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Executive function as a mediator in the relationship between central auditory processing and problem behaviors in

Loul Saleh Al-Rasheed1

  • 1Department of Psychology, College of Education, Qassim University, Buraydah, Saudi Arabia.

Applied Neuropsychology. Child
|April 28, 2025
PubMed

Insights

Executive function significantly mediates the link between central auditory processing and problem behaviors in preschool children with ADHD. This finding highlights how auditory processing impacts behavior, both directly and indirectly through executive functions.

Area of Science:

  • Neuroscience
  • Developmental Psychology
  • Child Psychiatry

Background:

  • Attention-Deficit/Hyperactivity Disorder (ADHD) in preschoolers is associated with significant challenges.
  • Central auditory processing deficits are frequently observed in children with ADHD.
  • Problem behaviors (PBs) are a common concern in this population, impacting development and learning.

Purpose of the Study:

  • To investigate the mediating role of executive function (EF) in the relationship between central auditory processing and problem behaviors (PBs) in preschool children diagnosed with ADHD.
  • To test a mediation model examining how EF influences the connection between auditory processing and PBs.
  • To quantify the extent to which EF mediates the effects of central auditory processing on PBs.

Main Methods:

  • A mediation model was proposed and tested using structural equation modeling (SEM).
  • The study included 120 preschool children diagnosed with ADHD.
  • SEM was employed to analyze the direct and indirect effects within the proposed model.

Main Results:

  • Executive function demonstrated a significant mediating effect in the pathway from central auditory processing to problem behaviors.
  • The mediating effect of executive function accounted for 30% of the total effect between central auditory processing and PBs.
  • Central auditory processing directly impacts PBs and also influences them indirectly by affecting executive function.

Conclusions:

  • Executive function plays a crucial mediating role in how central auditory processing relates to problem behaviors in preschool children with ADHD.
  • Interventions targeting executive function may be beneficial for mitigating problem behaviors stemming from auditory processing difficulties in ADHD.
  • Understanding this mediation pathway offers valuable insights for developing targeted therapeutic strategies for children with ADHD.

Keywords:
ADHDExecutive functioncentral auditory processingpreschool childrenproblem behaviors

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