Riccio C A, Hynd G W, Cohen M J, Hall J, Molt L
Center for Clinical and Developmental Neuropsychology, University of Georgia, Athens 30602.
J Am Acad Child Adolesc Psychiatry. 1994 Jul-Aug;33(6):849-57. doi: 10.1097/00004583-199407000-00011.
Research has indicated that children with attention-deficit hyperactivity disorder (ADHD) demonstrate significant difficulty on tasks used to assess central auditory processing skills. These findings have raised the question of whether ADHD and central auditory processing disorder (CAPD) represent a singular disorder.
The current study explored the incidence of ADHD in a group of 30 children who met diagnostic criteria for CAPD.
Consecutive referrals specifically for this project were assessed on a variety of measures. In addition, rating scales were completed by teachers and structured interviews were completed with parents.
Results indicate that although the incidence rate of ADHD (50%) in this sample significantly exceeds that found in the normative population (p < .001), not all children with CAPD demonstrated behaviors consistent with diagnostic criteria for ADHD. Furthermore, there was a low incidence of any other behavioral disorder in this sample. In contrast, it was found that the sample as a whole demonstrated impaired language abilities. No significant differences emerged across cognitive, auditory, or language measures.
This study further supports the need for increased collaboration of those professionals who work with these children given the extent of overlap of language and behavioral difficulties in this sample.
研究表明,患有注意力缺陷多动障碍(ADHD)的儿童在用于评估中枢听觉处理技能的任务上表现出显著困难。这些发现引发了一个问题,即ADHD和中枢听觉处理障碍(CAPD)是否代表一种单一的障碍。
本研究探讨了一组30名符合CAPD诊断标准的儿童中ADHD的发病率。
对专门为此项目连续转诊的患者进行了多种测量。此外,教师完成了评定量表,家长完成了结构化访谈。
结果表明,尽管该样本中ADHD的发病率(50%)显著高于正常人群(p <.001),但并非所有患有CAPD的儿童都表现出符合ADHD诊断标准的行为。此外,该样本中任何其他行为障碍的发病率都很低。相比之下,发现整个样本的语言能力受损。在认知、听觉或语言测量方面未出现显著差异。
鉴于该样本中语言和行为困难的重叠程度,本研究进一步支持了与这些儿童打交道的专业人员加强合作的必要性。