Evidence map›Paper›PMID 30200810›Full record

SynthesisOtolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery2019

Assessment and Treatment of Behavioral Disorders in Children with Hearing Loss: A Systematic Review.

Diana Bigler, Kristen Burke, Nicholas Laureano, Kristan Alfonso, Julie Jacobs, Matthew L Bush

Open access · bronzeAbstract readSystematic Review
In one paragraph

Synthesis in Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
3.6field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 67 citations in OpenAlex.

  1. Guideline
  2. Domains of Psychosocial Risk in School-Aged Cochlear Implant Users.Journal of speech, language, and hearing research : JSLHR · 2026
    Article
  3. Review
  4. Article
  5. Externalizing Behaviors in Preschool-Aged Children With Cochlear Implants.Journal of speech, language, and hearing research : JSLHR · 2025
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Ten years' experience with bone conduction hearing aids in the Western Cape, South Africa.The South African journal of communication disorders = Die Suid-Afrikaanse tydskrif vir Kommunikasieafwykings · 2023
    Article
  13. Article
  14. Article
  15. Article
  16. Emotions in Deaf and Hard-of-Hearing and Typically Hearing Children.Journal of deaf studies and deaf education · 2021
    Article
  17. Article
  18. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Diana Bigler1 College of Medicine, University of Kentucky, Lexington, Kentucky, USA.
Kristen Burke1 College of Medicine, University of Kentucky, Lexington, Kentucky, USA.
Nicholas Laureano2 Department of Otolaryngology-Head and Neck Surgery, University of Kentucky Medical Center, Lexington, Kentucky, USA.
Kristan Alfonso2 Department of Otolaryngology-Head and Neck Surgery, University of Kentucky Medical Center, Lexington, Kentucky, USA.
Julie Jacobs3 Department of Health, Behavior and Society, College of Public Health, University of Kentucky Medical Center, Lexington, Kentucky, USA.
Matthew L Bush2 Department of Otolaryngology-Head and Neck Surgery, University of Kentucky Medical Center, Lexington, Kentucky, USA.
University of Kentucky · US

Funding

Kentucky Center for Clinical and Translational ScienceUL1TR001998 · NCATS · UNIVERSITY OF KENTUCKY · PI HARTMANN, KATHERINE E, KERN, PHILIP A · 2016 to 2025
$34.2M
Kentucky Center for Clinical and Translational ScienceUL1TR000117 · NCATS · UNIVERSITY OF KENTUCKY · PI KERN, PHILIP A · 2012 to 2015
$13.3M
Promoting Early Diagnosis of Congenital Hearing Loss through Patient NavigationK23DC014074 · NIDCD · UNIVERSITY OF KENTUCKY · PI BUSH, MATTHEW LEE · 2015 to 2017
$685k
NCATS NIH HHS UL1 TR000117NCATS NIH HHS UL1 TR001998NIDCD NIH HHS K23 DC014074
6 · The paper itself

Abstract

objectiveThere is evidence that children who are deaf and hard of hearing (DHH) have a higher incidence of behavioral disorders. Assessment of behavioral health in this population is often complicated by language developmental delays, which may result in unrecognized and untreated behavioral problems. The purpose of this study is to assess the association of behavioral disorders among children who are DHH and to explore behavioral interventions for children in this population. DATA SOURCES: PubMed, CINALH, PsychINFO, and Web of Science. REVIEW

methodsSearch terms included the following: problem behavior, child behavior disorders/diagnosis, child behavior disorders/psychology coupled with hearing loss, cochlear implants, hearing aids, or deafness. Studies from the last 30 years (1985-2016) were included. The articles were reviewed independently by 3 reviewers.

resultsThirty-six articles met criteria. There was an association between internalizing behaviors and hearing loss among children, which may persist after cochlear implantation. These problems may be more pronounced for children with additional disabilities. Conduct and hyperactivity disorders as well as emotional and executive function problems among children who are DHH may be related to poor language development. There was limited evidence regarding interventions to address the behavioral disorders of DHH children.

conclusionsThere is a significant body of evidence demonstrating behavioral problems among DHH children but a lack of clear understanding of the mechanisms involved. There is limited evidence on interventions to address the behavioral problems of DHH children. Future research is warranted to mitigate the long-term effects of disruptive behavior among these children.

Indexed as

Quality of LifeChildCochlear ImplantationCochlear ImplantsComorbidityFemaleFollow-Up StudiesHearing LossHumansMaleMental DisordersRisk AssessmentSeverity of Illness IndexTreatment Outcomebehavioral disorderscochlear implantshearing losssystematic review

Identifiers

PMID30200810
PMCPMC6441325
OpenAlexW2890469240

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.