Psychometric profile of children with auditory processing disorder and children with dyslexia

Psychometric profile of children with auditory processing disorder and children with dyslexia
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DOI:
10.1136/adc.2009.170118
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发表时间:
2010-06-01
影响因子:
5.2
通讯作者:
Bishop, Dorothy V. M.
Bishop, Dorothy V. M.
中科院分区:
医学2区
文献类型:
--
作者:
Dawes, Piers;Bishop, Dorothy V. M.

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目的探讨听觉加工障碍在多大程度上是一个独立的诊断类别,具有独特的心理测量学特征,而不是更广泛的学习障碍的反映。方法对25例听觉加工障碍儿童(N=25)和19例阅读障碍儿童(N=19)进行标准化听觉加工、语言、识字和非言语智商测试,以及父母报告的沟通技能和听力行为测试。一组儿童的随访包括一份关于阿斯伯格综合征的父母报告筛查问卷(童年阿斯伯格综合征测试)。结果两组儿童的注意力、阅读和语言问题水平相似。Apd小组的一个特点是,父母报告的沟通不佳与听力技能之间的差异,与基于标准化测试表现的期望不成比例。后续评估表明,在apd组中,以前未被识别的自闭症特征水平很高。结论被听力学专家诊断为apd的儿童可能有更广泛的神经发育障碍,并将从一个多学科团队的评估中受益。
Objective The aim was to address the controversy that exists over the extent to which auditory processing disorder (APD) is a separate diagnostic category with a distinctive psychometric profile, rather than a reflection of a more general learning disability.Methods Children with an APD diagnosis (N=25) were compared with children with dyslexia (N=19) on a battery of standardised auditory processing, language, literacy and non-verbal intelligence quotient measures as well as parental report measures of communicative skill and listening behaviour. A follow-up of a subset of children included a parent report screening questionnaire for Asperger syndrome (Childhood Asperger Syndrome Test).Results There were similarly high levels of attentional, reading and language problems in both groups. One peculiarity of the APD group was a discrepancy between parental report of poor communication and listening skill disproportionate to expectations based on standardised test performance. Follow-up assessment suggested high levels of previously unrecognised autistic features within the APD group.Conclusions Children diagnosed by audiological experts as having APD are likely to have broader neurodevelopmental disorders and would benefit from evaluation by a multidisciplinary team.