Evaluation of Behavioral Characteristics After Hearing in Children with Cochlear Implants


Abstract views: 247 / PDF downloads: 95

Authors

DOI:

https://doi.org/10.58600/eurjther1799

Keywords:

Cochlear Implant, Sensorineural Hearing Loss, CBCL, CAP, SIR, Behavioral Disorder

Abstract

Objective: Cochlear implantation (CI) is an electronic device that converts mechanical sound energy into electrical signals and transmits it directly to the cochlea, allowing sound perception. These implants were applied to patients with severe sensorineural hearing loss who did not or had little benefit from the conventional hearing devices. This study aimed to investigate behavioral problems, find related factors, and determine the relationship between behavioral problems and parents' attitudes in children with CI.

Materials and Methods: The investigation involved the participation of fifty individuals, comprising 26 males and 24 females, between 4 and 18 years, with a mean age average of 4±1.56 without any neurological and developmental problems. Inclusion criteria required a minimum of one year post-CI follow-up and a corresponding minimum duration of one year utilizing CI. Achenbach's Child Behavior Checklist (CBCL) assessed behavioral aspects. Categories of Auditory Performance II (CAP) and The Speech Intelligibility Rating Scale (SIR) scales were employed to evaluate auditory performance and speech intelligibility. Parental attitudes were gauged using the Parent Attitude Research Instrument (PARI). The selection of fifty patients was accomplished through a simple random sampling technique, with no considerations for gender or social status differences during case selection.

Results: The patients who applied the CI bilaterally were more successful than the one-sided. The success rate of patients who had comorbidities was statistically significant. Aggressive behavior was less in patients operated on before age 4. There are no differences between the relations of friend circle, art, and sports-interested patients. For CAP II and SIR, there is a moderate statistical significance between the duration of use and CAP. CAP scores were analyzed high in patients who used the device for over six years. There is a moderate statistical significance between CAP and SIR correlation. Our research found a statistically significant decrease in all behavioral scales when comparing preoperative and postoperative scores. Although there was only a non-significant decrease in the delinquent behaviors score, a decrease was still observed. There were significant changes in males but no significant difference based on gender in our study.

Conclusion: The findings imply that implementing cochlear implants in younger children might yield even greater advantages. Our research adds to the expanding collection of evidence endorsing CI as a viable therapeutic choice for youngsters with hearing impairments, underscoring the necessity for continued investigations within this domain.

Metrics

Metrics Loading ...

References

Chadha S, Cieza A (2018) World Health Organization and Its Initiative for Ear and Hearing Care. Otolaryngologic Clinics of North America. 51(3):535–542. https://doi.org/10.1016/j.otc.2018.01.002

Belsky J, Pluess M (2013) Genetic Moderation of Early Child-Care Effects on Social Functioning Across Childhood: A Developmental Analysis. Child Development. 84(4):1209–1225. https://doi.org/10.1111/cdev.12058

Waltzman SB, Cohen NL, Green J, Roland JT (2002) Long-Term Effects of Cochlear Implants in Children. Otolaryngology-Head and Neck Surgery: Official Journal of American Academy of Otolaryngology-Head And Neck Surgery. 126(5):505–511. https://doi.org/10.1067/mhn.2002.124472

Yorgun M, Sürmelioğlu Ö, Tuncer Ü, Tarkan Ö, Özdemir S, Çekiç E, et al. (2015) Quality of Life in Pediatric Cochlear Implantations. The Journal of International Advanced Otology. 11(3):218–221. https://doi.org/10.5152/iao.2015.730

Theunissen SC, Rieffe C, Netten AP, Briaire JJ, Soede W, Kouwenbergb M, et al. (2014) Self-Esteem in Hearing-Impaired Children: The Influence Of Communication, Education, and Audiological Characteristics. Plos One. 9(4):e94521. https://doi.org/10.1371/journal.pone.0094521

