Psychiatric and Neurodevelopmental Outcomes in Swedish Children With Hearing Loss due to Congenital Cytomegalovirus

A Michel Sandström1, E Karltorp2,3, U Löfkvist2,4

  • 1Habilitation Center, Norrlands University Hospital, Umeå, Sweden.

Insights

Children with congenital cytomegalovirus (cCMV)-related hearing loss show more psychiatric and neurodevelopmental issues beyond hearing loss. Early identification and support are crucial for these children.

Area of Science:

  • Pediatric Audiology
  • Developmental Pediatrics
  • Infectious Diseases in Children

Background:

  • Congenital cytomegalovirus (cCMV) is a common cause of sensorineural hearing loss in newborns.
  • The long-term neurodevelopmental and adaptive functioning outcomes for children with cCMV-related hearing loss are not fully understood.
  • Understanding these outcomes is crucial for timely intervention and support.

Purpose of the Study:

  • To investigate parent-reported psychiatric, neurodevelopmental, and adaptive functioning outcomes in children with cCMV-related sensorineural hearing loss.
  • To compare these outcomes with children with genetic hearing loss and typically developing controls.

Main Methods:

  • A nationwide study in Sweden recruited parents of children aged 5-12 years.
  • Three groups were included: cCMV-related hearing loss (n=10), genetic hearing loss (n=9), and typically developing controls (n=23).
  • Parents completed questionnaires including the Child Behaviour Checklist (CBCL) and Five-to-Fifteen Revised (FTF-R); non-parametric statistics were used for analysis.

Main Results:

  • Children with cCMV-related hearing loss experienced later hearing loss identification and delayed motor development (walking).
  • They exhibited a higher prevalence of neurodevelopmental conditions and significantly higher parent-reported psychiatric and developmental symptoms compared to controls.
  • Compared to the genetic hearing loss group, they showed greater developmental difficulties, reduced social participation, and poorer school functioning.

Conclusions:

  • Children with cCMV-related hearing loss face a significant burden of psychiatric and neurodevelopmental symptoms, extending beyond hearing impairment.
  • These findings underscore the necessity of early identification of cCMV-related hearing loss.
  • Structured long-term follow-up and tailored interventions are vital for supporting this vulnerable population.
Abstract

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