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Behaviour and developmental effects of otitis media with effusion into the teens
K E Bennett1, M P Haggard, P A Silva
1MRC Institute of Hearing Research, University Park, Nottingham, UK. kbennett@stjames.ie
Insights
Behavioral and cognitive issues linked to otitis media with effusion (OME) can persist into adolescence. Reading deficits, in particular, were observed in children up to 18 years old.
Area of Science:
- Developmental psychology
- Pediatric audiology
- Childhood health outcomes
Background:
- Otitis media with effusion (OME) is a common childhood condition.
- Early OME has been linked to potential developmental sequelae.
- Long-term effects of OME on cognitive and behavioral development require further investigation.
Purpose of the Study:
- To determine if behavioral and cognitive outcomes of otitis media with effusion (OME) persist into late childhood and early adolescence (ages 11-18).
- To investigate the long-term impact of early otological status on developmental trajectories.
Main Methods:
- Utilized data from the Dunedin multidisciplinary health and development study, a large birth cohort.
- Included approximately 1000 children, focusing on otological status up to age 9.
- Assessed parent/teacher-rated behaviors (antisocial, neurotic, hyperactive, inattentive) and academic achievement (IQ, reading, spelling) between ages 11 and 18.
Main Results:
- Hyperactive and inattentive behaviors persisted until age 15, even after adjusting for covariates.
- Lower IQ associated with OME remained significant up to age 13.
- The most substantial effects were observed as reading ability deficits, evident between ages 11 and 18.
Conclusions:
- This study provides evidence that some developmental sequelae of OME, notably reading deficits, can extend into late childhood and early adolescence.
- The findings highlight the importance of long-term follow-up for children experiencing OME to identify persistent developmental challenges.
Objective:
To examine whether behavioural or cognitive sequelae of otitis media with effusion (OME) continue into late childhood and the early teens (11-18 years).
Setting:
Data from a large multipurpose birth cohort study: the Dunedin multidisciplinary health and development study.
Participants:
Around 1000 children from the study. The main independent variable of interest was otological status of the child up to age 9.
Main Outcome Measures:
Parent and teacher rated behaviour problems, including antisocial, neurotic, hyperactive, and inattentive behaviours, and tests of academic achievement including intelligence quotient (IQ), reading, and spelling were available in a high proportion of the cohort at ages 11 to 18 years.
Results:
After adjustments for covariates such as socioeconomic status, hyperactive and inattentive behaviour problems were evident as late as 15 years, and lower IQ associated with OME remained significant to 13 years. The largest effects were observed for deficits in reading ability between 11 and 18 years.
Conclusions:
No previous study considering behaviour problems as an outcome has followed children long enough to determine whether some of the early sequelae of OME are still present in the early to late teens. Some developmental sequelae of OME, particularly deficits in reading ability, can persist into late childhood and the early teens.
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