Visual and auditory attention defects in children with intermittent exotropia

Abstract Background Previous studies have shown that children with intermittent exotropia (IXT) have a higher rate of psychiatric abnormalities as they grow up, such as attention deficit. This study explored visual and hearing attention among children with IXT, and evaluated its association with cli...

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Main Authors: Cong Wei, Ding-Ping Yang, Yan Yang, Wen-Han Yang, Ya-Mei Lu, Xin-Ping Yu, Shuai Chang
Format: Article
Language:English
Published: BMC 2024-01-01
Series:Italian Journal of Pediatrics
Subjects:
Online Access:https://doi.org/10.1186/s13052-024-01591-3
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author Cong Wei
Ding-Ping Yang
Yan Yang
Wen-Han Yang
Ya-Mei Lu
Xin-Ping Yu
Shuai Chang
author_facet Cong Wei
Ding-Ping Yang
Yan Yang
Wen-Han Yang
Ya-Mei Lu
Xin-Ping Yu
Shuai Chang
author_sort Cong Wei
collection DOAJ
description Abstract Background Previous studies have shown that children with intermittent exotropia (IXT) have a higher rate of psychiatric abnormalities as they grow up, such as attention deficit. This study explored visual and hearing attention among children with IXT, and evaluated its association with clinical characteristics and cognitive development. Methods Forty-nine children with a diagnosis of IXT and 29 children with traditional development were recruited. The Integrated Visual and Auditory Continuous Performance Test (IVA-CPT) was used to measure the subjects’ full-scale response control quotient (FSRCQ), full-scale attention quotient (FSAQ), auditory response control quotient (ARCQ), auditory attention quotient (AAQ), visual response control quotient (VRCQ), and visual attention quotient (VAQ). The Wechsler Intelligence Scale for Children-Fourth Edition (WISC-IV) was used to assess their cognitive function. The differences between the scores of children with IXT and normal controls were analyzed. Results The results showed that the FSRCQ, FSAQ, ARCQ, AAQ, VRCQ, and VAQ of children with IXT were all lower than those of normal controls with the same age (P < 0.05). The level of attention was significantly correlated with the age of strabismus onset (P < 0.05), but not with the degree of strabismus, stereopsis, or fusion control score. In addition, audiovisual attention was correlated significantly with their cognitive development level. The random forest classifier prediction model showed that age of strabismus onset was an important predictor of attention. Conclusion Children with IXT have lower visual and auditory attention and control than their peers, and the age of onset of strabismus may be a major factor.
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spelling doaj.art-ae094db091494e339abf1f5b20ee02402024-03-05T16:36:50ZengBMCItalian Journal of Pediatrics1824-72882024-01-0150111010.1186/s13052-024-01591-3Visual and auditory attention defects in children with intermittent exotropiaCong Wei0Ding-Ping Yang1Yan Yang2Wen-Han Yang3Ya-Mei Lu4Xin-Ping Yu5Shuai Chang6Zhong Shan Ophthalmological Center, Sun Yat-sen UniversityZhong Shan Ophthalmological Center, Sun Yat-sen UniversityZhong Shan Ophthalmological Center, Sun Yat-sen UniversitySchool of Public Health, Guangdong Pharmaceutical UniversityQingyuan People’s Hospital, The Sixth Affiliated Hospital of Guangzhou Medical UniversityZhong Shan Ophthalmological Center, Sun Yat-sen UniversityZhong Shan Ophthalmological Center, Sun Yat-sen UniversityAbstract Background Previous studies have shown that children with intermittent exotropia (IXT) have a higher rate of psychiatric abnormalities as they grow up, such as attention deficit. This study explored visual and hearing attention among children with IXT, and evaluated its association with clinical characteristics and cognitive development. Methods Forty-nine children with a diagnosis of IXT and 29 children with traditional development were recruited. The Integrated Visual and Auditory Continuous Performance Test (IVA-CPT) was used to measure the subjects’ full-scale response control quotient (FSRCQ), full-scale attention quotient (FSAQ), auditory response control quotient (ARCQ), auditory attention quotient (AAQ), visual response control quotient (VRCQ), and visual attention quotient (VAQ). The Wechsler Intelligence Scale for Children-Fourth Edition (WISC-IV) was used to assess their cognitive function. The differences between the scores of children with IXT and normal controls were analyzed. Results The results showed that the FSRCQ, FSAQ, ARCQ, AAQ, VRCQ, and VAQ of children with IXT were all lower than those of normal controls with the same age (P < 0.05). The level of attention was significantly correlated with the age of strabismus onset (P < 0.05), but not with the degree of strabismus, stereopsis, or fusion control score. In addition, audiovisual attention was correlated significantly with their cognitive development level. The random forest classifier prediction model showed that age of strabismus onset was an important predictor of attention. Conclusion Children with IXT have lower visual and auditory attention and control than their peers, and the age of onset of strabismus may be a major factor.https://doi.org/10.1186/s13052-024-01591-3Attention defectsExotropiaVisualAuditory
spellingShingle Cong Wei
Ding-Ping Yang
Yan Yang
Wen-Han Yang
Ya-Mei Lu
Xin-Ping Yu
Shuai Chang
Visual and auditory attention defects in children with intermittent exotropia
Italian Journal of Pediatrics
Attention defects
Exotropia
Visual
Auditory
title Visual and auditory attention defects in children with intermittent exotropia
title_full Visual and auditory attention defects in children with intermittent exotropia
title_fullStr Visual and auditory attention defects in children with intermittent exotropia
title_full_unstemmed Visual and auditory attention defects in children with intermittent exotropia
title_short Visual and auditory attention defects in children with intermittent exotropia
title_sort visual and auditory attention defects in children with intermittent exotropia
topic Attention defects
Exotropia
Visual
Auditory
url https://doi.org/10.1186/s13052-024-01591-3
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