may consider excluding these specific acoustic-verbal dimensions from (C)APD diagnostic protocols.
- This research contributes to the ongoing discussion regarding the utility of psychometric tests in auditory processing disorder diagnostics.