Hindley PA, Hill PD, McGuigan S, Kitson N (1994) Psychiatric Disorder in Deaf and Hearing Impaired Children and Young People: A Prevalence Study. Journal of Child Psychology and Psychiatry, and Allied Disciplines. 35(5):917–934. https://doi.org/10.1111/j.1469-7610.1994.tb02302.x

Edelbrock CS, Achenbach TM (1984) The Teacher Version of the Child Behavior Profile: I. Boys Aged 6–11. Journal of Consulting and Clinical Psychology. 52(2):207–217. https://doi.org/10.1037/0022-006X.52.2.207

Akçakın M (1985) Introduction and Reliability Study of Children's Behavior Evaluation Scale [Çocukların Davranışlarını Değerlendirme Ölçeğinin Tanıtımı ve Güvenirlik Çalışması]. Psikoloji Dergisi, 5(18):3-6. ([In Turkish])

Archbold S, Lutman ME, Nikolopoulos T (1998) Categories of Auditory Performance: Inter-User Reliability. British Journal of Audiology. 32(1):7–12. https://doi.org/10.3109/03005364000000045

Calmels MN, Saliba I, Wanna G, Cochard N, Fillaux J, Deguine O, et al. (2004) Speech Perception and Speech Intelligibility in Children After Cochlear Implantation. International Journal of Pediatric Otorhinolaryngology. 68(3):347–351. https://doi.org/10.1016/j.ijporl.2003.11.006

Copenhaver MM, Eisler RM (2000) The Development and Validation of the Attitude Toward Father Scale. A Tool for Assessing the Father's Role in Children's Behavior Problems. Behavior Modification. 24(5):740–750. https://doi.org/10.1177/0145445500245007

Bigler D, Burke K, Laureano N, Alfonso K, Jacobs J, Bush ML (2019) Assessment and Treatment of Behavioral Disorders in Children with Hearing Loss: A Systematic Review. Otolaryngology--Head and Neck Surgery: Official Journal of American Academy of Otolaryngology-Head and Neck Surgery. 160(1):36–48. https://doi.org/10.1177/0194599818797598

Stevenson J, Kreppner J, Pimperton H, Worsfold S, Kennedy C (2015) Emotional and Behavioural Difficulties in Children and Adolescents with Hearing Impairment: A Systematic Review and Meta-Analysis. European Child and Adolescent Psychiatry. 24(5):477–496. https://doi.org/10.1007/s00787-015-0697-1

Knutson JF, Ehlers SL, Wald RL, Tyler RS (2000) Psychological Predictors of Pediatric Cochlear Implant Use and Benefit. The Annals of Otology, Rhinology and Laryngology. Supplement. 185:100–103. https://doi.org/10.1177/0003489400109s1244

Nicholas JG, Geers AE (2003) Personal, Social, and Family Adjustment in School-Aged Children with a Cochlear Implant. Ear and Hearing. 24:69–81. https://doi.org/10.1097/01.AUD.0000051750.31186.7A

Edwards L, Khan S, Broxholme C, Langdon D (2006) Exploration of The Cognitive and Behavioural Consequences of Pediatric Cochlear Implantation. Cochlear Implants International. 7(2):61–76. https://doi.org/10.1179/146701006807508070

Khan S, Edwards L, Langdon D (2005) The Cognition and Behaviour of Children with Cochlear Implants, Children with Hearing Aids and Their Hearing Peers: A Comparison. Audiology and Neuro-Otology. 10(2):117–126. https://doi.org/10.1159/000083367

Ding Y, Lei M, Cao C (2022) The Relationship Between Interaural Delay in Binaural Gap Detection and Sensitivity to Temporal Fine Structure in Young Adults With or Without Musical Training Experience. Frontiers in Neuroscience. 16:957012. https://doi.org/10.3389/fnins.2022.957012

Chao WC, Lee LA, Liu TC, Tsou YT, Chan KC, Wu CM (2015) Behavior Problems in Children with Cochlear Implants. International Journal of Pediatric Otorhinolaryngology. 79(5):648–653. https://doi.org/10.1016/j.ijporl.2015.02.006

