Huttunen Kerttu, Välimaa Taina
Department of Otorhinolaryngology, Institute of Clinical Medicine, PO Box 5000, FI-90014 Oulun Yliopisto, Finland.
J Deaf Stud Deaf Educ. 2010 Fall;15(4):383-404. doi: 10.1093/deafed/enq029. Epub 2010 Jul 2.
Our aim was to obtain versatile information on the communication and socioemotional development of implanted children in their everyday environment. We studied 18 children implanted unilaterally at the mean age of 3 years 4 months. All had normal nonverbal intelligence, but 8 (44%) had concomitant problems. Their parents filled out semistructured questionnaires at 6 months and then annually 1-5 years after activation. Parents reported a change from use of signs to speech, and changes in the children's vocal behavior and spoken language development. They also reported that children had calmed down and showed an increased sense of self-confidence and safety with an expanded social life. The greatest changes started to take place 1 year after implantation. Five years after implantation, two thirds of children were judged to be as independent as their age peers. We conclude that changes in communication pave the way to benefits in psychosocial development after implantation.
我们的目的是获取关于植入式儿童在日常环境中沟通和社会情感发展的多方面信息。我们研究了18名单侧植入人工耳蜗的儿童，平均年龄为3岁4个月。所有儿童的非语言智力均正常，但有8名（44%）伴有其他问题。他们的父母在开机后6个月填写半结构化问卷，之后在开机1至5年每年填写一次。父母报告称，孩子从使用手势转变为说话，其发声行为和口语发展也有变化。他们还报告说，孩子变得平静下来，随着社交生活的拓展，自信心和安全感增强。最大的变化在植入后1年开始出现。植入后5年，三分之二的儿童被判定与同龄人一样独立。我们得出结论，沟通方面的变化为植入后心理社会发展带来益处铺平了道路。
