Practical guidelines to minimise language and cognitive confounds in the diagnosis of CAPD: a brief tutorial
Practical guidelines to minimise language and cognitive confounds in the diagnosis of CAPD: a brief tutorial
复制标题
DOI：
10.1080/14992027.2017.1284351
复制
发表时间：
2017-01-01
影响因子：
2.7
通讯作者：
Musiek, Frank E.
中科院分区：
文献类型：
--
作者：
Chermak, Gail D.;Bamiou, Doris-Eva;Musiek, Frank E.
目的：为听力学家提供策略，以尽量减少混淆认知和语言处理变量，准确诊断中枢听觉处理障碍（CAPD）。设计：教程。研究样本：无。结果：策略进行审查，以尽量减少混淆认知和语言处理变量和准确诊断CAPD。结论：鉴别诊断是非常重要的，可以是相当具有挑战性的。区分两种或多种具有相似症状或属性的疾病需要多学科、全面的评估。为了确保适当的干预措施，听力学家是多学科团队的成员，负责确定是否存在其他表现缺陷的听觉成分，或者是否一种情况导致另一种情况下出现的症状。测试的选择应根据受影响个体的症状，如在深入访谈和病史中建立的，个体的年龄和主要语言，以及报告与特定临床表现相关的特定缺陷。了解哪些测试是可用的，他们的优势和局限性，评估的过程，任务和响应要求，以及每个测试最敏感的中枢听觉神经系统（CANS）的区域，为听力学家提供了关键信息，以帮助鉴别诊断过程。
Objective: To provide audiologists with strategies to minimise confounding cognitive and language processing variables and accurately diagnose central auditory processing disorder (CAPD). Design: Tutorial. Study sample: None. Results: Strategies are reviewed to minimise confounding cognitive and language processing variables and accurately diagnose CAPD. Conclusions: Differential diagnosis is exceedingly important and can be quite challenging. Distinguishing between two or more conditions presenting with similar symptoms or attributes requires multidisciplinary, comprehensive assessment. To ensure appropriate interventions, the audiologist is a member of the multidisciplinary team responsible for determining whether there is an auditory component to other presenting deficits or whether one condition is responsible for the symptoms seen in another. Choice of tests should be guided both by the symptoms of the affected individual, as established in an in-depth interview and case history, the individual's age and primary language, and by the specific deficits reported to be associated with specific clinical presentations. Knowing which tests are available, their strengths and limitations, the processes assessed, task and response requirements, and the areas of the central auditory nervous system (CANS) to which each test is most sensitive provides the audiologist with critical information to assist in the differential diagnostic process.