{
  "abstract": "Atypical sensory processing is common in attention-deficit/hyperactivity disorder (ADHD), yet decreased sound tolerance has received little attention, and it remains unclear whether it reflects actual auditory sensitivity or a vulnerability to attentional breakdown under acoustic load. The only prior study provided a single overall estimate, unable to separate sensory symptoms such as avoidance and distress from attentional and fatigue-related difficulties under noisy or demanding conditions. Here, we examined whether parent-reported auditory difficulties in children with ADHD are uniform or concentrated within specific symptom domains, and whether they vary with clinical presentation or medication. A total of 226 children (ages 6-12; 162 with ADHD, 64 typically developing controls) were assessed using the parent-report adaptation of the Khalfa Hyperacusis Questionnaire (Turkish version). The ADHD cohort was stratified by medication status and clinical presentation, and total, subscale, and item-level scores were compared across groups. Our findings show that children with ADHD scored higher than controls on the total and hyperacusis-effects subscale, but not on the coping subscale. Only four of the eleven items distinguished the groups, all reflecting concentration in noise or its decline under fatigue; no item reflecting sound avoidance, sensitivity, or distress differed between groups. This pattern was independent of clinical presentation, medication, and age; it persisted after adjustment for parental education. These results suggest that elevated auditory difficulties in ADHD are better explained by attention- and fatigue-related vulnerability than by heightened auditory sensitivity and may warrant environmental rather than audiological interventions.",
  "abstract_shown": true,
  "affiliations": [
    "Biomedical Research Institute of New Jersey, Cedar Knolls, NJ, 07927, USA"
  ],
  "article_type": "PUBLISHAHEADOFPRINT",
  "arxiv": null,
  "author_total": 3,
  "authors": [
    {
      "name": "B. Kose-Ozkan"
    },
    {
      "name": "O. Guney"
    },
    {
      "affs": [
        0
      ],
      "name": "A. Gungor Aydin"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/6n1k3z0ae65q2.bib",
  "cited_by": 0,
  "doi": "10.64898/2026.09.03.26362201",
  "fulltext_url": "https://www.medrxiv.org/content/10.64898/2026.09.03.26362201v1.full",
  "id": "6n1k3z0ae65q2",
  "issns": [],
  "landing_url": "https://www.medrxiv.org/content/10.64898/2026.09.03.26362201v1",
  "language": null,
  "licence": "CC-BY-NC-ND",
  "licence_label": "CC BY-NC-ND",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by-nc-nd/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "medrxiv",
      "otolaryngology"
    ],
    [
      "openalex",
      "2738|Attention Deficit Hyperactivity Disorder"
    ]
  ],
  "openalex": "W7211967071",
  "pdf_url": "https://www.medrxiv.org/content/10.64898/2026.09.03.26362201v1.full.pdf",
  "pmcid": null,
  "pmid": null,
  "published": "2026-09-03",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/6n1k3z0ae65q2.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:17:54Z",
      "native_id": "10.64898/2026.09.03.26362201",
      "source": "medrxiv",
      "url": "https://www.medrxiv.org/content/10.64898/2026.09.03.26362201v1"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2738|Attention Deficit Hyperactivity Disorder",
      "subfield": "psychiatry"
    }
  ],
  "title": "Parent-reported auditory difficulties in children with ADHD are associated with attentional and fatigue-related vulnerability, not sound avoidance",
  "title_text": "Parent-reported auditory difficulties in children with ADHD are associated with attentional and fatigue-related vulnerability, not sound avoidance",
  "type": "preprint",
  "updated_at": "2026-10-30T12:17:54Z",
  "url": "https://research.draconitic.com/paper/6n1k3z0ae65q2",
  "venue": "medRxiv",
  "versions": []
}