Acquired Central Auditory Processing Disorder in Service Members and Veterans.

Purpose: A growing body of evidence suggests that military service members and military veterans are at risk for deficits in central auditory processing. Risk factors include exposure to blast, neurotrauma, hazardous noise, and ototoxicants. We overview these risk factors and comorbidities, address...

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Published in:Journal of Speech, Language & Hearing Research Vol. 63; no. 3; pp. 834 - 858
Main Authors: Tepe, Victoria, Papesh, Melissa, Russell, Shoshannah, Lewis, M. Samantha, Pryor, Nina, Guillory, Lisa
Format: Article
Published: American Speech-Language-Hearing Association Mar2020
Subjects:
Online Access:View this record in EBSCOhost
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      dt: Mar2020
      vid: 63
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      pub: American Speech-Language-Hearing Association
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        10.1044/2019_JSLHR-19-00293
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        atl: Acquired Central Auditory Processing Disorder in Service Members and Veterans.
      aug:
        au:
          Tepe, Victoria
          Papesh, Melissa
          Russell, Shoshannah
          Lewis, M. Samantha
          Pryor, Nina
          Guillory, Lisa
        affil:
          Department of Defense Hearing Center of Excellence, JBSA Lackland, TX
          The Geneva Foundation, Tacoma, WA
          VA RR&D National Center for Rehabilitative Auditory Research, VA Portland Health Care System, OR
          Department of Otolaryngology-Head & Neck Surgery, Oregon Health & Science University, Portland
          Walter Reed National Military Medical Center, Bethesda, MD
          Henry Jackson Foundation, Bethesda, MD
          School of Audiology, Pacific University, Hillsboro, OR
          Air Force Research Laboratory, Wright-Patterson Air Force Base, OH
          Harry S. Truman Memorial Veterans' Hospital, Columbia, MO
          Department of Otolaryngology-Head and Neck Surgery, School of Medicine, University of Missouri, Columbia
      su:
        United States. Dept. of Veterans Affairs
        Veterans
        Military personnel
        Disease risk factors
        Audiometry
        Brain injuries
        Differential diagnosis
        Noise
        Word deafness
        Comorbidity
        Occupational hazards
        Environmental exposure
        Blast injuries
      sug:
        subj:
          Veterans
          Military personnel
          Disease risk factors
          United States. Dept. of Veterans Affairs
          Administration of Veterans' Affairs
          Audiometry
          Brain injuries
          Differential diagnosis
          Noise
          Word deafness
          Comorbidity
          Occupational hazards
          Environmental exposure
          Blast injuries
      ab: Purpose: A growing body of evidence suggests that military service members and military veterans are at risk for deficits in central auditory processing. Risk factors include exposure to blast, neurotrauma, hazardous noise, and ototoxicants. We overview these risk factors and comorbidities, address implications for clinical assessment and care of central auditory processing deficits in service members and veterans, and specify knowledge gaps that warrant research. Method: We reviewed the literature to identify studies of risk factors, assessment, and care of central auditory processing deficits in service members and veterans. We also assessed the current state of the science for knowledge gaps that warrant additional study. This literature review describes key findings relating to military risk factors and clinical considerations for the assessment and care of those exposed. Conclusions: Central auditory processing deficits are associated with exposure to known military risk factors. Research is needed to characterize mechanisms, sources of variance, and differential diagnosis in this population. Existing best practices do not explicitly consider confounds faced by military personnel. Assessment and rehabilitation strategies that account for these challenges are needed. Finally, investment is critical to ensure that Veterans Affairs and Department of Defense clinical staff are informed, trained, and equipped to implement effective patient care.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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