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Mismatch negativity in children with specific language impairment and auditory processing disorder
Caroline Nunes Rocha-Muniz1, Débora Maria Befi-Lopes1, Eliane Schochat1
1School of Medicine, Universidade de São Paulo (USP), São Paulo, SP, Brazil.
Brazilian Journal of Otorhinolaryngology
|July 6, 2015
Summary
Children with specific language impairment and auditory processing disorders show deficits in automatically discriminating speech sounds, indicated by altered mismatch negativity (MMN) responses. These findings suggest pre-attentional auditory processing issues impacting speech perception.
Area of Science:
- Neuroscience
- Speech-Language Pathology
- Auditory Neuroscience
Background:
- Mismatch negativity (MMN) is an electrophysiological measure assessing auditory discrimination abilities.
- It reflects the brain's automatic response to auditory changes, independent of attention.
- MMN is valuable for studying the neurophysiological underpinnings of auditory processing.
Purpose of the Study:
- To examine the encoding of complex acoustic speech signals in children with specific language impairment (SLI).
- To compare auditory processing in children with SLI, auditory processing disorders (APD), and typical development (TD) using the MMN paradigm.
Main Methods:
- A prospective study involving 75 children (6-12 years): 25 with SLI, 25 with APD, and 25 with TD.
- MMN was elicited using frequent (/ga/) and rare (/da/) speech stimuli.
- Analysis focused on MMN latency and amplitude measures.
Main Results:
- Absence of MMN observed in 16% of children with SLI and 24% with APD.
- Children with SLI and APD exhibited significantly longer MMN latency and reduced amplitude compared to TD children.
Conclusions:
- Data reveal impaired automatic discrimination of speech sound components in children with SLI and APD.
- Findings suggest pre-attentional and pre-conscious auditory processing deficits affecting acoustic contrast discrimination.
- These deficits may contribute to difficulties in speech perception and language development.

