Department of Otorhinolaryngology, Head and Neck Surgery, Erasmus University Medical Center, PO box 2040, 3000 CA, Rotterdam, The Netherlands.
Department of Child and Adolescent Psychiatry/Psychology, Erasmus University Medical Center, Rotterdam, The Netherlands.
Eur Arch Otorhinolaryngol. 2023 Oct;280(10):4467-4476. doi: 10.1007/s00405-023-07979-x. Epub 2023 Apr 21.
Despite major improvements in rehabilitation possibilities, children with sensorineural hearing loss are at risk for psychosocial difficulties. These difficulties can impact their educational and career achievements and may be two to three times more common in children with hearing loss compared to those with normal hearing. Early identification of psychosocial difficulties can be facilitated using the Strengths and Difficulties Questionnaire (SDQ) and may improve outcomes and quality of life. We implemented the SDQ into the clinical follow-up of children with hearing loss in a tertiary referral hospital. With this, prevalence and severity of difficulties in specific psychosocial domains and several predictors were investigated.
A retrospective, cross-sectional investigation was performed of the following factors in association with the SDQ results: type of hearing device, type and degree of hearing loss, speech perception in quiet and in noise, and type of schooling.
Between June 2020 and January 2022, parents of 312 children (age 4-18) completed the SDQ. An additional 113 child-reports were completed. The response rate of the parents was 69%. Problems with peer relationships and prosocial behavior were the most affected areas with clinically elevated scores in 22% of the children. Psychosocial difficulties were distributed similarly across types of hearing device, nature and degrees of hearing loss, and educational settings. Better speech perception in quiet was significantly associated with fewer parent-reported conduct problems.
The results of the present study suggest that children with hearing loss may be at risk of experiencing challenges with social interactions and attachment in social contexts. Using the SDQ in clinical follow-up may improve the chances for early psychological assessment and intervention. In addition, the study found that children's mental health may be impacted by their communication abilities.
尽管康复的可能性有了很大的提高，但患有感觉神经性听力损失的儿童仍存在心理社会困难的风险。这些困难会影响他们的教育和职业成就，并且在听力损失儿童中比在听力正常的儿童中可能要高出两到三倍。使用长处和困难问卷（SDQ）可以更早地识别心理社会困难，并可能改善结果和生活质量。我们在一家三级转诊医院的听力损失儿童的临床随访中实施了 SDQ。通过这种方式，调查了特定心理社会领域的困难程度和几个预测因素的患病率和严重程度。
对与 SDQ 结果相关的以下因素进行了回顾性、横断面研究：听力设备类型、听力损失类型和程度、安静和噪声环境下的言语感知以及学校类型。
2020 年 6 月至 2022 年 1 月期间，312 名儿童（年龄 4-18 岁）的家长完成了 SDQ。另外完成了 113 份儿童报告。家长的回复率为 69%。同伴关系和亲社会行为问题是受影响最严重的领域，有 22%的儿童出现临床高分。心理社会困难在听力设备类型、听力损失的性质和程度以及教育环境中分布相似。在安静环境下更好的言语感知与父母报告的行为问题较少显著相关。
本研究结果表明，听力损失儿童可能面临社交互动和社交环境中依恋挑战的风险。在临床随访中使用 SDQ 可能会增加早期心理评估和干预的机会。此外，该研究发现，儿童的心理健康可能会受到他们沟通能力的影响。
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