Same or Different: The Overlap Between Children With Auditory Processing Disorders and Children With Other Developmental Disorders: A Systematic Review.
Ellen de Wit, Pim van Dijk, Sandra Hanekamp and 4 others
PMID 28863035WHAT IT FOUND
Children with APD or suspected APD and children with language, reading, attention, or learning disorders performed similarly on 85 of 102 tests.
Current tests may flag listening difficulty but do not reliably separate diagnoses.
Key findings
01Children with APD and children with other developmental disorders showed no difference on 85 of 102 subtests used in the included studies.
02Children with APD had significantly poorer performance on 10 subtests, including CHAPPS scores, LiSN-S spatial listening measures, and auditory and visual duration pattern tests.
03Children with SLI or dyslexia had poorer performance than children with APD on 7 subtests, including literacy, speech, and speech-evoked brainstem measures.
STILL TO COME
How it was doneWhat they foundWhat it means for SLPs
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What it does not show
The review included 13 studies, and the groups were small: APD groups ranged from 7 to 41 children per study, and comparison groups ranged from 10 to 29 children per study. None of the included studies randomly enrolled subjects or blinded subjects or assessors, and it was often unclear whether the groups were comparable at baseline. Many children had more than one diagnosis, and some studies did not report whether children had additional deficits beyond the primary diagnosis. Some children were counted more than once across studies because participants were reused in follow-up reports. No included study compared children with APD directly with children with autism spectrum disorder. The review could not combine the study results in a meta-analysis because the tests and reporting methods varied widely. The possible distinguishing measures were supported by only a few small studies, and the CHAPPS questionnaire was completed by parents rather than teachers, which may introduce referral bias. The search included only English articles and excluded case studies and studies without auditory processing terms in the title, so relevant evidence may be missing.
Declared interests
The authors declare no conflict of interest.
The easy way to misread this
Do not conclude that auditory processing disorder is not a real or distinct condition. The review found group-level overlap on most tests, but it also states that similarities do not reveal individual differences and that the included studies were small, heterogeneous, and of moderate quality.