Int Arch Otorhinolaryngol 2017; 21(01): 72-78
DOI: 10.1055/s-0036-1572526
Original Research
Thieme-Revinter Publicações Ltda Rio de Janeiro, Brazil

Auditory Processing Assessment in Children with Attention Deficit Hyperactivity Disorder: An Open Study Examining Methylphenidate Effects

Bianca Pinheiro Lanzetta-Valdo
1   Phonoaudiology Course, Universidade Vila Velha, Vila Velha, Espirito Santo, Brazil
,
Giselle Alves de Oliveira
2   Department of Phisiology, Universidade Federal do Espírito Santo, Vitoria, Espirito Santo, Brazil
,
Jane Tagarro Correa Ferreira
2   Department of Phisiology, Universidade Federal do Espírito Santo, Vitoria, Espirito Santo, Brazil
,
Ester Miyuki Nakamura Palacios
2   Department of Phisiology, Universidade Federal do Espírito Santo, Vitoria, Espirito Santo, Brazil
› Author Affiliations
Further Information

Publication History

12 October 2015

06 November 2015

Publication Date:
31 March 2016 (online)

Abstract

Introduction Children with Attention Deficit Hyperactivity Disorder can present Auditory Processing (AP) Disorder.

Objective The study examined the AP in ADHD children compared with non-ADHD children, and before and after 3 and 6 months of methylphenidate (MPH) treatment in ADHD children.

Methods Drug-naive children diagnosed with ADHD combined subtype aging between 7 and 11 years, coming from public and private outpatient service or public and private school, and age-gender-matched non-ADHD children, participated in an open, non-randomized study from February 2013 to December 2013. They were submitted to a behavioral battery of AP tests comprising Speech with white Noise, Dichotic Digits (DD), and Pitch Pattern Sequence (PPS) and were compared with non-ADHD children. They were followed for 3 and 6 months of MPH treatment (0.5 mg/kg/day).

Results ADHD children presented larger number of errors in DD (p < 0.01), and less correct responses in the PPS (p < 0.0001) and in the SN (p < 0.05) tests when compared with non-ADHD children. The treatment with MPH, especially along 6 months, significantly decreased the mean errors in the DD (p < 0.01) and increased the correct response in the PPS (p < 0.001) and SN (p < 0.01) tests when compared with the performance before MPH treatment.

Conclusions ADHD children show inefficient AP in selected behavioral auditory battery suggesting impaired in auditory closure, binaural integration, and temporal ordering. Treatment with MPH gradually improved these deficiencies and completely reversed them by reaching a performance similar to non-ADHD children at 6 months of treatment.

