Sun Yu-Ying, Zhu Hui-Qin, Liu Pan-Ting, Lin Huan-Xi, Xiao Zheng-Lu, Yu Xin-Yue, Qian Jun, Chi Xia, Hong Qin
Department of Child Health, Women's Hospital of Nanjing Medical University/Nanjing Maternity and Child Health Care Hospital, Nanjing 210004, China.
Zhongguo Dang Dai Er Ke Za Zhi. 2023 Aug 15;25(8):824-830. doi: 10.7499/j.issn.1008-8830.2302042.
To investigate the characteristics of auditory processing (AP) in preschool children with attention deficit hyperactivity disorder (ADHD) using Preschool Auditory Processing Assessment Scale (hereafter referred to as "auditory processing scale").
A total of 41 children with ADHD and 41 typically developing (TD) children were assessed using the auditory processing scale, SNAP-IV rating scale, and Conners' Kiddie Continuous Performance Test (K-CPT). The auditory processing scale score was compared between the TD and ADHD groups. The correlations of the score with SNAP-IV and K-CPT scores were assessed.
Compared with the TD group, the ADHD group had significantly higher total score of the auditory processing scale and scores of all dimensions except visual attention (<0.05). In the children with ADHD, the attention deficit dimension score of the SNAP-IV rating scale was positively correlated with the total score of the auditory processing scale (=0.531, <0.05; =0.627, <0.05) as well as the scores of its subdimensions, including auditory decoding (=0.628, <0.05), auditory attention (=0.492, <0.05), and communication (=0.399, <0.05). The hyperactivity-impulsivity dimension score of the SNAP-IV rating scale was positively correlated with the hyperactivity-impulsivity dimension score of the auditory processing scale (=0.429, <0.05). In the children with ADHD, the attention deficit dimension score of the K-CPT was positively correlated with the total score (=0.574, <0.05; =0.485, <0.05) and the hyperactivity-impulsivity dimension score (=0.602, <0.05) of the auditory processing scale.
Preschool children with ADHD have the risk of AP abnormalities, and the auditory processing scale should be used early for the screening and evaluation of AP abnormalities in children.
使用学龄前听觉处理评估量表(以下简称“听觉处理量表”)调查注意力缺陷多动障碍(ADHD)学龄前儿童的听觉处理(AP)特征。
使用听觉处理量表、SNAP-IV评定量表和康纳斯儿童连续操作测验(K-CPT)对41例ADHD儿童和41例发育正常(TD)儿童进行评估。比较TD组和ADHD组的听觉处理量表得分。评估该得分与SNAP-IV和K-CPT得分的相关性。
与TD组相比,ADHD组的听觉处理量表总分及除视觉注意力外的所有维度得分均显著更高(<0.05)。在ADHD儿童中,SNAP-IV评定量表的注意力缺陷维度得分与听觉处理量表总分(=0.531,<0.05;=0.627,<0.05)及其子维度得分,包括听觉解码(=0.628,<0.05)、听觉注意力(=0.492,<0.05)和沟通(=0.399,<0.05)呈正相关。SNAP-IV评定量表的多动-冲动维度得分与听觉处理量表的多动-冲动维度得分(=0.429,<0.05)呈正相关。在ADHD儿童中,K-CPT的注意力缺陷维度得分与听觉处理量表总分(=0.574,<0.05;=0.485,<0.05)和多动-冲动维度得分(=0.602,<0.05)呈正相关。
ADHD学龄前儿童存在AP异常风险,应尽早使用听觉处理量表对儿童AP异常进行筛查和评估。