06 septembre 2017

Pareil ou différent: le chevauchement entre les enfants avec des troubles du traitement auditif et des enfants avec d'autres troubles du développement: une revue systématique

Aperçu: G.M.
Les enfants diagnostiqués avec des troubles du traitement auditif (APD) éprouvent des difficultés dans le fonctionnement auditif et avec des tâches de mémoire, d'attention, de langage et de lecture. Cependant, on ne sait pas si les caractéristiques comportementales de ces enfants sont distinctes des caractéristiques comportementales des enfants diagnostiqués avec un trouble du développement différent, comme une déficience spécifique du langage (SLI), une dyslexie, un trouble de l'hyperactivité à déficit de l'attention (TDAH), un trouble de l'apprentissage (LD) ou un trouble du spectre de l'autisme (TSA).
L'objectif de cette étude était de déterminer 
  1. quelles caractéristiques de l'APD se chevauchent avec les caractéristiques des enfants avec un diagnostic de SLI, dyslexie, TDAH, LD ou TSA; et 
  2. s'il existe des caractéristiques qui distinguent les enfants diagnostiqués avec APD d'enfants diagnostiqués avec d'autres troubles du développement. 
Au total, 13 études dont la qualité méthodologique était modérée ont été incluses dans cette revue systématique. Dans cinq études, la performance des enfants diagnostiqués avec APD a été comparée à la performance des enfants diagnostiqués avec SLI: chez deux avec des enfants diagnostiqués avec dyslexie, un avec des enfants diagnostiqués avec du TDAH et un autre avec des enfants ayant un diagnostic de LD. Dix des études comprenaient des enfants qui satisfaisaient aux critères pour plus d'un diagnostic. Dans quatre études, il y a eu une comparaison entre les performances des enfants atteints de troubles comorbides. Il n'y a pas eu d'études dans lesquelles la performance des enfants diagnostiqués avec APD a été comparée à la performance des enfants diagnostiqués avec un trouble du spectre de l'autisme.
Les enfants diagnostiqués avec APD ont des performances identiques à celles des enfants avec SLI, dyslexie, TDAH et LD dans les tests d'intelligence, de mémoire ou d'attention et des tests de langage.
Seules de petites différences entre les groupes ont été trouvées pour les tâches sensorielles et fonctionnelles perceptives (auditives et visuelles). En outre, les enfants diagnostiqués avec dyslexie ont été plus pauvres dans les tâches de lecture par rapport aux enfants diagnostiqués avec APD. 
Le résultat est peut-être biaisé par la mauvaise qualité des études de recherche et la faible qualité des mesures de résultat utilisées.

Ear Hear. 2017 Aug 31. doi: 10.1097/AUD.0000000000000479.

Same or Different: The Overlap Between Children With Auditory Processing Disorders and Children With Other Developmental Disorders: A Systematic Review

Author information

1
1Research Group Healthy Ageing, Allied Health Care and Nursing, Hanze University of Applied Sciences, Groningen, The Netherlands; 2Department of Otorhinolaryngology, Head & Neck Surgery, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands; 3Laboratory for Experimental Ophthalmology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands. 4Behavioural Science Institute, Radboud University Nijmegen, Nijmegen, The Netherlands; 5Australian Catholic University, Melbourne, Australia; and 6Department of Rehabilitation Medicine, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.

Abstract

OBJECTIVES:

Children diagnosed with auditory processing disorders (APD) experience difficulties in auditory functioning and with memory, attention, language, and reading tasks. However, it is not clear whether the behavioral characteristics of these children are distinctive from the behavioral characteristics of children diagnosed with a different developmental disorder, such as specific language impairment (SLI), dyslexia, attention-deficit hyperactivity disorder (ADHD), learning disorder (LD), or autism spectrum disorder. This study describes the performance of children diagnosed with APD, SLI, dyslexia, ADHD, and LD to different outcome measurements. The aim of this study was to determine (1) which characteristics of APD overlap with the characteristics of children with SLI, dyslexia, ADHD, LD, or autism spectrum disorder; and (2) if there are characteristics that distinguish children diagnosed with APD from children diagnosed with other developmental disorders.

DESIGN:

A systematic review. Six electronic databases (Pubmed, CINAHL, Eric, PsychINFO, Communication & Mass Media Complete, and EMBASE) were searched to find peer-reviewed studies from 1954 to May 2015. The authors included studies reporting behaviors and performance of children with (suspected) APD and children diagnosed with a different developmental disorder (SLI, Dyslexia, ADHD, and LD). Two researchers identified and screened the studies independently. Methodological quality of the included studies was assessed with the American Speech-Language-Hearing Association's levels-of-evidence scheme.

