Parental perception of listening difficulties: an interaction between weaknesses in language processing and ability to sustain attention.

Parental perception of listening difficulties: an interaction between weaknesses in language processing and ability to sustain attention.
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DOI:
10.1038/s41598-018-25316-9
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发表时间:
2018-05-03
期刊:
影响因子:
4.6
通讯作者:
Barry JG
Barry JG
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Roebuck H;Barry JG

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(中枢性)听觉加工障碍是一个有争议的诊断范畴,可能是转诊路径的伪影。然而,转诊路线在某种程度上必须受到儿童出现症状的特征的影响。这项研究测试了一种假设,即父母对听力困难的感知与在听演讲时维持注意力的能力薄弱有关。44名儿童(24名听力有困难)发现了一个16分钟故事中嵌入的目标。目标要么是发音错误,要么是胡言乱语。句子语境被调整,以区分语言加工缺陷造成的影响和注意力缺陷造成的影响。听力有困难的儿童比听力正常的儿童错过了更多的目标。这两组儿童最初对句子上下文都很敏感,但在听力有困难的儿童中,随着时间的推移,这一敏感度有所下降。基于报告的语言能力测量捕捉到了测量中的大部分差异,捕捉到了与时间相关的对上下文的敏感度变化。总体而言,研究结果表明,父母认为孩子有听力障碍,而不是语言障碍,因为只有在长期关注和处理语音的额外要求的压力下,语言处理的弱点才会显现出来。
(Central) auditory processing disorder ((C)APD) is a controversial diagnostic category which may be an artefact of referral route. Yet referral route must, to some extent, be influenced by a child’s profile of presenting symptoms. This study tested the hypothesis that parental perception of listening difficulty is associated with weaknesses in ability to sustain attention while listening to speech. Forty-four children (24 with listening difficulties) detected targets embedded in a 16-minute story. The targets were either mispronunciations or nonsense words. Sentence context was modulated to separate out effects due to deficits in language processing from effects due to deficits in attention. Children with listening difficulties missed more targets than children with typical listening abilities. Both groups of children were initially sensitive to sentence context, but this declined over time in the children with listening difficulties. A report-based measure of language abilities captured the majority of variance in a measure capturing time-related changes in sensitivity to context. Overall, the findings suggest parents perceive children to have listening, not language difficulties, because weaknesses in language processing only emerge when stressed by the additional demands associated with attending to, and processing, speech over extended periods of time.
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