Intelligence, parental depression, and behavior adaptability in deaf children being considered for cochlear implantation
Intelligence, parental depression, and behavior adaptability in deaf children being considered for cochlear implantation
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DOI：
10.1093/deafed/enm006
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发表时间：
2007-06-01
影响因子：
2
通讯作者：
Oghalai, John
中科院分区：
文献类型：
--
作者：
Kushalnagar, Poorna;Krull, Kevin;Oghalai, John
认知能力和行为适应性是不同的，但相关的，可以影响儿童发展的结构。在听力正常的父母没有提供足够的语言和交流渠道的聋儿中，这两种能力都经常减少。此外，父母抑郁通常是由于亲子沟通困难，这可能导致父母的不足和挫折感。我们试图评估失聪儿童的适应性行为是否与非语言智力和父母抑郁有关。采用父母压力指数和Vineland行为适应量表对人工耳蜗植入患者的父母进行神经心理评估，以获得父母的痛苦程度和儿童的行为适应能力。根据测试时儿童的年龄，通过马伦早期学习量表或Leiter国际表现量表-修订版评估耳蜗前植入患者的认知功能。无论年龄或神经系统状况如何，聋儿的适应性行为始终显示出与智力的密切关系。父母抑郁与孩子适应行为之间的中度相关性仅在幼龄组中观察到。在无神经系统并发症的聋儿中，父母抑郁与沟通量表的关系被智力调节。研究结果为促进以家庭为中心的早期沟通和语言发展干预提供了重要启示。
Cognitive ability and behavioral adaptability are distinct, yet related, constructs that can impact childhood development. Both are often reduced in deaf children of hearing parents who do not provide sufficient language and communication access. Additionally, parental depression is commonly observed due to parent-child communication difficulties that can lead to parents' feelings of inadequacy and frustration. We sought to assess whether adaptive behavior in deaf children was associated with nonverbal intelligence and parental depression. Parents of precochlear implant patients seen for neuropsychological assessment were administered the Parenting Stress Index and Vineland Behavior Adaptive Scales to obtain measures of parental distress and child's behavioral adaptability. Precochlear implant patients' cognitive functioning was assessed via the Mullen Scales of Early Learning or the Leiter International Performance Scale-Revised, depending on the child's age at the time of testing. Regardless of age or neurological status, the deaf child's adaptive behavior consistently showed a strong relationship with intelligence. Moderate correlation between parental depression and the child's adaptive behavior was observed only in the younger group. The relationship between parental depression and communication subscale was moderated by intelligence for deaf children without neurological complications. The findings provide important implications for promoting family-centered interventions with early communication and language development.