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Central auditory processing and attention deficit disorders.

G G Gascon, R Johnson, L Burd

    Journal of Child Neurology
    |January 1, 1986
    PubMed
    Summary
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    Central auditory processing (CAP) tests, including the Staggered Spondaic Word (SSW) test, effectively identify attention deficit disorder (ADD). These CAP measures aid in monitoring stimulant medication response in children with ADD.

    Area of Science:

    • Neuroscience
    • Developmental Psychology
    • Audiology

    Background:

    • Attention deficit disorder (ADD) diagnosis often relies on subjective reports.
    • Objective measures are needed to assess ADD and treatment efficacy.

    Purpose of the Study:

    • To evaluate central auditory processing (CAP) tests as objective indicators for attention deficit disorder (ADD).
    • To compare the utility of CAP tests versus neurodevelopmental measures in assessing ADD and response to CNS stimulant treatment.

    Main Methods:

    • Nineteen children diagnosed with ADD underwent neurodevelopmental testing and CAP testing (Staggered Spondaic Word [SSW] test, Willeford battery).
    • Teacher and parent questionnaires were administered.
    • Assessments were repeated after treatment with central nervous system stimulants.

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    Main Results:

    • High concordance was observed between parent/teacher reports and CAP tests.
    • Low concordance was found between neurodevelopmental measures and subjective reports.
    • CAP tests demonstrated higher utility in titrating CNS stimulant response compared to neurodevelopmental assessments.

    Conclusions:

    • The SSW and Willeford battery are sensitive performance indicators for attention deficit disorder.
    • CAP tests provide objective support for subjective observations and are more effective than neurodevelopmental assessments for monitoring stimulant treatment in ADD.
    • Central auditory processing evaluation is a valuable tool in managing attention deficit disorder.