Characteristics of Pediatric Performance on a Test Battery Commonly Used in the Diagnosis of Central Auditory Processing Disorder

Weihing, Jeffrey; Guenette, Linda; Chermak, Gail D.; Brown, Mallory; Ceruti, Julianne; Fitzgerald, Krista; Geissler, Kristin; Gonzalez, Jennifer E.; Brenneman, Lauren; Musiek, Frank E.

doi:10.3766/jaaa.14108

Cited by 27 publications

(33 citation statements)

References 40 publications

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“…This suggests the face validity of the SinB as a measure of central auditory processing that is not significantly influenced by language or cognitive deficits. This is in accordance with Weihing et al (2015) who reported that (a) there was no significant correlation between a test of low-pass filtered speech and intelligence quotient scores when children had a score of $80 on Wechsler Intelligence Scale for Children-IV test and (b) the low-pass filtered speech test used demonstrated 82% efficiency in identifying CAPD in children. Even though the speech recognition in noise test used in the present study is not a low-pass filtered speech recognition test, both types of tests are included in the general category of monaural low-redundancy speech tests to assess functional hearing.…”

Section: Is Sinb Influenced By Comorbid Disorders?supporting

confidence: 90%

“…The fact that this was evident for both control and CAPD groups, but with a different slope for each group, taps into the efficiency of SinB to differentiate children based on their central auditory processing skills. A recent study by Weihing et al (2015) showed that the two-test combination with the best sensitivity to detect CAPD in children includes a low-pass filtered speech (Willeford, 1976) and a FPT (Musiek and Pinheiro, 1987). As the inclusion of children ,7 yr in CAPD studies is unconventional, further analysis of our data was deemed necessary.…”

Section: Sinb Shows a Constant Slope Of Improvementmentioning

confidence: 99%

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Assessment of Functional Hearing in Greek-Speaking Children Diagnosed with Central Auditory Processing Disorder

Sidiras¹,

Iliadou²,

Chermak³

et al. 2016

J Am Acad Audiol

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This study offers the first detailed presentation of the performance of Greek children on a Greek language SinB test. The main finding is that SinB scores improved as a function of age in a constant manner as represented by the slope of the linear regression line for both CAPD and control groups. Results suggest that this speech recognition in competition test holds promise for differentiating typically developing Greek children from those children with CAPD across the age range studied here (4-13 yr). The SinB seemed rather immune to the presence of comorbid conditions presented by some of the children in this study, suggesting its potential utility as a valid measure of central auditory processing. While there are many speech-in-noise or competition tests in English, there are fewer in other languages. Tests like the SinB should be developed in other languages to ensure that children demonstrating "listening" problems can be properly evaluated.

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Section: Is Sinb Influenced By Comorbid Disorders?supporting

confidence: 90%

Section: Sinb Shows a Constant Slope Of Improvementmentioning

confidence: 99%

Assessment of Functional Hearing in Greek-Speaking Children Diagnosed with Central Auditory Processing Disorder

Sidiras¹,

Iliadou²,

Chermak³

et al. 2016

J Am Acad Audiol

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“…However, other aspects of binaural interaction, including sound localization (Blauert, 1997) and binaural (Moore etn al., 1991; Pillsbury, Grose, & Hall, 1991) or spatial (Cameron & Dillon, 2007) release from masking have received substantial attention as contributors to LiD in adults and in children. Many other aspects of hearing and listening have also been studied in children with LiD (de Wit et al, 2016; Moore et al, 2010; Weihing et al, 2015; Wilson, 2018) leading, overall, to the emergence of two dominant hypotheses concerning the nature of the problem experienced by these children. The first, and more traditional hypothesis is that a disorder, central (C)APD, is primarily a result of impaired processing of auditory neural signals in the central auditory system, defined as the brain pathway from the auditory nerve to the auditory cortex (Rees & Palmer, 2010).…”

Section: Introductionmentioning

confidence: 99%

Listening difficulties in children: Behavior and brain activation produced by dichotic listening of CV syllables

