The Relationship between Types of Attention and Auditory Processing Skills: Reconsidering Auditory Processing Disorder Diagnosis.
The Relationship between Types of Attention and Auditory Processing Skills: Reconsidering Auditory Processing Disorder Diagnosis.
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DOI：
10.3389/fpsyg.2018.00034
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发表时间：
2018
影响因子：
3.8
通讯作者：
Bamiou DE
中科院分区：
文献类型：
--
作者：
Stavrinos G;Iliadou VM;Edwards L;Sirimanna T;Bamiou DE
在疑似听觉处理障碍（APD）的儿童样本中，已经发现注意力的测量与特定的听觉处理测试相关，但这些关系尚未得到充分的研究。尽管有证据表明听觉注意力与APD的缺陷/症状有关，但注意力的测量并未常规用于APD诊断方案。本研究的目的是检查听觉和视觉注意力测试与听觉处理测试在APD儿童之间的关系，并评估是否提出了APD的诊断协议，包括注意力的措施，可以提供有用的信息APD管理。进行了一项试点研究，包括27名7-11岁的儿童，转诊进行APD评估。儿童日常注意力的验证测试，视觉和听觉注意力的任务，在空间化噪音句子测试，儿童的沟通检查表问卷和测试从一个标准的APD诊断测试电池的听力管理。Pearson的偏相关分析检查这些测试之间的关系和科克伦的Q检验分析比较的诊断比例下，每个建议的电池进行。在20名APD诊断儿童的样本中，听觉和视觉-视觉注意的分离与两耳分指测试密切相关，分别为r = 0.68，p < 0.05和r = 0.76，p = 0.01。标准APD电池确定了更大比例的参与者患有APD，而不是被确定为具有注意力缺陷（AD）的注意力电池。不包括AD病例的拟议APD组合与标准APD组合的诊断比例没有显着差异。最后，新提出的诊断组合，确定了注意力不集中的APD亚型，确定了5名儿童，否则他们将被认为没有AD。研究结果表明，一个亚组的儿童与APD表现出潜在的持续和分散的注意力缺陷。注意力缺陷的APD儿童似乎是围绕听觉模态，但在这两种模式的注意类型需要进一步检查。修订诊断标准，将注意力测试和注意力不集中类型的APD纳入测试组合，为临床医生提供了额外的有用数据，以确保对APD评估进行仔细解释。
Measures of attention have been found to correlate with specific auditory processing tests in samples of children suspected of Auditory Processing Disorder (APD), but these relationships have not been adequately investigated. Despite evidence linking auditory attention and deficits/symptoms of APD, measures of attention are not routinely used in APD diagnostic protocols. The aim of the study was to examine the relationship between auditory and visual attention tests and auditory processing tests in children with APD and to assess whether a proposed diagnostic protocol for APD, including measures of attention, could provide useful information for APD management. A pilot study including 27 children, aged 7–11 years, referred for APD assessment was conducted. The validated test of everyday attention for children, with visual and auditory attention tasks, the listening in spatialized noise sentences test, the children's communication checklist questionnaire and tests from a standard APD diagnostic test battery were administered. Pearson's partial correlation analysis examining the relationship between these tests and Cochrane's Q test analysis comparing proportions of diagnosis under each proposed battery were conducted. Divided auditory and divided auditory-visual attention strongly correlated with the dichotic digits test, r = 0.68, p < 0.05, and r = 0.76, p = 0.01, respectively, in a sample of 20 children with APD diagnosis. The standard APD battery identified a larger proportion of participants as having APD, than an attention battery identified as having Attention Deficits (ADs). The proposed APD battery excluding AD cases did not have a significantly different diagnosis proportion than the standard APD battery. Finally, the newly proposed diagnostic battery, identifying an inattentive subtype of APD, identified five children who would have otherwise been considered not having ADs. The findings show that a subgroup of children with APD demonstrates underlying sustained and divided attention deficits. Attention deficits in children with APD appear to be centred around the auditory modality but further examination of types of attention in both modalities is required. Revising diagnostic criteria to incorporate attention tests and the inattentive type of APD in the test battery, provides additional useful data to clinicians to ensure careful interpretation of APD assessments.
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