Outcomes of 3-Year-Old Children With Hearing Loss and Different Types of Additional Disabilities
Outcomes of 3-Year-Old Children With Hearing Loss and Different Types of Additional Disabilities
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DOI：
10.1093/deafed/ent039
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发表时间：
2014-01-01
影响因子：
2
通讯作者：
Thomson, Jessica
中科院分区：
文献类型：
--
作者：
Cupples, Linda;Ching, Teresa Y. C.;Thomson, Jessica
这项研究调查了 119 名患有听力损失和其他残疾的 3 岁儿童的言语、语言和功能性听觉结果。使用直接评估和护理人员报告来评估结果。多元回归显示，额外残疾类型和母亲教育水平是语言结果的重要预测因素。与患有视力或言语输出障碍、不伴有 DD 的综合征或躯体疾病的儿童（B 组）相比，患有自闭症、脑瘫和/或发育迟缓 (DD) 的儿童（A 组）的结果较差。更好的结果与更高水平的母亲教育有关。更好的语言结果与早期人工耳蜗植入之间的关联已接近显着性。对具有不同类型额外残疾的儿童分别进行了进一步的回归分析。母亲教育水平是 A 组儿童结局的唯一显着预测因素，而听力损失程度是 B 组儿童的最强预测因素。研究结果强调了不同类型的额外残疾可能对听力损失儿童的语言发展产生不同的影响。
This research investigated the speech, language, and functional auditory outcomes of 119 3-year-old children with hearing loss and additional disabilities. Outcomes were evaluated using direct assessment and caregiver report. Multiple regressions revealed that type of additional disability and level of maternal education were significant predictors of language outcomes. Poorer outcomes were achieved in a combined group of children with autism, cerebral palsy, and/or developmental delay (DD) (Group A), compared with children with vision or speech output impairments, syndromes not entailing DD, or medical disorders (Group B). Better outcomes were associated with higher levels of maternal education. The association between better language outcomes and earlier cochlear implant switch-on approached significance. Further regression analyses were conducted separately for children with different types of additional disabilities. Level of maternal education was the only significant predictor of outcomes for Group A children, whereas degree of hearing loss was the strongest predictor for children in Group B. The findings highlight the variable impact that different types of additional disabilities can have on language development in children with hearing loss.