CC BY-NC-ND 4.0 · Int Arch Otorhinolaryngol 2022; 26(01): e020-e031
DOI: 10.1055/s-0040-1722158
Original Research

Central Auditory Processing and Cognitive Functions in Children

1   Postgraduate program in psychology, Universidade Federal do Paraná, Curitiba, PR, Brazil
,
2   Department of pediatrics, Universidade Federal do Paraná Hospital de Clínicas, Curitiba, PR, Brazil
,
3   Psychology department, Universidade Federal do Paraná, Curitiba, PR, Brazil
,
4   Phonoaudiology department, Universidade Federal do Estado de São Paulo, São Paulo, SP, Brazil
› Institutsangaben

Abstract

Introduction Nowadays, there is no consensus on whether central auditory processing disorder is a primary or a secondary deficit to other cognitive deficits. A better understanding of the association between cognitive functions and central auditory skills may help elucidate this dilemma.

Objective To investigate possible associations between auditory abilities and cognitive functions in schoolchildren.

Methods Fifty-eight schoolchildren, aged between 8 years and 0 months old and 11 years and 11 months old, who underwent the following tests: masking level difference, gaps in noise, pitch pattern sequence test, dichotic digits test, sustained auditory attention ability test, Wechsler intelligence scale for children – IV, junior Hayling test, five digits test, and behavior rating inventory of executive function.

Results Significant correlations were found between the hearing ability of temporal resolution and executive functions, temporal ordering/sequencing, binaural integration and separation, and sustained auditory attention, operational memory, inhibitory control, and cognitive flexibility; binaural integration was also associated with intelligence. The statistically significant positive correlation found between the ability of binaural interaction and the components of emotional control and behavior regulation of the behavior rating inventory of executive function was unexpected.

Conclusion The associations identified reinforce the complexity of the tasks involved in the evaluation of central auditory processing and the need for multidisciplinary evaluation for the differential diagnosis of auditory processing disorder. Confirmation of the presence or absence of comorbidities between different disorders allows directing the therapeutic behaviors and reducing the impact of possible auditory and/or cognitive deficits in the different daily life situations of children.



Publikationsverlauf

Eingereicht: 12. Februar 2020

Angenommen: 12. Oktober 2020

Artikel online veröffentlicht:
19. Februar 2021

© 2021. Fundação Otorrinolaringologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

Thieme Revinter Publicações Ltda.
Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil

