Correlation between cognitive functions and central auditory processing in adolescents with non-cholesteatomatous chronic otitis media

Machado, Márcia Salgado; Teixeira, Adriane Ribeiro; Costa, Sady Selaimen da

doi:10.1590/1980-57642018dn12-030013

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Dementia & Neuropsychologia

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Original Article • Dement. neuropsychol. 12 (3) • Jul-Sep 2018 • https://doi.org/10.1590/1980-57642018dn12-030013 copy

Correlation between cognitive functions and central auditory processing in adolescents with non-cholesteatomatous chronic otitis media

Correlação entre funções cognitivas e processamento auditivo central em adolescentes com otite média crônica não colesteatomatosa

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

Auditory deprivation associated with early otitis media with effusion has been considered a risk factor for central auditory processing (CAP), as well as for the development of a number of cognitive functions.

Objective:

To study the neuropsychological functions of attention, working memory and executive function in adolescents with and without non-cholesteatomatous chronic otitis media (NCCOM) and analyze their interrelationships with the behavioral evaluation of CAP.

Methods:

Sixty-eight adolescents were recruited, 34 were diagnosed with NCCOM (study group - SG), and 34 had no otological history (control group - CG). The Neupsilin Brief Neuropsychological Assessment Instrument was used. CAP was assessed by: Masking Level Difference, Synthetic Sentence Identification, Random Gap Detection Test, Duration Pattern Sequence Test and Dichotic Digits Test.

Results:

The results of Neupsilin showed lower scores in the study group when compared to the control group on the following tests: digit sequence repetition, ascending digit ordering, auditory sentence span, and phonemic verbal fluency. An association was found between central auditory processing tests and Neupsilin subtests.

Conclusion:

The effects of NCCOM on attention, memory and executive function related to central auditory processing disorder in adolescents seem to be enhanced by the severity of the disease.

Key word:
auditory perception; adolescent; attention; memory; executive function

Variables		Study group (n=34)	Control group (n=34)	P
Age (years) – mean±SD		14.9±2.1	15.1±2.1
Gender n (%) – mean±SD	Male	22 (64.7)	22 (64.7)
Gender n (%) – mean±SD	Female	12 (35.3)	12 (35.3)
Years of education – mean±SD		8.8±1.9	9.3±2.3
AW – mean±SD	RE	21.2±10.8	5.9±3.9	<0.001^* * p≤0.05 (level of statistical significance).
AW – mean±SD	LE	21.2±11.4	5.7±3.4	<0.001^* * p≤0.05 (level of statistical significance).
Air bone gap mean – mean±SD	RE	19.3±9.6	---
Air bone gap mean – mean±SD	LE	17.7±9.0	---
CAPD diagnosis– n (%)		34 (100)	---

Variables		Study group (n=34)	Control group (n=34)	P
Attention – Reverse counting	Normal	29 (85.3)	34 (100)	0.053
Attention – Reverse counting	Abnormal	5 (14.7)	0 (0.0)	0.053
Attention – Digit sequence repetition	Normal	27 (79.4)	34 (100)	0.011^* * p≤0.05 (level of statistical significance).
Attention – Digit sequence repetition	Abnormal	7 (20.6)	0 (0.0)	0.011^* * p≤0.05 (level of statistical significance).
Attention – Total score	Normal	30 (88.2)	34 (100)	0.114
Attention – Total score	Abnormal	4 (11.8)	0 (0.0)	0.114
Working memory – Ascending digit ordering	Normal	28 (82.4)	34 (100)	0.025^* * p≤0.05 (level of statistical significance).
Working memory – Ascending digit ordering	Abnormal	6 (17.6)	0 (0.0)	0.025^* * p≤0.05 (level of statistical significance).
Working memory – Auditory sentence span	Normal	25 (73.5)	34 (100)	0.002^* * p≤0.05 (level of statistical significance).
Working memory – Auditory sentence span	Abnormal	9 (26.5)	0 (0.0)	0.002^* * p≤0.05 (level of statistical significance).
Executive function – Verbal Fluency Test	Normal	23 (67.6)	34 (100)	0.001^* * p≤0.05 (level of statistical significance).
Executive function – Verbal Fluency Test	Abnormal	11 (32.4)	0 (0.0)	0.001^* * p≤0.05 (level of statistical significance).

Variables		Neupsilin results
Variables		Reverse counting	Digit sequence repetition	Attention Total score	Ascending digit ordering	Auditory sentence span	Verbal Fluency Test
SSI 0	RE	0.039	0.241	0.090	0.168	0.059	0.326
SSI 0	LE	0.097	0.173	0.159	0.477^ p<0.01;	–0.218	0.342^* * p<0.05;
SSI –15	RE	0.095	0.292	0.119	0.133	–0.087	0.219
SSI –15	LE	0.104	0.219	0.180	0.221	–0.205	0.392^* * p<0.05;
DDT	RE	0.346^* * p<0.05;	0.428^* * p<0.05;	0.376^* * p<0.05;	0.235	0.125	0.188
DDT	LE	0.431^* * p<0.05;	0.346^* * p<0.05;	0.434^* * p<0.05;	0.025	0.018	0.354^* * p<0.05;
DPS		0.390^* * p<0.05;	0.056	0.322	0.130	0.072	0.260
MLD		0.082	0.128	0.000	–0.084	0.200	0.039
RGDT		–0.353^* * p<0.05;	–0.298	–0.285	0.047	–0.205	–0.026

Variables		UG (n=17)	BG (n=16)	P
SSI 0 – mean±SD	RE	52.9±9.9	55.0±19.7	0.710
SSI 0 – mean±SD	LE	52.9±10.5	55.6±18.6	0.610
SSI 15 – mean±SD	RE	25.9±13.7	33.1±17.8	0.198
SSI 15 – mean±SD	LE	27.0±10.5	37.5±18.1	0.055
DDT – mean±SD	RE	94.7±5.5	97.8±2.7	0.049^* * p≤0.05 (level of statistical significance).
DDT – mean±SD	LE	96.6±3.5	98.9±1.8	0.027^* * p≤0.05 (level of statistical significance).
DPS – mean±SD		43.9±23.3	46.0±21.5	0.784
MLD – mean±SD		8.9±4.1	9.3±3.0	0.807
RGDT – mean±SD		12.9±6.5	15.3±6.4	0.287

Academia Brasileira de Neurologia, Departamento de Neurologia Cognitiva e Envelhecimento R. Vergueiro, 1353 sl.1404 - Ed. Top Towers Offices, Torre Norte, São Paulo, SP, Brazil, CEP 04101-000, Tel.: +55 11 5084-9463 | +55 11 5083-3876 - São Paulo - SP - Brazil
E-mail: revistadementia@abneuro.org.br | demneuropsy@uol.com.br

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[1] Marcia Salgado Machado. Rua Sarmento Leite, 245 / Department of Speech Pathology - 90050-170 Porto Alegre RS - Brazil. E-mail: marciasm@ufcspa.edu.br