PMID- 28964292
OWN - NLM
STAT- MEDLINE
DCOM- 20171016
LR  - 20181202
IS  - 1872-8464 (Electronic)
IS  - 0165-5876 (Linking)
VI  - 101
DP  - 2017 Oct
TI  - Intelligibility of degraded speech and the relationship between symptoms of 
      inattention, hyperactivity/impulsivity and language impairment in children with 
      suspected auditory processing disorder.
PG  - 178-185
LID - S0165-5876(17)30385-3 [pii]
LID - 10.1016/j.ijporl.2017.08.010 [doi]
AB  - OBJECTIVES: To compare the sensitivity and specificity of Auditory Figure Ground 
      sub-tests of the SCAN-3 battery, using signal to noise ratio (SNR) of +8 dB 
      (AFG+8) and 0 dB (AFG0), in identifying auditory processing disorder (APD). A 
      secondary objective was to evaluate any difference in auditory processing (AP) 
      between children with symptoms of inattention versus combined sub-types of 
      Attention Deficit Hyperactivity Disorder (ADHD). METHODS: Data from 201 children, 
      aged 6 to 16 years (mean: 10 years 6 months, SD: 2 years 8 months), who were 
      assessed for suspected APD were reviewed retrospectively. The outcomes of the 
      SCAN-3 APD test battery, Swanson Nolan and Pelham-IV parental rating (SNAP-IV) 
      and Children's Communication Checklist-2 (CCC-2) were analysed. RESULTS: AFG0 had 
      a sensitivity of 56.3% and specificity of 100% in identifying children performing 
      poorly in at least two of six SCAN-3 sub-tests or one of the two questionnaires, 
      in contrast to 42.1% and 80% respectively for AFG+8. Impaired AP was mostly 
      associated with symptoms of ADHD and /or language impairment (LI). LI was present 
      in 92.9% of children with ADHD symptoms. Children with symptoms of combined ADHD 
      plus LI performed significantly poorly (p < 0.05) compared to inattention ADHD 
      plus LI in Filtered Words (FW) sub-test, but not in the rest of the SCAN-3 
      sub-tests. CONCLUSION: Speech in noise tests using SNR of 0 dB is better 
      than +8 dB in assessing APD. The better FW performance of the inattention ADHD 
      plus LI group can be speculated to be related to known difference in activity in 
      a neural network between different sub-types of ADHD. The findings of the study 
      and existing literature suggest that neural networks connecting the cerebral 
      hemispheres, basal ganglia and cerebellum are involved in APD, ADHD and LI.
CI  - Copyright (c) 2017 Elsevier B.V. All rights reserved.
FAU - Ahmmed, Ansar Uddin
AU  - Ahmmed AU
AD  - Lancashire Teaching Hospitals NHS Foundation Trust, United Kingdom. Electronic 
      address: aahmmed@hotmail.co.uk.
LA  - eng
PT  - Journal Article
DEP - 20170812
PL  - Ireland
TA  - Int J Pediatr Otorhinolaryngol
JT  - International journal of pediatric otorhinolaryngology
JID - 8003603
SB  - IM
MH  - Adolescent
MH  - Attention Deficit Disorder with Hyperactivity/*physiopathology
MH  - Auditory Perceptual Disorders/complications/*diagnosis
MH  - Child
MH  - Female
MH  - Hearing Tests/*methods
MH  - Humans
MH  - Impulsive Behavior/*physiology
MH  - Language
MH  - Male
MH  - Parents
MH  - Retrospective Studies
MH  - Sensitivity and Specificity
MH  - Speech
MH  - Speech Intelligibility/*physiology
OTO - NOTNLM
OT  - Attention deficit hyperactivity disorder
OT  - Auditory processing disorder
OT  - Basal ganglia
OT  - Cerebellum
OT  - Cocktail party speech perception
OT  - Language processing
EDAT- 2017/10/02 06:00
MHDA- 2017/10/17 06:00
CRDT- 2017/10/02 06:00
PHST- 2017/05/01 00:00 [received]
PHST- 2017/08/08 00:00 [revised]
PHST- 2017/08/10 00:00 [accepted]
PHST- 2017/10/02 06:00 [entrez]
PHST- 2017/10/02 06:00 [pubmed]
PHST- 2017/10/17 06:00 [medline]
AID - S0165-5876(17)30385-3 [pii]
AID - 10.1016/j.ijporl.2017.08.010 [doi]
PST - ppublish
SO  - Int J Pediatr Otorhinolaryngol. 2017 Oct;101:178-185. doi: 
      10.1016/j.ijporl.2017.08.010. Epub 2017 Aug 12.