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Updated: Aug 5, 2026

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Systematic Hearing Performance Evaluation Process for Adolescents with Cochlear Implantation at Early Ages
Published on: March 24, 2023
Mandarin-Learning Preschoolers With Cochlear Implants Prioritize Prosody Over Semantics When Recognizing Emotion in
Ping Tang1, Ruowei Wu1, Zheyu Song1
1School of Foreign Studies, Nanjing University of Science and Technology, Nanjing, China.
Ear and Hearing
|July 29, 2026
Summary
Preschoolers with cochlear implants (CIs) prioritize speech prosody over semantics when interpreting conflicting emotional cues, similar to typically hearing peers. This suggests CIs do not hinder early emotion recognition strategies.
Area of Science:
- Developmental Psychology
- Auditory Neuroscience
- Speech and Language Pathology
Background:
- Accurate emotion identification in speech relies on integrating semantic and prosodic cues.
- Conflicting cues, common in irony or humor, pose challenges for emotion recognition.
- Typically hearing (TH) children, like adults, prioritize prosody when cues conflict.
Purpose of the Study:
- To investigate cue-weighting strategies in Mandarin-learning preschoolers with cochlear implants (CIs) when faced with conflicting semantic and prosodic emotional cues.
- To determine if children with CIs exhibit different cue-weighting strategies compared to their TH peers.
- To test the hypothesis that children with CIs might adopt a balanced or semantic-dominant strategy due to reduced access to prosody.
Main Methods:
- A 2-alternative forced-choice task was administered to 31 Mandarin-learning preschoolers with CIs and 31 age-matched TH controls.
- Stimuli included semantically incongruent sentences spoken with conflicting happy or sad prosody.
- The proportion of prosody-based responses was calculated and compared between the CI and TH groups.
Main Results:
- Both TH and CI groups significantly preferred prosody-based responses when cues conflicted, indicating a prosody-dominant strategy.
- No significant difference in the proportion of prosody-based responses was found between the CI and TH groups.
- These findings held true for the identification of basic emotions (happy vs. sad) in a closed-set task.
Conclusions:
- Mandarin-learning preschoolers with CIs who could utilize prosody demonstrated TH-like, prosody-dominant cue-weighting strategies.
- This suggests adaptive use of preserved prosodic information (e.g., duration, intensity) despite reduced spectrotemporal resolution from CIs.
- Rehabilitation should consider training non-pitch prosodic features to enhance emotion understanding and social communication in children with CIs.
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