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CC BY-NC-ND 4.0 · Int Arch Otorhinolaryngol 2022; 26(01): e020-e031
DOI: 10.1055/s-0040-1722158
Original Research

Central Auditory Processing and Cognitive Functions in Children

Nadja Cristina Furtado Back 
1   Postgraduate program in psychology, Universidade Federal do Paraná, Curitiba, PR, Brazil
,
Ana Chrystina de Souza Crippa 
2   Department of pediatrics, Universidade Federal do Paraná Hospital de Clínicas, Curitiba, PR, Brazil
,
Tatiana Izabelle Jaworski de Sá Riechi 
3   Psychology department, Universidade Federal do Paraná, Curitiba, PR, Brazil
,
Liliane Desgualdo Pereira 
4   Phonoaudiology department, Universidade Federal do Estado de São Paulo, São Paulo, SP, Brazil
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Abstract

Introduction Nowadays, there is no consensus on whether central auditory processing disorder is a primary or a secondary deficit to other cognitive deficits. A better understanding of the association between cognitive functions and central auditory skills may help elucidate this dilemma.

Objective To investigate possible associations between auditory abilities and cognitive functions in schoolchildren.

Methods Fifty-eight schoolchildren, aged between 8 years and 0 months old and 11 years and 11 months old, who underwent the following tests: masking level difference, gaps in noise, pitch pattern sequence test, dichotic digits test, sustained auditory attention ability test, Wechsler intelligence scale for children – IV, junior Hayling test, five digits test, and behavior rating inventory of executive function.

Results Significant correlations were found between the hearing ability of temporal resolution and executive functions, temporal ordering/sequencing, binaural integration and separation, and sustained auditory attention, operational memory, inhibitory control, and cognitive flexibility; binaural integration was also associated with intelligence. The statistically significant positive correlation found between the ability of binaural interaction and the components of emotional control and behavior regulation of the behavior rating inventory of executive function was unexpected.

Conclusion The associations identified reinforce the complexity of the tasks involved in the evaluation of central auditory processing and the need for multidisciplinary evaluation for the differential diagnosis of auditory processing disorder. Confirmation of the presence or absence of comorbidities between different disorders allows directing the therapeutic behaviors and reducing the impact of possible auditory and/or cognitive deficits in the different daily life situations of children.

Keywords

auditory perception - attention - memory - intelligence - executive functions


Publication History

Received: 12 February 2020

Accepted: 12 October 2020

Article published online:
19 February 2021

© 2021. Fundação Otorrinolaringologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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