Auditory processing (AP) skills, cognition (IQ, memory, language, and literacy), and attention (auditory and visual) in 6- to 11-year-old children with normal hearing (N=1469) were tested in schools in the UK and evaluated by researchers at Medical Research Institute of Hearing Research, Nottingham, UK. AP improved with age. Poor-for-age AP was significantly related to poor cognitive, communication, and speech-in-noise performance (P<0.001). Correlations between auditory perception and cognitive scores were generally low. Response variability in AP tests, reflecting attention, and cognitive scores were the best predictors of listening, communication, and speech-in-noise skills. Symptoms of APD weie unrelated to auditory sensory processing. APD is primarily an attention problem, and treatment should be directed toward control of attention deficit. 
COMMENT. Auditory inattention and reduced cognitive ability are the best predictors of listening problems. “Auditory perception disorder“ or “central auditory dysfunction“ is a controversial subject and term for children with normal hearing but poor listening skills. The UK researchers prefer a definition based on reduced auditory attention and not a sensory processing problem.