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Auditory processing disorders: relationship to cognitive processes and underlying auditory neural integrity.

Prudence Allen1, Chris Allan1

  • 1National Centre for Audiology, Western University, Canada.

International Journal of Pediatric Otorhinolaryngology
|December 28, 2013
PubMed
Summary
This summary is machine-generated.

Auditory processing disorder (APD) diagnosis in children may require more than just behavioral tests. Objective measures like auditory brainstem responses are crucial for accurate identification and understanding APD's impact.

Keywords:
Acoustic reflexesAuditory brainstem responsesAuditory processing disorderChildrenCognitive skillsDiagnostic audiology

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Area of Science:

  • Pediatric Audiology
  • Neuroscience
  • Developmental Psychology

Background:

  • Auditory Processing Disorder (APD) in children is a long-standing clinical concern.
  • Diagnostic criteria, cognitive links, and neural integrity assessment for APD remain debated.
  • There's a need for clearer understanding of APD in children.

Purpose of the Study:

  • To investigate the relationship between clinical APD diagnosis, cognitive abilities, and auditory neural integrity.
  • To compare behavioral APD tests with objective measures like acoustic reflex thresholds and auditory brainstem responses (ABR).
  • To examine cognitive correlates of APD in children.

Main Methods:

  • A repeated measures design was used with 63 children (7-17 years) reporting listening difficulties.
  • Children underwent behavioral auditory processing tests, cognitive assessments (intelligence, academic, language, memory, attention), and objective auditory function tests (acoustic reflexes, ABR).
  • Parental surveys on auditory and attention behavior were collected.

Main Results:

  • Forty children met the criteria for APD based on behavioral tests; 23 did not.
  • Children with APD showed similar intelligence scores but poorer performance on other cognitive measures compared to the non-APD group.
  • Abnormal auditory brainstem responses and acoustic reflex thresholds were common in both groups.

Conclusions:

  • Behavioral tests alone may be insufficient for accurate APD diagnosis in all children.
  • Physiologic measures (acoustic reflex, ABR) are vital indicators of auditory function and may reveal APD when behavioral tests do not.
  • Language proficiency appears to significantly influence performance on behavioral APD tests.