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[Which phonological memory measure distinguishes children with from children without auditory processing disorders? A
1Phoniatrisch/Pädaudiologische Psychologie a. d. Abt. Medizinische Psychologie und Medizinische Soziologie, Universitätsmedizin Göttingen, Waldweg 37, 37073, Göttingen, Deutschland. ckiese@med.uni-goettingen.de
HNO
|November 4, 2010
Summary
Children with auditory processing disorders (APD) show deficits in phonological working memory, particularly in subvocal rehearsal. Word span effectively distinguishes APD from non-APD, questioning its diagnostic inclusion.
Area of Science:
- Neuroscience
- Developmental Psychology
- Speech and Hearing Sciences
Background:
- Auditory Processing Disorders (APD) can co-occur with developmental disorders like language disorder and dyslexia.
- Phonological working memory is crucial for language acquisition and is often impaired in children with APD.
Purpose of the Study:
- To compare phonological working memory performance in children with APD, with and without co-occurring developmental disorders.
- To identify which phonological working memory measures best differentiate children with APD from controls.
Main Methods:
- Retrospective analysis of health care data from children with APD and control groups.
- Assessment of phonological serial recall using digit span, word span, and nonword repetition tasks.
- Statistical analysis including stepwise discriminant analysis to identify distinguishing memory measures.
Main Results:
- Children with APD (alone or with DLD) performed significantly worse on all phonological working memory tasks compared to controls.
- The subvocal rehearsal component, indicated by word span and digit span, significantly separated APD from non-APD groups.
- A 23% misclassification rate was observed in the discriminant analysis.
Conclusions:
- Phonological working memory deficits are evident in children with APD, impacting diagnostic validity.
- The inclusion of phonological memory assessment in APD diagnosis warrants further investigation.
- Future research should explore the central executive and phonological store precision in APD.

