Differential Diagnosis and Management of Central Auditory Processing Disorder and Attention Deficit Hyperactivity Disorder

Chermak, Gail D.; Hall, James W.; Musiek, Frank E.

doi:10.1055/s-0042-1748501

Cited by 83 publications

(14 citation statements)

References 91 publications

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“…8B). This outcome is consistent with reports of the co-occurrence of APD with ADHD symptoms (Chermak et al, 1998; 1999; 2002). The anterior INS is thought to be connected to a variety of human social emotions such as compassion, empathy, taste, fear, pleasure, and disgust (Lamm & Singer 2010; Mutschler et al, 2009; Ostrowsky et al 2002; Chen et al, 2014) or homeostatic emotions such as pain (Ostrowsky et al, 2002) (Fig.…”

Section: Discussionsupporting

confidence: 92%

Altered brain network topology in children with Auditory Processing Disorder: a resting-state multi-echo fMRI study

Alvand¹,

Kuruvilla-Mathew²,

Kirk³

et al. 2022

Preprint

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Children with auditory processing disorder (APD) experience hearing difficulties, particularly in the presence of competing sounds, despite having normal audiograms. There is considerable debate on whether APD symptoms originate from bottom-up (e.g., auditory sensory processing) and/or top-down processing (e.g., cognitive, language, memory). A related issue is that little is known about whether functional brain network topology is altered in APD. Therefore, we used resting-state functional magnetic resonance imaging data to investigate the functional brain network organization of 57 children from 8 to 13 years old, diagnosed with APD (n=28) and without hearing difficulties (healthy control, HC; n=29). We applied complex network analysis using graph theory to assess the whole-brain integration and segregation of functional networks and brain hub architecture. Our results showed children with APD and HC have similar global network properties and modular organization. Still, the APD group showed different hub architecture. At the nodal level, we observed decreased participation coefficient (PC) in auditory cortical regions in APD, including bilateral superior temporal gyrus and left middle temporal gyrus. Beyond auditory regions, PC was also decreased in APD in bilateral posterior temporo-occipital cortices, left intraparietal sulcus, and right posterior insular cortex. Correlation analysis suggested a positive association between PC in the left parahippocampal gyrus and the listening-in-spatialized-noise -sentences task where APD children were engaged in auditory perception. In conclusion, our findings provide evidence of altered brain network organization in children with APD, specific to auditory networks, and shed new light on the neural systems underlying children's listening difficulties.

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Section: Discussionsupporting

confidence: 92%

Altered brain network topology in children with Auditory Processing Disorder: a resting-state multi-echo fMRI study

Alvand¹,

Kuruvilla-Mathew²,

Kirk³

et al. 2022

Preprint

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“…Adjustment of individual thresholds for potential underestimation due to elevated false-alarm rate did not alter these results. As indicated above, there have been no studies characterizing the performance of children or adults identified as having a CAPD on a central-masking task; however, individuals with CAPD do show deficits under conditions of contralateral competition (Chermak et al, 1999). Although an abnormal increase in threshold with no change in false-alarm rate would be consistent with the presence of a CAPD, the lack of such a finding does not preclude the presence of a CAPD.…”

Section: Discussionmentioning

confidence: 99%

“…Deficits in central auditory function are inferred when an individual demonstrates difficulty with auditory information despite normal hearing. A CAPD may occur at any level of the central nervous system and is observed in a variety of developmental and acquired disorders, including developmental reading disability, brain neoplasm, and epilepsy (Chermak et al, 1999). CAPD is often diagnosed using a battery of tasks, which may include (a) electrophysiological measures (brain stem auditory-evoked responses), (b) a variety of tests using speech stimuli in degraded or competing conditions, (c) masking level differences, and (d) pitch pattern sequencing tests (Stecker, 1992).…”

mentioning

confidence: 99%

“…Recent hypotheses regarding the etiology of ADHD emphasize deficits in self-regulation and the ability to inhibit maladaptive responses potentially associated with frontal lobe dysfunction (Barkley Grodzinsky, & DuPaul, 1992; Barkley, 1997a). In addition to these nonsensory deficits, children with ADHD may perform more poorly than age-matched controls on a variety of tasks assessing central auditory function (Chermak, Hall, & Musiek, 1999; Chermak, Somers, & Seikel, 1998; Gascon, Johnson, & Burd, 1986; Lucker, Geffner, & Koch, 1996). Whereas some researchers suggest that nonsensory behavioral deficits associated with ADHD can account for deficient performance on tasks dependent on central auditory function (Cook et al, 1993; Gascon et al, 1986), others hypothesize the presence of a separate central auditory processing disorder (CAPD) that may, in some children, be comorbid with ADHD (Chermak et al, 1999; Riccio, Hynd, Cohen, Hall, & Molt, 1994).…”

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confidence: 99%

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Dissociation of sensitivity and response bias in children with attention deficit/hyperactivity disorder during central auditory masking.

Breier¹,

Gray²,

Klaas³

et al. 2002

Neuropsychology

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Forty-three children (ages 7.0-14.5 years old) with and without attention deficit/hyperactivity disorder (ADHD), combined type had thresholds for detection of a 500-Hz pure tone estimated with and without a noise masker in the contralateral ear. The ear receiving the signal in the masked condition was varied randomly. A single-interval maximum-likelihood method estimated thresholds and false-alarm rate. Whereas the increase in threshold in children with ADHD in the presence of contralateral masking was comparable with controls, the increase in false-alarm rate was significantly greater. This dissociation between changes in sensitivity and response bias in the presence of masking noise supports suggestions that children with ADHD have difficulty inhibiting maladaptive responses and indicates that this deficit is quantifiable using psychoacoustic methods.

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“…We may also question whether auditory attention complaints in ADHD patients are associated with the existence of comorbid disorders, such as, for example, Central Auditory Processing Disorder, having that in many patients with ADHD this comorbidity was present 22 , 23 .…”

Section: Discussionmentioning

confidence: 99%

O papel do sistema olivococlear medial em crianças portadoras de TDAH

Pereira

Feitosa

Pereira

et al. 2012

Braz. j. otorhinolaryngol.

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A ttention deficit hyperactivity disorder (ADHD) patients show, as one of the main symptoms, an attentional impairment. Selective attention in the hearing process is the ability to understand speech in a noisy environment, which can be evaluated by several methods. One of the main approaches is the functioning of the Medial Olivocochlear Efferent System, which can be accessed by TransientEvoked Otoacoustic Emissions (TOAE).Objective: This study aimed at evaluating the suppression effect of contralateral noise on TOAE in ADHD (study group) and normal subjects (control group). Study Design: Case-control study. Material and Methods:A study with 20 children distributed in two, age-and gender-matched groups. Results: No differences were found in TOAE responses between the two groups, with and without noise. Conclusions:We conclude that there were no functional differences in the Medial Olivocochlear Efferent System in the two groups analyzed. Braz J Otorhinolaryngol. 2012;78(3):27-31. ORIGINAL ARTICLE

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Differential Diagnosis and Management of Central Auditory Processing Disorder and Attention Deficit Hyperactivity Disorder

Cited by 83 publications

References 91 publications

Altered brain network topology in children with Auditory Processing Disorder: a resting-state multi-echo fMRI study

Altered brain network topology in children with Auditory Processing Disorder: a resting-state multi-echo fMRI study

Dissociation of sensitivity and response bias in children with attention deficit/hyperactivity disorder during central auditory masking.

O papel do sistema olivococlear medial em crianças portadoras de TDAH

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