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Behavioral Assessment of Hearing in 2 to 4 Year-old Children: A Two-interval, Observer-based Procedure Using Conditioned Play-based Responses
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Terrible Twos or Early Signs of Psychopathology? Developmental Patterns in Early Identified Preschoolers With

Anouk P Netten1, Carolien Rieffe1,2,3,4,5, Lizet Ketelaar3

  • 1Department of Otorhinolaryngology and Head & Neck Surgery, Leiden University Medical Center, Leiden, The Netherlands.

Ear and Hearing
|October 10, 2017
PubMed

Insights

Cochlear implants (CIs) improve language skills in children with hearing loss, which helps prevent psychiatric symptoms. Early CI use and better language development are key protective factors against behavioral issues.

Area of Science:

  • Pediatric audiology
  • Developmental psychology
  • Child psychiatry

Background:

  • Cochlear implants (CIs) significantly benefit children with hearing loss.
  • The impact of CIs on preventing psychiatric symptoms in this population is understudied.
  • Early identification of hearing loss is crucial for intervention.

Purpose of the Study:

  • To longitudinally examine early psychiatric symptoms in preschoolers with CIs compared to hearing peers.
  • To identify risk and protective factors for emotional and behavioral disorders in children with CIs.
  • To investigate the role of language development in mitigating psychopathology.

Main Methods:

  • Longitudinal study of 74 children with CIs and 190 hearing controls (ages 1-5).
  • Parental reporting of psychiatric disorder symptoms using the Early Childhood Inventory-4 over three years.
  • Analysis of language scores derived from medical records.

Main Results:

  • Children with CIs and hearing peers showed similar levels of disruptive behavior and anxiety/depression.
  • Higher language proficiency correlated with lower psychopathology.
  • Early CI use and longer duration of use improved language development, acting as a protective factor.

Conclusions:

  • Language skill improvement mitigates early psychopathology signs in children.
  • Early identification of hearing loss and CI intervention support language development.
  • CIs play a vital role in the holistic development of children with hearing loss.
Abstract

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