Auditory Temporal Gap Detection in Children with and without Auditory Processing Disorder

2010 ◽  
Vol 21 (06) ◽  
pp. 404-408 ◽  
Author(s):  
Dennis P. Phillips ◽  
Michel Comeau ◽  
Jessica N. Andrus

Background: Auditory gap detection is a measure of temporal acuity. The paradigm comes in two forms, distinguished by whether the sounds bounding the silent period are the same (within channel [WC]) or different (between channel [BC]). Purpose: The purpose of this study was to test normal children and children referred for auditory processing disorder (APD) assessment, with both gap detection paradigms. Research Design: Best gap durations (i.e., shortest reliably detected gaps) were measured in a two-interval, two-alternative forced-choice design embedded within a modified method of limits, for both WC and BC paradigms, with stimuli presented at 55 dB HL. Study Sample: Sixteen control children and 20 children referred for APD assessment participated in the study. Of the 20 referred children, 9 were diagnostically positive for APD (APD+), and 11 were negative (APD−). The mean age of children in all three groups was 10–11 yr. Data Collection and Analysis: Data collected were best gap durations for each paradigm, for each child. Group differences were assessed using Kruskal-Wallis analyses of variance. Results: WC best gap durations were very similar across the three participant groups. BC best gap durations varied significantly between listener groups, with the greatest difference being between controls and APD+ samples. Conclusions: BC best gap durations differed among the listener groups while WC ones did not. This suggests that the relative timing perceptual operations required by the BC task are more susceptible to the perceptual disturbances in APD than is the simple event detection required by the WC task.

2012 ◽  
Vol 23 (03) ◽  
pp. 222-233 ◽  
Author(s):  
Nicole V. Kreisman ◽  
Andrew B. John ◽  
Brian M. Kreisman ◽  
James W. Hall ◽  
Carl C. Crandell

Background: Children with hearing loss often exhibit reduced psychosocial status compared to children with normal hearing. It is reasonable to assume that psychosocial function may also be affected in children diagnosed with auditory processing disorder (APD). However, there are no published studies specifically addressing the psychosocial health of children with APD. Purpose: This investigation examined relationships between APD and psychosocial status, with an aim to examine nonauditory factors that may influence quality of life of children diagnosed with APD. Research Design: A two-matched group design was employed. Participants and their mothers completed appropriate versions of the Dartmouth Primary Care Cooperative Information Project Charts for Adolescents (COOP-A), the Behavioral Assessment System for Children, Second Edition (BASC-2), and the Social Skills Rating System (SSRS). Study Sample: Participants consisted of 19 children (aged 9.5–17.8 yr; mean = 11.9) diagnosed with APD and 20 gender- and age-matched (mean = 12.8 yr) children with no evidence of APD by history or audiological assessment. Primary caretakers (mothers) of the participants also completed psychosocial questionnaires according to their perception of their participating child's function. Data Collection and Analysis: Data were collected at a single visit, following APD diagnosis. Data from each questionnaire were analyzed using appropriate statistical methods for two-group comparisons. Results: Analysis of child reports revealed significantly greater psychosocial difficulty in the APD group on subscales of the COOP-A and BASC-2. Increased problems in the APD group were also reported by parents on subscales of the COOP-A, BASC-2, and SSRS. Eta-squared values for all significant findings indicated moderate to large effect sizes, suggesting findings may be generalized to other children in this age group. No between-group differences were found on any subscale for APD children with or without a confirmed or suspected language disorder. Conclusion: We found that children with APD exhibit increased psychosocial difficulty in several areas compared to children without APD.


2009 ◽  
Vol 20 (04) ◽  
pp. 229-238 ◽  
Author(s):  
Jennifer B. Shinn ◽  
Gail D. Chermak ◽  
Frank E. Musiek

Background: The recently developed Gaps-In-Noise (GIN) test has provided a new diagnostic tool for the detection of temporal resolution deficits. Previous reports indicate that the GIN is a relatively sensitive tool for the diagnosis of central auditory processing disorder ([C]APD) in adult populations. Purpose: The purpose of the present study was to determine the feasibility of the GIN test in the pediatric population. Research Design: This was a prospective pseudorandomized investigation. Study Sample: This investigation involved administration of the GIN to 72 participants divided into six groups of normal children ranging from 7 through 18 years of age. Data Collection and Analysis: The approximate GIN threshold (the shortest gap duration for which at least four of six gaps were correctly identified) served as the dependent variable. Results were analyzed using an ANOVA to examine between- and within-group differences. Results: No statistically significant differences were seen in GIN thresholds among age groups. In addition, within group analysis yielded no statistically significant differences between ears within each age group. No developmental effect was seen in GIN thresholds between the ages of 7 and 18 years. Children as young as age 7 are able to complete the GIN with no significant difficulty and perform at levels commensurate with normal adults. The absence of ear differences suggests that temporal resolution as measured by the GIN is an auditory process that develops relatively early and symmetrically (i.e., no laterality or ear dominance effects). Conclusions: The GIN procedure appears to be a feasible measure of temporal resolution in both pediatric and adult populations.


