Auditory Behaviors of Children and Adolescents with Pervasive Developmental Disorders

ABSTRACTS

Auditory behaviors of 106 children and adolescents were measured by an audiologist during interdisciplinary team evaluations for pervasive developmental disorders (PDDs). The team diagnosed 59 subjects with autism disorder, 15 with Asperger disorder, 13 with PDD not otherwise specified, and 19 with non-PDDs. Subjects' ages, genders, otologic histories, intelligence quotients (IQs), and adaptive behavior scores were typical of children with PDDs. During interviews, parents cited hyperacusis, selective listening, poor eye contact, and distractibility as their child's most common negative auditory behaviors. On the Children's Auditory Performance Scale, most parents rated their child as having more difficulty than peers in auditory memory, auditory attention, listening in noise, and listening while doing another task. Subjects in the autism disorder group generally were younger, had lower IQ and adaptive behaviors scores, showed less tolerance for audiometric procedures, and had the least sophisticated responses during behavioral audiometry. Yet, contrary to longstanding stereotypes, subjects with autism disorder were a heterogeneous group who responded as well, if not better, to speech as to nonspeech stimuli, and although they were sometimes difficult to test with behavioral audiometry, they were rarely impossible to test. In a time of evidence-based practice, audiologists can and should use parent interviews and behavioral audiometry to address auditory behaviors of children and adolescents with PDDs.

Pervasive developmental disorders (PDDs) - autism - Asperger disorder - PDD not otherwise specified - hyperacusis

