15th ANNUAL EARLY HEARING DETECTION & INTERVENTION MEETING
March 13-15, 2016 • San Diego, CA
| - | 3 - Language Acquisition and Development
The impact of social functioning on behavior in young children who are deaf or hard of hearing
Background: Children who are deaf or hard of hearing (D/HH) are at risk for communication and social function delays which may affect behavior. The study objective was to evaluate the relationship between social functioning and behavior in young children who are D/HH.
Methods: Analysis included children with mild to profound permanent bilateral hearing loss (mean age mos 57.1±13.8) enrolled in a language-functional outcomes study. Children completed standardized language and cognitive assessments. Functional skills were assessed with the Pediatric Evaluation of Disability Inventory (PEDI); behavioral skills with the Child Behavior Checklist (CBCL). PEDI social function scores were correlated with CBCL behavior domains; specific items were evaluated as they related to behavior.
Results: Among 90 children, 56.7% were male, 46% had a cochlear implant, median identification age was 6 months. The mean nonverbal IQ was 94.3 (±19.5), the mean receptive language score was 80.6 (± 8.5), the mean PEDI social function score was significantly lower than the population mean (38.3 vs. 50, p<.0001).
Overall, only 5% of children had clinically significant internalizing or externalizing behavior scores, suggesting low rates of behavior problems. However, 12.5% had clinically significant attention problem domain scores; ~18% of children<5 years had attention problems compared to 3% of older children. Poorer social functioning was significantly associated (p<0.01) with worsening internalizing (r=-0.27) and externalizing (r=-0.39) behaviors. Poorer social functioning was associated with worse scores on the attention problems subdomain (r=-0.42). Specific PEDI items associated with attention problems included difficulty asking questions, describing feelings, taking turns, and understanding time concepts.
Conclusions: Most young children who are D/HH did not have clinically significant behavioral concerns on standardized measures; there was an association with poorer abstract reasoning and executive functioning with higher ratings on behavioral measures (attention domain). Early language deficits may contribute to perceived attention issues in children who are D/HH.
- Describe how social functioning may impact behavior in young children who are deaf or hard of hearing
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Presenters/Authors
Madeline Bonfield
(Primary Presenter,Author), Cincinnati Children's Hospital Medical Center, mrbonfie@owu.edu;
Madeline Bonfield is a genetics major at Ohio Wesleyan University. She was awarded a Summer Undergraduate Research Fellowship at Cincinnati Children's Hospital Medical Center where she focused her research on social and behavioral outcomes of young children who are deaf or hard of hearing.
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Jareen Meinzen-Derr
(Co-Presenter,Author,POC), Cincinnati Children's Hospital Medical Center, jareen.meinzen-derr@cchmc.org;
Dr. Meinzen-Derr is quantitative epidemiologist at the Cincinnati Children's Hospital Medical Center. She has focused her research on outcomes of children who are deaf or hard of hearing, and specifically those who have additional developmental disabilities.
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No relevant financial relationship exist.
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No relevant nonfinancial relationship exist.
Susan Wiley
(Author), Cincinnati Children's Hospital Medical Center, susan.wiley@cchmc.org;
Dr. Susan Wiley is a developmental pediatrician with expertise in children who are deaf/hard of hearing. She has many years of experience serving children with multiple disabilities.
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Sandra Grether
(Author), Cincinnati Children's Hospital Medical Center, sandra.grether@cchmc.org;
Dr. Grether is a Speech and Language Pathologist who works with children with developmental disabilities. Her expertise is in the field of augmentative and alternative communication.
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No relevant financial relationship exist.
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No relevant nonfinancial relationship exist.
Laura Smith
(Author), Cincinnati Children's Hospital Medical Center, laura.smith1@cchmc.org;
Laura is a clinical research coordinator at the Cincinnati Children's Hospital Medical Center. She has been working with an MCHB funded research study evaluting the impact of cognition and language on functional outcomes in young children who are deaf/hard of hearing.
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Daniel Choo
(Author), Cincinnati Children's Hospital Medical Center, daniel.choo@cchmc.org;
Dr. Choo is a professor of pediatric otolaryngology at Cincinnati Children's Hospital Medical Center. He is a neuro-otologist and has an extensive clinical practice and active research career in the field of childhood hearing loss.
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