Yoshinaga-Itano C (2004) Levels of Evidence: Universal Newborn Hearing Screening (UNHS) and Early Hearing Detection and Intervention Systems (EHDI). Journal of Communication Disorders. 37(5):451–465. https://doi.org/10.1016/j.jcomdis.2004.04.008

Kral A, Sharma A (2012) Developmental Neuroplasticity After Cochlear Implantation. Trends in Neurosciences. 35(2):111–122. https://doi.org/10.1016/j.tins.2011.09.004

Scarabello EM, Lamônica DAC, Morettin-Zupelari M, Tanamati LF, Campos PD, Alvarenga KF, et al. (2020) Language Evaluation in Children with Pre-Lingual Hearing Loss and Cochlear Implant. Brazilian Journal of Otorhinolaryngology. 86(1):91–98. https://doi.org/10.1016/j.bjorl.2018.10.006

Ruben RJ (2018) Language Development in the Pediatric Cochlear Implant Patient. Laryngoscope Investigative Otolaryngology. 3(3):209–213. https://doi.org/10.1002/lio2.156

Michael R, Attias J, Raveh E (2019) Cochlear Implantation and Social-Emotional Functioning of Children with Hearing Loss. Journal of Deaf Studies and Deaf Education. 24(1):25–31. https://doi.org/10.1093/deafed/eny034

Edwards LC (2007) Children with Cochlear Implants and Complex Needs: A Review of Outcome Research and Psychological Practice. Journal of Deaf Studies and Deaf Education. 12(3):258–268. https://doi.org/10.1093/deafed/enm007

Niparko JK, Tobey EA, Thal DJ, Eisenberg LS, Wang NY, Quittner AL, et al. (2010) Spoken Language Development in Children Following Cochlear Implantation. JAMA. 303(15):1498–1506. https://doi.org/10.1001/jama.2010.451

Korver AM, Smith RJ, Van Camp G, Schleiss MR, Bitner-Glindzicz MA, Lustig LR, et al. (2017) Congenital Hearing Loss. Nature Reviews. Disease Primers. 3:16094. https://doi.org/10.1038/nrdp.2016.94

Geers AE, Mitchell CM, Warner-Czyz A, Wang NY, Eisenberg LS (2017) Early Sign Language Exposure and Cochlear Implantation Benefits. Pediatrics. 140(1):e20163489. https://doi.org/10.1542/peds.2016-3489

Gomaa NA, Rubinstein JT, Lowder MW, Tyler RS,Gantz BJ (2003) Residual Speech Perception and Cochlear Implant Performance in Postlingually Deafened Adults. Ear and Hearing. 24(6):539–544. https://doi.org/10.1097/01.AUD.0000100208.26628.2D

Tharpe AM, Gustafson S (2015) Management of Children with Mild, Moderate, and Moderately Severe Sensorineural Hearing Loss. Otolaryngologic Clinics of North America. 48(6):983–994. https://doi.org/10.1016/j.otc.2015.07.005

Garip Y, Özel S, Bozkurt T, Özgül KG, Seçkin F, Arasıl T (2023) Comparison of Depression and Quality of Life of Mothers and Fathers of Children with Cerebral Palsy. Eur J Ther. 22(3):148–151. https://doi.org/10.5152/EurJTher.2016.007

Gönener D, Pek H (2009) Improvement Of “Parent Anxiety Resources Scale” Under Conditions of Disease and Hospitalization of School Age Children and Influence Over “Children Anxiety Resources”. Eur J Ther. 15(1):31–40. https://doi.org/10.58600/eurjther.2009-15-1-1252-arch

Downloads

Published

2023-09-16

How to Cite

Sari, E., Aliyeva, A., Bozkurt, E. B., Aydın, Çiğdem Y., Sari, F., & Olgun, L. (2023). Evaluation of Behavioral Characteristics After Hearing in Children with Cochlear Implants. European Journal of Therapeutics, 29(4), 721–730. https://doi.org/10.58600/eurjther1799

Issue

Section

Original Articles

Categories