REFERENCES

• 1 Rapoport J L, Ismond D R. DSM-IV Training Guide for Diagnosis of Childhood Disorders. New York; Brunner/Mazel 1996: 77-98
• 2 Weatherby A M, Prizant B M. Introduction to autism spectrum disorders. In: Weatherby AM, Prizant BM Autism Spectrum Disorders: A Transactional Developmental Perspective. Baltimore; Brookes 2000: 1-7
• 3 American Psychiatric Association .Diagnostic and Statistical Manual of Psychiatric Disorders. 4th ed. Washington, DC; American Psychiatric Association 1994
• 4 Lord C, Risi C. Diagnosis of autism spectrum disorders in young children. In: Weatherby AM, Prizant BM Autism Spectrum Disorders: A Transactional Developmental Perspective. Baltimore; Brookes 2000: 11-30
• 5 U.S. Department of Education .Twenty-First Annual Report to Congress on the Individuals with Disabilities Education Act. 1999
• 6 Trevarthen C, Aitken K, Papoudi D, Robarts J. Children with Autism: Diagnosis and Interventions to Meet Their Needs. 2nd ed. London; Jessica Kingsley 1998: 40-48
• 7 Osterling J A, Brooks C A, Unis A S, Watling R. A child with autism spectrum disorder. In: Guralnick MJ Interdisciplinary Clinical Assessment of Young Children with Developmental Disabilies. Baltimore, MD; Brookes 2000
• 8 Autism Society of America .Consulting with professionals. Available at: http://www.autism-society.org/site/PageServer?pagename=autismprofessionals Accessed December 1, 2004
• 9 Tharpe A M. Treatment fads versus evidence-based practice. In: Bess FH Children with Hearing Impairment: Contemporary Trends. Nashville, TN; Bill Wilkerson Center Press 1998: 179-188
• 10 Northern J L, Downs M P. Hearing in Children. 5th ed. Baltimore; Williams & Wilkins 2002 96-97 198-199
• 11 Madell J R. Behavioral Evaluation of Hearing in Infants and Young Children. New York; Thieme 1998: 64-65
• 12 Dunn M. Neurophysiologic observations in autism and implications for neurologic dysfunction. In: Bauman ML, Kemper JL The Neurobiology of Autism. Baltimore; John Hopkins University Press 1994
• 13 Rumsey J M, Grimes A M, Pikus A M, Duara R, Ismond D R. Auditory brain-stem responses in pervasive developmental disorders.  Biol Psychiatry. 1984;  19 1403-1418
• 14 Tanguay P E. Clinical and electrophysiological research. In: Ritvo ER Autism: Diagnosis, Current Research and Management. New York; Spectrum 1976: 75-84
• 15 Dittman C, Brueggeman P. Audiologist's aptitude in the upper mid-west to test and treat audiologic problems in children with autism. Poster presented at Annual Meeting of South Dakota Speech-Language-Hearing Association. April 2003 Sioux Falls, SD;
• 16 Klin A. Young autistic children's listening preferences in regard to speech: A possible characteristic of the symptom of social withdrawal.  J Autism Dev Disord. 1991;  21 29-42
• 17 Klin A. Listening preferences in regard to speech in four children with developmental disabilities.  J Child Psychol Psychiat. 1992;  33 763-769
• 18 Myklebust H R. Auditory Disorders in Children. New York; Grune and Stratton 1954: 211-212
• 19 Lowell M. Audiological assessment. In: Ritvo ER Autism: Diagnosis, Current Research and Management. New York; John Wiley & Sons 1976: 57-71
• 20 Sparrow S, Balla D, Cicchetti D. Vineland Adaptive Behavior Scales. Circle Pines, MN; American Guidance Service 1984
• 21 Wechsler D. Wechsler Intelligence Scale for Children. 3rd ed. San Antonio, TX; The Psychological Corp 1991
• 22 Smoski W. Use of CHAPPS in a children's audiology clinic.  Ear Hear. 1990;  11(5 suppl) 53S-56S
• 23 Diefendorf A O. Behavioral hearing assessment: considerations for the young child with developmental disabilities.  Semin Hear. 2003;  24 189-200
• 24 American Speech-Language-Hearing Association . Guidelines for the audiologic assessment of children from birth through 36 months of age.  ASHA. 1991;  33(suppl 5) 37-43
• 25 Renshaw J J, Diefendorf A O. Adapting the test battery for the child with special needs. In: Bess F Children with Hearing Impairment: Contemporary Trends. Nashville, TN; Bill Wilkerson Center Press 1998: 83-103
• 26 Gravel J S, Traquina D N. Experience with audiologic assessment of infants and toddlers.  Int J Pediatr Otorhinolaryngol. 1992;  23 59-71
• 27 Myles B S, Cook K T, Miller N E, Rinner L, Robbins L A. Asperger Syndrome and Sensory Issues: Practical Solutions for Making Sense of the World. Shawnee Mission, KS; Autism Asperger Publishing 2000
• 28 Attwood T. Asperger's Syndrome: A Guide for Parents and Professionals. London; Jessica Kingsley 1998
• 29 Greenspan S I, Wieder S. Developmental patterns and outcomes in infants and children with disorders in relating and communicating: a chart review of 200 cases of children with autism spectrum diagnoses.  J Dev Learn Disord. 1997;  1 87-141
• 30 Rutter M. Infantile autism and other pervasive developmental disorders. In: Rutter M, Herson L Child and Adolescent Psychiatry: Modern Approaches. Oxford, England; Blackwell Scientific 1985: 545-566
• 31 Wing L, Gould J. Severe impairments of social interaction and associated abnormalities in children: epidemiology and classification.  J Autism Dev Disord. 1979;  9 11-29
• 32 Piven J, Folstein S. The genetics of autism. In: Bauman ML, Kemper JL The Neurobiology of Autism. Baltimore; John Hopkins University Press 1994
• 33 Hayes R W, Gordon A G. Auditory abnormalities in autistic children.  Lancet. 1977;  8041 767
• 34 Konstantareas M M, Homatidis S. Ear infections in autistic and normal children.  J Autism Dev Disord. 1987;  17 585-593
• 35 Rosenfeld R M, Bluestone C D. Clinical pathway for otitis media with effusion. In: Rosenfeld RM, Bluestone Evidence-Based Otitis Media. Hamilton, Ontario; BC Decker 1999: 259-283
• 36 La Malfa G, Lassi S, Bertelli M, Salvini R, Placidi G F. Autism and intellectual disability: a study of prevalence on a sample of the Italian population.  J Intellect Disabil Res. 2004;  48 262
• 37 Szatmari P, Archer L, Fisman S, Streiner D L, Wilson F. Asperger's syndrome and autism: Differences in behavior, cognition, and adaptive functioning.  J Am Acad Child Adolesc Psychiatry. 1995;  34 1662-1671