 
  • References

  • 1 Diagnostic and Statistical Manual of Mental Disorders. 4th ed. Washington, DC: American Psychiatry Association; 2000
  • 2 Polanczyk G, Rohde LA. Epidemiology of attention-deficit/hyperactivity disorder across the lifespan. Curr Opin Psychiatry 2007; 20 (4) 386-392
  • 3 Willcutt EG. The prevalence of DSM-IV attention-deficit/hyperactivity disorder: a meta-analytic review. Neurotherapeutics 2012; 9 (3) 490-499
  • 4 Jerger J, Musiek F. Report of the Consensus Conference on the Diagnosis of Auditory Processing Disorders in School-Aged Children. J Am Acad Audiol 2000; 11 (9) 467-474
  • 5 Dawes P, Bishop DV, Sirimanna T, Bamiou DE. Profile and aetiology of children diagnosed with auditory processing disorder (APD). Int J Pediatr Otorhinolaryngol 2008; 72 (4) 483-489
  • 6 Dawes P, Bishop D. Auditory processing disorder in relation to developmental disorders of language, communication and attention: a review and critique. Int J Lang Commun Disord 2009; 44 (4) 440-465
  • 7 Ghanizadeh A. Screening signs of auditory processing problem: does it distinguish attention deficit hyperactivity disorder subtypes in a clinical sample of children?. Int J Pediatr Otorhinolaryngol 2009; 73 (1) 81-87
  • 8 Chermak GD. Differential Diagnosis of (Central) Auditory Processing Disorder and Attention Deficit and Hyperactivity Disorder. In: Musiek FEC, , G.D., editor. Handbook of (Central) Auditory Processing Disorder. Auditory Neuroscience and Dignosis. 1. first ed. San Diego, CA, USA: Plural Publishing Inc.; 2007: 365-94
  • 9 Torgersen T, Gjervan B, Rasmussen K. Treatment of adult ADHD: is current knowledge useful to clinicians?. Neuropsychiatr Dis Treat 2008; 4 (1) 177-186
  • 10 Ozdag MF, Yorbik O, Ulas UH, Hamamcioglu K, Vural O. Effect of methylphenidate on auditory event related potential in boys with attention deficit hyperactivity disorder. Int J Pediatr Otorhinolaryngol 2004; 68 (10) 1267-1272
  • 11 Swanson JM, Kraemer HC, Hinshaw SP , et al. Clinical relevance of the primary findings of the MTA: success rates based on severity of ADHD and ODD symptoms at the end of treatment. J Am Acad Child Adolesc Psychiatry 2001; 40 (2) 168-179
  • 12 Gaião AAB. An Epidemiological Study of Hyperkinetic Diusturbances: Diagnostic Norms and Validation of the Conners Questionnaire for Parents and Teachers. Infanto Rev Neuropsiquiatr Infanc Adolesc 1998; 6 (1) 21-31
  • 13 Pereira LD, Schochat E. Central Auditory Processing: Evoluation Manual. São Paulo, Brazil: Lovise; 1997
  • 14 Jerger J, Thibodeau L, Martin J , et al. Behavioral and electrophysiologic evidence of auditory processing disorder: a twin study. J Am Acad Audiol 2002; 13 (8) 438-460
  • 15 Newcorn JH, Miller SR, Ivanova I , et al. Adolescent outcome of ADHD: impact of childhood conduct and anxiety disorders. CNS Spectr 2004; 9 (9) 668-678
  • 16 Geffner D. Language and Auditory Processing in ADHD. The ADHD Report. Special Issue Focus on Assess 2006; 14 (3) 1-6
  • 17 DiMaggio C. Prevalence of ADHD, speech and language delay, and familial factors associated with in children with CAPD. St. John's University.; 2003
  • 18 Hale TS, Loo SK, Zaidel E, Hanada G, Macion J, Smalley SL. Rethinking a right hemisphere deficit in ADHD. J Atten Disord 2009; 13 (1) 3-17
  • 19 Mazziotta JC, Phelps ME, Meadors AK, Ricci A, Winter K, Bentson JR. Anatomical localization schemes for use in positron computed tomography using a specially designed headholder. J Comput Assist Tomogr 1982; 6 (4) 848-853
  • 20 Cabeza R, Anderson ND, Houle S, Mangels JA, Nyberg L. Age-related differences in neural activity during item and temporal-order memory retrieval: a positron emission tomography study. J Cogn Neurosci 2000; 12 (1) 197-206
  • 21 Smith AB, Taylor E, Brammer M, Halari R, Rubia K. Reduced activation in right lateral prefrontal cortex and anterior cingulate gyrus in medication-naïve adolescents with attention deficit hyperactivity disorder during time discrimination. J Child Psychol Psychiatry 2008; 49 (9) 977-985
  • 22 Keith RW, Engineer P. Effects of methylphenidate on the auditory processing abilities of children with attention deficit-hyperactivity disorder. J Learn Disabil 1991; 24 (10) 630-636
  • 23 Cook JR, Mausbach T, Burd L , et al. A preliminary study of the relationship between central auditory processing disorder and attention deficit disorder. J Psychiatry Neurosci 1993; 18 (3) 130-137
  • 24 Tillery KL, Katz J, Keller WD. Effects of methylphenidate (Ritalin) on auditory performance in children with attention and auditory processing disorders. J Speech Lang Hear Res 2000; 43 (4) 893-901
  • 25 Brown RT, Amler RW, Freeman WS , et al; American Academy of Pediatrics Committee on Quality Improvement; American Academy of Pediatrics Subcommittee on Attention-Deficit/Hyperactivity Disorder. Treatment of attention-deficit/hyperactivity disorder: overview of the evidence. Pediatrics 2005; 115 (6) e749-e757
  • 26 Camarata S, Woodcock R. Sex differences in processing speed: Developmental effects in males and females. Intelligence 2006; 34 (3) 231-252