Moore

Hugdahl

Stewart

et al. 2019

Preprint

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AbstractListening difficulties (LiD), also known as auditory processing disorders, are common in children with and without hearing loss. Impaired interactions between the two ears have been proposed as an important component of LiD. Previous studies have focused on testing using multiple sequential dichotic digits that carry a substantial memory load and executive control demands. We examined the ability of 6-13 year old children with normal audiometric thresholds to identify and selectively attend to dichotically presented CV syllables using the Bergen Dichotic Listening Test (BDLT;www.dichoticlistening.com). Children were recruited as typically developing (TD; n=39) or having LiD (n=35) based primarily on composite score of the ECLiPS caregiver report. Different single syllables (ba, da, ga, pa, ta, ka) were presented simultaneously to each ear (6×36 trials). Children reported the syllable heard most clearly (non-forced, NF) or the syllable presented to the right (forced, FR) or left (FL) ear. Interaural level differences (ILDs) manipulated bottom-up perceptual salience. Dichotic listening data (correct responses, Laterality Index) were analyzed initially by group (LiD, TD), age, report method (NF, FR, FL) and ILD (0, ± 15 dB) and compared with speech-in-noise thresholds (LiSN-S) and cognitive performance (NIH Toolbox). fMRI measured brain activation produced by a receptive speech task that segregated speech, phonetic and intelligibility components. Some activated areas (planum temporale, inferior frontal gyrus and orbitofrontal cortex) were correlated with dichotic results in TD children only.Neither group, age nor report method affected the Laterality Index of right/left recall. However, a significant interaction was found between ear, group and ILD. Children with LiD were more influenced by large ILDs, especially favoring the left ear, than were TD children. Neural activity associated with Speech, Phonetic and Intelligibility sentence cues did not significantly differ between groups. Significant correlations between brain activity level and BDLT were found in several frontal and temporal locations for the TD but not for the LiD group.Children with LiD were more influenced by large ILDs, especially favoring the left ear, than were TD children and were thus less able to modulate performance through attention, and more driven by the physical properties of the acoustic stimuli.

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“…These concomitant problems make the diagnosis of APD more difficult. In normal hearing patients, APD can be diagnosed using screening tests including competing words, competing sentences, dichotic listening, speech understanding in noise, filtered speech, and phonemic synthesis (Skarzynski et al, 2015; Weihing et al, 2015). More recently, speech-evoked auditory brainstem responses (Kopp-Scheinpflug and Tempel, 2015; Rocha-Muniz et al, 2016) and mismatch negativity (MMN) (Rocha-Muniz et al, 2015) have been proposed to objectively detect APD.…”

Section: Introductionmentioning

confidence: 99%

Assessing Auditory Processing Deficits in Tinnitus and Hearing Impaired Patients with the Auditory Behavior Questionnaire

Diges¹,

Simón

Cobo

2017

Front. Neurosci.

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Background and Purpose: Auditory processing disorders (APD), tinnitus and hearing loss (HL) are typical issues reported by patients in audiologic clinics. These auditory impairments can be concomitant or mutually excluding. APD are not necessarily accompanied by significant HL, whereas many adults exhibit peripheral HL and typical cognitive deficits often associated with APD. Since HL, tinnitus and APD affects to several parts of the ascending auditory pathway from the periphery to the auditory cortex, there could be some interrelationship between them. For instance, tinnitus has been reported to degrade the auditory localization capacity. Tinnitus is believed to be triggered by deafferentation of normal peripheral input to the central auditory system. This peripheral deficit can be accompanied by HL or not, since a type of permanent cochlear damage (thus deafferentation) without an elevation of hearing thresholds might persist. Therefore, a combined study of APD, tinnitus and HL on the same cohort of patients can be audiologically relevant and worthy.Methods: Statistical analysis is applied to a cohort of 305 patients attending an audiology clinic in Madrid (Spain). This group of patients is first categorized in four subgroups, namely, HLTG (with tinnitus and HL), NHLTG (with tinnitus and without HL), HLNTG (with HL but no tinnitus), and NHLNTG (neither tinnitus nor HL). The statistical variables include Age, Average Auditory Threshold (ATT), for assessing HL, Tinnitus Handicap Inventory (THI), for measuring tinnitus, and a new 25-item Auditory Behavior Questionnaire (ABQ), for scoring APD. Factor analysis is applied to arrange these items into 4 subscales. The internal consistency reliability of this ABQ is confirmed by calculating Cronbach's coefficients α. The test-retest reliability is assessed by the intraclass correlation coefficients, ICC. Statistical techniques applied to the data set include descriptive analysis of variables and Spearman rank correlations (ρ) between them.Results: Overall reliability of ABQ is confirmed by an α value of 0.89 and by an ICC of 0.91. Regarding the internal consistency reliability, the four subscales prove a fairly good consistency with α coefficients above 0.7. Average values of statistical variables show significantly lower age of patients with tinnitus and no HL, which can provide a cue of noise overexposure of this segment of population. These younger patients show also decreased ABQ and similar THI in comparison with patients in the other subgroups. A strong correlation (ρ = 0.63) was found between AAT and Age for the HLNTG subgroup. For the HLTG subgroup, a moderate correlation (ρ = 0.44) was found between ABQ and THI.Conclusion: The utilized questionnaire (ABQ), together with AAT and THI, can help to study comorbid hearing impairments in patients regularly attending an audiological clinic.

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Characteristics of Pediatric Performance on a Test Battery Commonly Used in the Diagnosis of Central Auditory Processing Disorder

Cited by 27 publications

References 40 publications

Assessment of Functional Hearing in Greek-Speaking Children Diagnosed with Central Auditory Processing Disorder

Assessment of Functional Hearing in Greek-Speaking Children Diagnosed with Central Auditory Processing Disorder

Listening difficulties in children: Behavior and brain activation produced by dichotic listening of CV syllables

Assessing Auditory Processing Deficits in Tinnitus and Hearing Impaired Patients with the Auditory Behavior Questionnaire

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