2020 ◽  
Vol 22 (4) ◽  
pp. 650-654
Author(s):  
Afsoon Arabi ◽  
Saeideh Mehrkian ◽  
Hooshang Mirzaei ◽  
Enayatollah Bakhshi ◽  
◽  
...  

2002 ◽  
Vol 13 (08) ◽  
pp. 438-460 ◽  
Author(s):  
James Jerger ◽  
Linda Thibodeau ◽  
Jeffrey Martin ◽  
Jyutika Mehta ◽  
Gail Tillman ◽  
...  

We administered a battery of both behavioral and electrophysiologic measures to a pair of fraternal twin girls, one of whom exhibited symptoms consistent with an auditory processing disorder. Both twins were within normal limits on standardized tests of cognitive and language skills. Basic audiometric measures, as well as behavioral tests of simultaneous masking, backward masking, gap detection, and frequency-sweep discrimination, showed little difference between the twins. Significant differences, however, were evident on event-related potentials (ERPs) in response to both within-channel and across-channel gap detection tasks. Substantial differences were also noted for ERPs to both linguistic and nonlinguistic targets in dichotic listening paradigms. The pattern of electrophysiologic results was consistent with a deficit in the efficiency of interhemispheric transfer of auditory information. A possible reason for the greater effectiveness of electrophysiologic over behavioral measures is discussed.


Author(s):  
Zohreh Ahmadi ◽  
Farnoush Jarollahi ◽  
Mohsen Ahadi ◽  
Fatemeh Hosseini ◽  
Saeedeh Khamisabadi

Background and Aim: Auditory processing dis­order (APD), as a sensory processing defect, can be comorbid with other disorders such as lear­ning disability (LD). LD has shown a greater likelihood of comorbidity with APD. Therefore, the deficits associated with APD needs to be identified in children with LD. Given the high likelihood of APD comorbidity in children with LD, this study aimed to screen for APD in 8−12-year-old children with LD using the Persian auditory processing domains questio­nnaire (APDQ-P). Methods: In this cross-sectional study, APDQ-P was administered on 250 normal children with a mean (SD) age of 10 (1.48) years old (153 girls and 97 boys), and 110 children with LD with a mean (SD) age of 9 (1.92) years old (40 girls and 61 boys). After obtaining the cut-off point, the scores of the two groups were compared by a t-test in 5 age categories. Finally, we calculated the number of children with suspected APD using APDQ-P. Results: There was a significant difference bet­ween the scores of LD and normal group in all subscales including auditory processing, language and attention. About 75% of LD chil­dren failed in auditory processing, 86% in atten­tion skills, and 82% in language skills. Conclusion: A significant proportion of children with LD were suspected of APD, which could be indicative of a high likelihood of comorbidity  of APD in children with LD. More accurate iden­tification of the degree and type of APD in  these children requires central auditory diagno­stic tests. Keywords: Questionnaire; auditory processing disorder; screening; learning disability  


2008 ◽  
Vol 19 (07) ◽  
pp. 557-563 ◽  
Author(s):  
Vassiliki Iliadou ◽  
Doris-Eva Bamiou ◽  
Stergios Kaprinis ◽  
Dimitrios Kandylis ◽  
Nikolaos Vlaikidis ◽  
...  

Background: Auditory processing disorders involve deficits in the processing of information in the auditory domain that are not due to higher order language, cognitive or other related factors. Purpose: To evaluate the possibility of structural brain abnormalities in preterm children manifesting as auditory processing disorders. Research Design : A case report of a young girl, preterm at birth, with language difficulties, learning problems at school, and additional listening problems. Results: A diagnosis of a central auditory processing disorder was made on the basis of severe deficits in three nonspeech temporal tests (the frequency and duration pattern and the random gap detection tests). Her brain MRI revealed large porencephalic cysts and thinning of the corpus callosum. Conclusions: The observed auditory deficits would be compatible with a pressure effect of the cysts at a brainstem or higher level for the random gap detection test, and with the thinning of the corpus callosum for the pattern tests, the latter requiring interhemispheric transfer of information. The case highlights that preterm children with learning difficulties may suffer from an auditory processing disorder, in the presence of structural brain abnormalities that are due to birth and neonatal complications.


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