 
  • References

  • 1 American Speech-Language-Hearing Association (ASHA), (Central) Auditory Processing Disorders. [Technical Report]. 2005 . Accessed Feb, 15, 2019 at: http://www.asha.org/policy
  • 2 Bellis TJ, Bellis JD. Central auditory processing disorders in children and adults. In: Aminoff MJ, Boller F, Swaab DF, (Series Eds.), Celesia GG, Hickok G. (Vol. Eds.). Handbook of clinical neurology - The human auditory system: fundamental organization and clinical disorders. Oxford: Elsevier; 2015: 537-556
  • 3 Mccullagh J, Bamiou D-E. Measures of binaural interaction. In: Musiek FE, Chermak GD. (Eds.). Handbook of (central) auditory processing disorder: auditory neuroscience and diagnosis. San Diego: Plural; 2014: 435-469
  • 4 Hugdahl K, Helland T. Central auditory processing as seen from dichotic listening studies. In: Musiek FE, Chermak GD. (Eds.). Handbook of (central) auditory processing disorder: auditory neuroscience and diagnosis. San Diego: Plural; 2014: 153-189
  • 5 Musiek FE, Chermak GD. Auditory neuroscience and central auditory processing disorder: an overview. In: Musiek FE, Chermak GD. (Eds.). Handbook of (central) auditory processing disorder: auditory neuroscience and diagnosis. San Diego: Plural; 2014: 3-15
  • 6 Alvarez AMMC, Sanchez ML, Carvalho IAM. – Neuroaudiologia e linguagem. In: Fuentes D, Malloy-Diniz LF, Camargo CHP, Cosenza RM (Orgs.). Neuropsicologia teoria e prática. Porto Alegre. Art Med ; 2008; 136-150
  • 7 Krishnamurti S. Monaural low-redundancy speech tests. In: Musiek FE, Chermak GD. (Eds.). Handbook of (central) auditory processing disorder: auditory neuroscience and diagnosis. San Diego: Plural; 2014: 349-367
  • 8 Shinn JB. Temporal processing tests. In: Musiek FE, Chermak GD. (Eds.). Handbook of (central) auditory processing disorder: auditory neuroscience and diagnosis. San Diego: Plural; 2014: 405-434
  • 9 American Academy of Audiology (AAA). Guidelines for the Diagnosis, Treatment and Management of Children and Adults with Central Auditory Processing Disorder. American Academy of Audiology, (August). 2010. . Accessed February 15, 2019 at: https://audiology-web.s3.amazonaws.com/migrated/CAPD%20Guidelines%208-2010.pdf_539952af956c79.73897613.pdf
  • 10 Bellis TJ. The nature of central auditory processing disorder. In: Musiek FE, Chermak GD. (Eds.). Handbook of (central) auditory processing disorder: auditory neuroscience and diagnosis. San Diego: Plural; 2014: 211-230
  • 11 Canadian Interorganizational Steering Group for Speech-Language Pathology and Audiology (CISG). Canadian guidelines on auditory processing disorder in children and adults: assessment and intervention. The Canadian Interorganizational Steering Group for Speech-Language Pathology and Audiology. 2012 . Accessed February 15, 2019 at: http://www.sac.oac.ca/sites/default/files/resources/Canadian-Guidelines-on-456Auditory-Processing-Disorder-in-Children-and-Adults-English-2012.pdf
  • 12 Chermak GD, Bamiou D-E, Vivian Iliadou V, Musiek FE. Practical guidelines to minimise language and cognitive confounds in the diagnosis of CAPD: a brief tutorial. Int J Audiol 2017; 56 (07) 499-506
  • 13 Iliadou VV, Ptok M, Grech H. et al. A European perspective on auditory processing disorder-current knowledge and future research focus. Front Neurol 2017; 8 (622) 1-7
  • 14 Iliadou VV, Sirimanna T, Bamiou D-E. CAPD is classified in ICD-10 as H93.25 and hearing evaluation - not screening - should be implemented in children with verified communication and/or listening deficits. Am J Audiol 2016; 25 (04) 368-370
  • 15 de Wit E, van Dijk P, Hanekamp S. et al. Same or different: the overlap between children with auditory processing disorders and children with other developmental disorders: a systematic review. Ear Hear 2018; 39 (01) 1-19
  • 16 British Society of Audiology (BSA). Position Statement Auditory processing disorder. British Society of Audiology, (March), 1–9. 2011 . Accessed May, 22, 2019 at: http://www.thebsa.org.uk/wp-content/uploads/2014/04/BSA_APD_PositionPaper_31March11_FINAL.pdf
  • 17 British Society of Audiology (BSA). Position Statement and Practice Guidance: Auditory processing disorder (APD). British Society of Audiology, (February), 5–19. 2018 . Accessed May, 22,2019 at: http://www.thebsa.org.uk/wp-content/uploads/2018/09/Position-Statement-and-Practice-Guidance-APD-2018.pdf
