Department of Pediatrics, Women & Infants Hospital, Warren Alpert Medical School of Brown University, Providence, Rhode Island 02905, United States.
Early Hum Dev. 2011 Dec;87(12):807-11. doi: 10.1016/j.earlhumdev.2011.06.006. Epub 2011 Jul 13.
Prior studies have shown that children with congenital hearing loss have increased rates of behavior disorders. Child hearing loss has also been reported to be associated with increased maternal stress. Little is known about the behavior or the predictors of behavioral outcomes of children with hearing loss identified early and receiving Early Intervention services.
The objective of this study was to identify the behavioral outcomes in early identified children with hearing loss and control hearing children at 18-24 months of age and to examine the impact of stress on early behavior development. It was hypothesized that children with hearing loss will have more behavior problems, and maternal stress will be associated with child behavior problems.
Prospective observational.
Children with and without congenital hearing loss and their mothers.
The Parenting Stress Index and the Child Behavior Checklist.
Children with hearing loss had increased scores for withdrawn and internalizing behavior. In multivariate analyses after adjusting for hearing loss, Neonatal Intensive Care Unit stay, and socioeconomic status, maternal stress independently contributed to higher scores for internalizing behavior, externalizing behavior, and total behavior problems.
Maternal stress is an important correlate of behavior problems for children with hearing loss and should be considered by Early Intervention providers.
先前的研究表明，患有先天性听力损失的儿童出现行为障碍的几率增加。有报道称，儿童听力损失与母亲压力增加有关。对于早期发现并接受早期干预服务的听力损失儿童的行为或行为结果的预测因素知之甚少。
本研究旨在确定早期发现的听力损失儿童的行为结果，并在 18-24 个月时对有控制听力的儿童进行比较，同时探讨压力对早期行为发展的影响。研究假设是听力损失儿童会有更多的行为问题，而母亲的压力与儿童的行为问题有关。
前瞻性观察研究。
有和无先天性听力损失的儿童及其母亲。
听力损失儿童的退缩和内化行为得分较高。在调整了听力损失、新生儿重症监护病房住院和社会经济地位后，多变量分析显示，母亲压力与内化行为、外化行为和总行为问题的高分独立相关。
母亲的压力是听力损失儿童行为问题的一个重要相关因素，早期干预提供者应予以考虑。