RESULTS:

In total, 13 studies of which the methodological quality was moderate were included in this systematic review. In five studies, the performance of children diagnosed with APD was compared with the performance of children diagnosed with SLI: in two with children diagnosed with dyslexia, one with children diagnosed with ADHD, and in another one with children diagnosed with LD. Ten of the studies included children who met the criteria for more than one diagnosis. In four studies, there was a comparison made between the performances of children with comorbid disorders. There were no studies found in which the performance of children diagnosed with APD was compared with the performance of children diagnosed with autism spectrum disorder. Children diagnosed with APD broadly share the same characteristics as children diagnosed with other developmental disorders, with only minor differences between them. Differences were determined with the auditory and visual Duration Pattern Test, the Children's Auditory Processing Performance Scale questionnaire, and the subtests of the Listening in Spatialized Noise-Sentences test, in which noise is spatially separated from target sentences. However, these differences are not consistent between studies and are not found in comparison to all groups of children with other developmental disorders.

CONCLUSIONS:

Children diagnosed with APD perform equally to children diagnosed with SLI, dyslexia, ADHD, and LD on tests of intelligence, memory or attention, and language tests. Only small differences between groups were found for sensory and perceptual functioning tasks (auditory and visual). In addition, children diagnosed with dyslexia performed poorer in reading tasks compared with children diagnosed with APD. The result is possibly confounded by poor quality of the research studies and the low quality of the used outcome measures. More research with higher scientific rigor is required to better understand the differences and similarities in children with various neurodevelopmental disorders.
PMID:
28863035
DOI:
10.1097/AUD.0000000000000479
Ear Hear. 2017 Aug 31. doi: 10.1097/AUD.0000000000000479. [Epub ahead of print]

Same or Different: The Overlap Between Children With Auditory Processing Disorders and Children With Other Developmental Disorders: A Systematic Review.

Author information

1
1Research Group Healthy Ageing, Allied Health Care and Nursing, Hanze University of Applied Sciences, Groningen, The Netherlands; 2Department of Otorhinolaryngology, Head & Neck Surgery, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands; 3Laboratory for Experimental Ophthalmology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands. 4Behavioural Science Institute, Radboud University Nijmegen, Nijmegen, The Netherlands; 5Australian Catholic University, Melbourne, Australia; and 6Department of Rehabilitation Medicine, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.

Abstract

OBJECTIVES:

Children diagnosed with auditory processing disorders (APD) experience difficulties in auditory functioning and with memory, attention, language, and reading tasks. However, it is not clear whether the behavioral characteristics of these children are distinctive from the behavioral characteristics of children diagnosed with a different developmental disorder, such as specific language impairment (SLI), dyslexia, attention-deficit hyperactivity disorder (ADHD), learning disorder (LD), or autism spectrum disorder. This study describes the performance of children diagnosed with APD, SLI, dyslexia, ADHD, and LD to different outcome measurements. The aim of this study was to determine (1) which characteristics of APD overlap with the characteristics of children with SLI, dyslexia, ADHD, LD, or autism spectrum disorder; and (2) if there are characteristics that distinguish children diagnosed with APD from children diagnosed with other developmental disorders.

DESIGN:

A systematic review. Six electronic databases (Pubmed, CINAHL, Eric, PsychINFO, Communication & Mass Media Complete, and EMBASE) were searched to find peer-reviewed studies from 1954 to May 2015. The authors included studies reporting behaviors and performance of children with (suspected) APD and children diagnosed with a different developmental disorder (SLI, Dyslexia, ADHD, and LD). Two researchers identified and screened the studies independently. Methodological quality of the included studies was assessed with the American Speech-Language-Hearing Association's levels-of-evidence scheme.

RESULTS:

In total, 13 studies of which the methodological quality was moderate were included in this systematic review. In five studies, the performance of children diagnosed with APD was compared with the performance of children diagnosed with SLI: in two with children diagnosed with dyslexia, one with children diagnosed with ADHD, and in another one with children diagnosed with LD. Ten of the studies included children who met the criteria for more than one diagnosis. In four studies, there was a comparison made between the performances of children with comorbid disorders. There were no studies found in which the performance of children diagnosed with APD was compared with the performance of children diagnosed with autism spectrum disorder. Children diagnosed with APD broadly share the same characteristics as children diagnosed with other developmental disorders, with only minor differences between them. Differences were determined with the auditory and visual Duration Pattern Test, the Children's Auditory Processing Performance Scale questionnaire, and the subtests of the Listening in Spatialized Noise-Sentences test, in which noise is spatially separated from target sentences. However, these differences are not consistent between studies and are not found in comparison to all groups of children with other developmental disorders.

CONCLUSIONS:

Children diagnosed with APD perform equally to children diagnosed with SLI, dyslexia, ADHD, and LD on tests of intelligence, memory or attention, and language tests. Only small differences between groups were found for sensory and perceptual functioning tasks (auditory and visual). In addition, children diagnosed with dyslexia performed poorer in reading tasks compared with children diagnosed with APD. The result is possibly confounded by poor quality of the research studies and the low quality of the used outcome measures. More research with higher scientific rigor is required to better understand the differences and similarities in children with various neurodevelopmental disorders.
PMID:28863035
DOI:10.1097/AUD.0000000000000479

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