Multidimensional Approach to the Differential Diagnosis of Central Auditory Processing Disorders in Children

Teri James Bellis, Jeanane M. Ferre

Journal of the American Academy of Audiology · 1999 · 148 citations · 12 references

Concepts

TL;DR

Central auditory processing disorder (CAPD) is a multidimensional condition with significant communicative, educational, and psychosocial consequences, making differential diagnosis essential for effective, deficit‑specific management. The paper outlines current behavioral central auditory assessment tools and presents treatment options that logically follow from the resulting diagnoses. Four case studies show how these tools clarify auditory difficulties, highlight the heterogeneity of affected children, and demonstrate the clinical value of central auditory tests in transdisciplinary assessment and management of language and learning problems. Abbreviations: ADD, ALD, BF, BF‑CVC, CAPD, CST, DD, DP, DR, FP, LPFS, RASP, SPN, SSW, TC, TCR.

Abstract

Abstract Central auditory processing disorder (CAPD) may be viewed as a multidimensional entity with far-reaching communicative, educational, and psychosocial implications for which differential diagnosis not only is possible but also is essential to an understanding of its impact and to the development of efficacious, deficit-specific management plans. This paper begins with a description of some behavioral central auditory assessment tools in current clinical use. Four case studies illustrate the utility of these tools in clarifying the nature of auditory difficulties. Appropriate treatment options that flow logically from the diagnoses are given in each case. The heterogeneity of the population presenting with auditory processing problems, not unexpected based on this model, is made clear, as is the clinical utility of central auditory tests in the transdisciplinary assessment and management of children's language and learning difficulties. Abbreviations: ADD = attention deficit disorder, ALD = assistive listening device, BF = binaural fusion, BF-CVC = consonant-vowel-consonant binaural fusion, CAPD = central auditory processing disorder, CST = Competing Sentences Test, DD = Dichotic Digits, DP = Duration Patterns, DR = Dichotic Rhyme, FP = frequency patterns, LPFS = low-pass filtered speech, RASP = Rapidly Alternating Speech Perception, SPN = speech in noise, SSW = Staggered Spondaic Words, TC = time-compressed speech, TCR = time-compressed speech with reverberation

References

12