ArticleOtology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology2012
Cognitive outcomes and familial stress after cochlear implantation in deaf children with and without developmental delays.
Article in Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 39 citations in OpenAlex.
- Cochlear implantation for sensorineural hearing loss caused by neonatal hyperbilirubinemia.Seminars in perinatology · 2026Review
- Cochlear Implantation in Children with Additional Disabilities: A Systematic Review.Children (Basel, Switzerland) · 2023Review
- Stress among Parents of Children with Hearing Loss and How They Deal with It: A Systematic Review.International archives of otorhinolaryngology · 2023Review
- Article
- Joint Attention in Hearing Parent-Deaf Child and Hearing Parent-Hearing Child Dyads.IEEE transactions on cognitive and developmental systems · 2020Article
- Comparison of Social Interaction between Cochlear-Implanted Children with Normal Intelligence Undergoing Auditory Verbal Therapy and Normal-Hearing Children: A Pilot Study.The journal of international advanced otology · 2018Article
- The outcome of cochlear implantation among children with genetic syndromes.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2018Article
- Assessment of Behavioral Problems in Children With Hearing Loss.Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology · 2017Article
- Cochlear implant considerations in children with additional disabilities.Current otorhinolaryngology reports · 2013Article
- Cortical Activation Patterns Correlate with Speech Understanding After Cochlear Implantation.Ear and hearingArticle
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Authors and funding
9 authors at 5 institutions in 1 country.
Funding
Abstract
objectiveThe benefits of cochlear implantation for children with developmental delays (DD) often are unclear. We compared cognition, adaptive behavior, familial stress, and communication in children with and without DD. STUDY
designRetrospective review.
settingTwo tertiary care pediatric hospitals. PATIENTS: Two hundred four children who underwent cochlear implantation assessed before and more than 1 year after implantation.
main outcome measuresThe Mullen Scales of Early Learning (MSEL), vineland adaptive behavior scales (VABS), Parental Stress Index, and Preschool Language Scale.
resultsWe developed a specific definition of DD for hearing-impaired children based upon diagnostic and statistical manual of mental disorders, fourth edition, criteria for mental retardation; 60 children met the criteria for DD, and 144 children did not. Before implantation, multiple linear regression demonstrated that children with DD had lower scores in every domain of the MSEL and VABS (p < 0.05), but no differences in any domains of the parental stress index and preschool language scale (p > 0.1) compared with children without DD. After implantation, children without DD demonstrated significant improvements in intelligence as measured by the MSEL and age-appropriate improvements in adaptive behavior as evaluated by the VABS, and their familial stress levels were not increased after cochlear implantation. In contrast, children with DD underwent implantation at a later age and demonstrated less comprehensive developmental improvements after cochlear implantation and higher stress levels. However, when the age differences were taken into account using multiple linear regression analyses, the differences between the 2 cohorts were reduced.
conclusionThese data indicate that our definition of DD is a reliable method of stratifying deaf children. Although children with DD have a normal developmental rate of adaptive behavior after cochlear implantation, their developmental rate of intelligence is lower, and they have higher stress levels than children without DD. However, our data suggest that if children with DD could be implanted as early as children without DD, their intelligence and stress outcomes would be improved.
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