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Acquired Central Auditory Processing Disorder in Service Members and Veterans
Author(s) -
Victoria Tepe,
Melissa A. Papesh,
Shoshannah Russell,
M. Samantha Lewis,
Nina Pryor,
Lisa Guillory
Publication year - 2020
Publication title -
journal of speech, language, and hearing research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.958
H-Index - 138
eISSN - 1558-9102
pISSN - 1092-4388
DOI - 10.1044/2019_jslhr-19-00293
Subject(s) - veterans affairs , military personnel , military service , population , psychology , warrant , risk assessment , rehabilitation , service (business) , applied psychology , medicine , computer security , environmental health , business , finance , computer science , archaeology , marketing , political science , law , history , neuroscience
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.

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