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KMID : 0367320030140020197
Journal of the Korean Academy of Child and Adolescent Psychiatry
2003 Volume.14 No. 2 p.197 ~ p.208
A COMPARATIVE STUDY ON AUDITORY ATTENTION AND PHONEME DIFFERENTIAL ABILITY AMONG CHILDREN WITH READING DISABILITY AND WITH ATTENTION DEFICIT/HYPERACTIVITY
Lee Kyung-Hee

Shin Min-Sup
Kim Bung-Nyun
Cho Soo-Churl
Abstract
Objective : In this study, we hypothesized that deficit in processing rapid linguistic stimuli is at the heart of Reading Disability (RD) and deficit in response inhibition is at the heart of Attention Deficit/ Hyperactivity (ADHD) . We conducted experiments to identify the core cognitive characteristics of children either with RD or with ADHD or with both, using attentional tasks and phoneme differential tests.

Method : In the study 1, 28 children with ADHD, 16 children with RD+ADHD were individually administered visual/auditory performance tests. Then, the differences of performance on attentional tasks between two groups were com 3ared while IQs of two groups were controlled In the study 2, 13 children with RD+ADHD/RD, 13 child-en with ADHD, and 13 normal children were administered computerized phoneme differential tests.

Result : Visual attentional tasks did not distinguish an ADHD group from a RD+ADHD group. With auditory attentional tasks, however, the comorbid group showed significantly more difficulties, causing a large variance in reaction time. RD, RD+ADHD, and ADHD groups showed more errors in phoneme differential tests than a normal control group, and each group showed distinctive performance patterns.

Discussion : An ADHD group had difficulty in response inhibition and sustained attention, and children who also had RD along with ADHD magnified the auditory attentional difficulties. Even though children with RD had more trouble with responding correctly to target stimuli, their responses were not significantly different from those of children with ADHD.
KEYWORD
ADHD, RD, Comorbidity, Auditory attention, Phoneme differentiation
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