  • 18 Cacace AT, McFarland DJ. The importance of modality specificity in diagnosing central auditory processing disorder. Am J Audiol 2005; 14 (02) 112-123
  • 19 DeBonis DA. It is time to rethink central auditory processing disorder protocols for school-aged children. Am J Audiol 2015; 24 (02) 124-136
  • 20 Moore DR. Editorial: auditory processing disorder. Ear Hear 2018; 39 (04) 617-620
  • 21 Wilson WJ. Evolving the concept of APD. Int J Audiol 2018; 57 (04) 240-248
  • 22 Bellis TJ. Assessment and management of central auditory processing disorders in the educational setting from science to practice. New York: Delmar Learning; 2003
  • 23 Musiek FE, Bellis TJ, Chermak GD. Nonmodularity of the central auditory nervous system: implications for (central) auditory processing disorder. Am J Audiol 2005; 14 (02) 128-138 , discussion 143–150
  • 24 Kreisman NV, John AB, Kreisman BM, Hall JW, Crandell CC. Psychosocial status of children with auditory processing disorder. J Am Acad Audiol 2012; 23 (03) 222-233 , quiz 234
  • 25 Zimmermann N, Cardoso CO, Moraes AL, Prando ML, Fonseca RP. Funções executivas e linguagem na infância: conceitos e relações entre componentes cognitivos para a interpretação neuropsicológica e neuropsicolinguística. In: Fonseca RP, Prando ML, Zimmermann N. Tarefas para avaliação neuropsicológica: avaliação de linguagem e funções executivas em crianças. São Paulo: Mennon; 2016: 15-25
  • 26 Chermak GD, Bellis TJ. Differential diagnosis of central auditory processing disorder and Attention-Deficit/hyperactivity disorder. In: Musiek FE, Chermak GD. (Eds.). Handbook of (central) auditory processing disorder: auditory neuroscience and diagnosis. San Diego: Plural; 2014: 557-590
  • 27 Gazzaniga MS, Ivry RB, Mangun GR. Neurociência cognitiva: a biologia da mente. Porto Alegre: Artmed; 2006
  • 28 Lezak MD, Howieson DB, Bigler ED, Tranel D. Neuropsychological assessment (5th ed.). New York: Oxford University Press; 2012
  • 29 Malloy-Diniz LF, Paula JJ, Sedó M, Fuentes D, Leite WB. Neuropsicologia das funções executivas e da atenção. In: Fuentes D, Malloy-Diniz LF, Camargo CHP, Cosenza RM. (Org.). Neuropsicologia: teoria e prática. Porto Alegre: Artmed; 2014: 115-138
  • 30 Diamond A. Executive functions. Annu Rev Psychol 2013; 64: 135-168
  • 31 Brenneman L, Cash E, Chermak GD. et al. The relationship between central auditory processing, language, and cognition in children being evaluated for central auditory processing disorder. J Am Acad Audiol 2017; 28 (08) 758-769
  • 32 Cameron S, Glyde H, Dillon H, Whitfield J. Investigating the interaction between dichotic deficits and cognitive abilities using the dichotic digits difference test (DDdT) part 2. J Am Acad Audiol 2016; 27 (06) 470-479
  • 33 Gyldenkærne P, Dillon H, Sharma M, Purdy SC. Attend to this: the relationship between auditory processing disorders and attention deficits. J Am Acad Audiol 2014; 25 (07) 676-687 , quiz 706–707
  • 34 Murphy CF, La Torre R, Schochat E. Association between top-down skills and auditory processing tests. Rev Bras Otorrinolaringol (Engl Ed) 2013; 79 (06) 753-759
  • 35 Murphy CF, Zachi B, Roque ECT, Ventura SD, Schochat E. Influência da memória, atenção, QI e idade em testes de processamento auditivo temporal: estudo preliminar. CoDAS 2014; 26 (02) 105-111
  • 36 Prando ML, Pawlowski J, Fachel JMG, Misorelli MIL, Fonseca RP. Relação entre habilidades de processamento auditivo e funções neuropsicológicas em adolescentes. Rev CEFAC 2010; 12 (04) 646-661
  • 37 Riccio CA, Cohen MJ, Garrison T, Smith B. Auditory processing measures: correlation with neuropsychological measures of attention, memory, and behavior. Child Neuropsychol 2005; 11 (04) 363-372
  • 38 Sanchez ML, Alvarez AMBM. Avaliação das funções auditivas centrais e indícios de alteração de funções superiores. Revista eletrônica do World Congress on Brain, Behavior and Emotions. Porto Alegre, RS, Brasil. 2017 . Accessed March 09, 2019 at: http://www.brain2017.com/anais/index_int.php?id_trabalho=56814&ano=2017&ev=270#menuanais
  • 39 Sharma M, Purdy SC, Kelly AS. Comorbidity of auditory processing, language, and reading disorders. J Speech Lang Hear Res 2009; 52 (03) 706-722
