Language and behavioral outcomes in children with developmental disabilities using cochlear implants.
Language and behavioral outcomes in children with developmental disabilities using cochlear implants.
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DOI：
10.1097/mao.0b013e3182595309
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发表时间：
2012-07
期刊：
影响因子：
--
通讯作者：
CDaCI Investigative Team
中科院分区：
文献类型：
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作者：
Cruz I;Vicaria I;Wang NY;Niparko J;Quittner AL;CDaCI Investigative Team
在过去的十年里，患有发育障碍的聋儿接受人工耳蜗植入的人数急剧增加。然而，对这些儿童植入后的发育结果知之甚少。目前的研究评估了典型发育中的失聪儿童和发育障碍儿童在植入后三年的口头语言和行为结果。一项为期三年的关于人工耳蜗植入对有或无其他残疾儿童语言和行为结果影响的纵向研究。美国有六个人工耳蜗植入中心。研究队列包括188名失聪儿童。85%的样本（n=157）有严重到深度听力损失的单一诊断，15% （n=31）有额外的残疾。口头语言使用瑞尼尔语言发展量表进行评估，行为结果使用儿童行为检查表进行评估。多水平模型分析结果显示，有或无其他残疾的聋儿在植入后的口语能力有显著提高。然而，有发育障碍的儿童进步较慢。在具体诊断方面，患有发育障碍的儿童，如自闭症，随着时间的推移进展最慢。此外，在这一组中，行为问题显著增加，而在正常发育的聋人样本中，行为问题在三年内有所减少。总的来说，考虑到三年来记录的表达和接受语言技能的改善，这些发现支持对有发育障碍的聋儿使用人工耳蜗。
Over the past decade, the number of deaf children with developmental disabilities receiving cochlear implants has increased dramatically. However, little is known about the developmental outcomes of these children post-implantation. The current study evaluated oral language and behavioral outcomes over three years post-implantation in a sample of typically developing deaf children and children with developmental disabilities. A three year longitudinal study of the effects of cochlear implantation on language and behavioral outcomes in children with and without additional disabilities. Six cochlear implant centers in the United States. The study cohort consisted of 188 deaf children. Eighty-five percent of the sample (n=157) had a single diagnosis of severe to profound hearing loss and 15% (n=31) had an additional disability. Oral language was assessed using the Reynell Developmental Language Scales and behavioral outcomes were assessed using the Child Behavior Checklist. Results using multilevel modeling indicated that deaf children with and without additional disabilities improved significantly in oral language skills post-implantation. However, children with developmental disabilities made slower progress. In terms of specific diagnoses, children with developmental disorders, such as autism, made the slowest progress over time. In addition, behavior problems increased significantly in this group, whereas behavior problems decreased over three years in the typically developing deaf sample. Overall, given the improvements in expressive and receptive language skills documented over three years, these findings support the use of cochlear implants for deaf children with developmental disabilities.