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Updated: Aug 1, 2025

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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Behavioral Assessment of Hearing in 2 to 4 Year-old Children: A Two-interval, Observer-based Procedure Using Conditioned Play-based Responses

Published on: January 23, 2017

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Features of Cognitive Ability and Central Auditory Processing of Preschool Children With Minimal and Mild Hearing

Hui Ji1, Xinyue Yu2, Zhenglu Xiao2

  • 1Women's Hospital of Nanjing Medical University, Nanjing Maternity and Child Health Care Hospital, Jiangsu, China.

Journal of Speech, Language, and Hearing Research : JSLHR
|April 28, 2023
PubMed

Insights

Preschool children with minimal and mild hearing loss (MMHL) show developmental risks, including poorer attention and verbal skills compared to normal-hearing peers. Auditory processing differences may link to cognitive deficits.

Area of Science:

  • Pediatric Audiology
  • Developmental Psychology
  • Neuroscience

Background:

  • Minimal and mild hearing loss (MMHL) in preschool children can impact development.
  • Early identification and intervention are crucial for children with hearing impairments.

Purpose of the Study:

  • To investigate cognitive development and central auditory processing in preschool children with MMHL.
  • To compare developmental outcomes between children with MMHL and normal-hearing (NH) peers.

Main Methods:

  • Recruited 34 children with MMHL and 45 NH children.
  • Administered cognitive tests (e.g., WPPSI, CPT) and auditory tests (SIN, FPT, ABR, CAEP).
  • Collected teacher evaluations and parent questionnaires.

Main Results:

  • Children with MMHL exhibited lower verbal IQ, full-scale IQ, and higher attention deficits.
  • Poorer performance on speech-in-noise tests was observed in the MMHL group.
  • Statistically significant differences in auditory brainstem and cortical evoked potentials were found.

Conclusions:

  • Preschoolers with MMHL face increased developmental risks, including attention and verbal comprehension issues.
  • These challenges are not compensated with age during preschool years.
  • A potential link exists between auditory processing divergence and cognitive deficits in children with MMHL.
Abstract

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