  • 40 Stavrinos G, Iliadou V-M, Edwards L, Sirimanna T, Bamiou D-E. The relationship between types of attention and auditory processing skills: reconsidering auditory processing disorder diagnosis. Front Psychol 2018; 9 (34) 34
  • 41 Tomlin D, Dillon H, Sharma M, Rance G. The impact of auditory processing and cognitive abilities in children. Ear Hear 2015; 36 (05) 527-542
  • 42 Wilson RH, Moncrieff DW, Townsend EA, Pillion AL. Development of a 500-Hz masking-level difference protocol for clinic use. J Am Acad Audiol 2003; 14 (01) 1-8
  • 43 Musiek FE, Shinn JB, Jirsa R, Bamiou D-E, Baran JA, Zaidan E. GIN (Gaps-In-Noise) test performance in subjects with confirmed central auditory nervous system involvement. Ear Hear 2005; 26 (06) 608-618
  • 44 Musiek FE. Frequency (pitch) and duration pattern tests. J Am Acad Audiol 1994; 5 (04) 265-268
  • 45 Schochat E, Rabelo CM, Sanfins MD. Processamento auditivo central: testes tonais de padrão de frequência e de duração em indivíduos normais de 7 a 16 anos de idade. Pró-Fono Revista de Atualização Científica 2000; 12 (02) 1-7
  • 46 Santos MFC, Pereira LD. Teste de escuta dicótica com dígitos. Anais do I Congresso Paulista dos Distúrbios da Comunicação Humana. São Paulo 1996
  • 47 Pereira LD, Schochat E. Testes auditivos comportamentais para avaliação do processamento auditivo central. CD 3, faixa 2. [Compact Disc]. Barueri: Pró Fono; 2011
  • 48 Feniman M, Ortelan RR, Lauris JRP, Campos CF, Cruz MS. Proposta de instrumento comportamental para avaliar a atenção auditiva sustentada. Rev Bras Otorrinolaringol 2007; 73 (04) 523-527
  • 49 Siqueira LS, Gonçalves HA, Pagliarin KC. et al. Teste Hayling Infantil: aplicação, registro, pontuação e dados normativos. In: Fonseca RP, Prando ML, Zimmermann N. Tarefas para avaliação neuropsicológica: avaliação de linguagem e funções executivas em crianças. São Paulo: Mennon; 2016: 66-87
  • 50 Sedó M, Paula JJ, Malloy-Diniz LF. O teste dos cinco dígitos. São Paulo: Hogrefe; 2015
  • 51 Wechsler D. Escala Wechsler de inteligência para crianças - WISC IV: manual técnico. São Paulo: Casa do Psicólogo; 2013
  • 52 Carim DB, Miranda MC, Bueno OFA. Tradução e adaptação para o português do Behavior Rating Inventory of Executive Function – BRIEF. Psicol Reflex Crit 2012; 25 (04) 653-661
  • 53 Auditec. Masking level difference test. [Compact Disc]. Saint Louis: Auditec Incorporated.
  • 54 Audiology Illustrated. Central auditory tests. Track 7. Frequency Pattern. [Compact Disc]. Connecticut: Audiology Illustrated, LLC;
  • 55 Audiology Illustrated. Gaps in noise (GIN): full version. [Compact Disc]. Connecticut: Audiology Illustrated, LLC.
  • 56 IBM SPSS Statistics for Windows. (Version 22.0) [software]. Armonk, NY: IBM Corporation; 2013
  • 57 Moore DR, Ferguson MA, Edmondson-Jones AM, Ratib S, Riley A. Nature of auditory processing disorder in children. Pediatrics 2010; 126 (02) e382-e390
  • 58 Dias NM, Tortella G. Evidências de validade do teste de trilhas: partes A e B. In: Seabra AG, Dias NM. (Orgs.). Avaliação neuropsicológica cognitiva: atenção e funções executivas. São Paulo: Mennon; 2012: 67-74
  • 59 Seabra AG, Reppold CT, Dias NM, Pedron AC. Modelos de funções executivas. In: Seabra AG, Laros JA, Macedo EC, Abreu N. (Orgs.). Inteligências e funções executivas: avanços e desafios para a avaliação neuropsicológica. São Paulo: Mennon; 2014: 39-50
  • 60 Baddeley A. Working memory: theories, models, and controversies. Annu Rev Psychol 2012; 63: 1-29
  • 61 Maerlender AC, Wallis DJ, Isquith PK. Psychometric and behavioral measures of central auditory function: the relationship between dichotic listening and digit span tasks. Child Neuropsychol 2004; 10 (04) 318-327
  • 62 Wilson WJ, Jackson A, Pender A. et al. The CHAPS, SIFTER, and TAPS-R as predictors of (C)AP skills and (C)APD. J Speech Lang Hear Res 2011; 54 (01) 278-291
  • 63 Springer SP, Deutsch G. Cérebro esquerdo, cérebro direito: perspectivas da neurociência cognitiva (5ª ed.). São Paulo: Santos Editora; 2008
  • 64 Weihing J, Guenette L, Chermak G. et al. Characteristics of pediatric performance on a test battery commonly used in the diagnosis of central auditory processing disorder. J Am Acad Audiol 2015; 26 (07) 652-669
  • 65 Isquith PK, Gioia GA. Behavior rating inventory of executive function – BRIEF. Interpretative Report. Florida: Psychological Assessment Resources, Inc; 2007