Saksida Amanda, Rebesco Roberta, Colombani Arianna, Pintonello Sara, Tonon Eleonora, Santoro Andrea Martina, Orzan Eva
Institute for Maternal and Child Health-IRCCS "Burlo Garofolo", Trieste, Italy.
Front Pediatr. 2024 Jan 12;11:1209754. doi: 10.3389/fped.2023.1209754. eCollection 2023.
The study investigates what is the link between early verbal and non-vocal abilities, when does predominantly verbal communicative style occur after the intervention with cochlear implants (CI) or hearing aids (HA), and how predictive it is of later linguistic development in deaf and hard of hearing (DHH) infants and children.
Cohort: children with moderate-to-profound hearing impairment ( = 49, 20 girls, mean age at HA or CI intervention = 15 months, range: 4-35 months).
Receptive and productive vocabulary at 24 and 36 months and video analysis at 12 months post-intervention. Analysis: Predictive values of total and verbal responses to communicative turns for later vocabulary development were assessed, as well as the relative time course of the development of vocal/verbal communication in DHH children.
Vocabulary at 24 months is predicted by auditory responses at 12 months, as well as by overall responsiveness before intervention. Non-vocal responses decline and overall verbal responses increase significantly between 6 and 12 months after intervention. The trend is delayed in children with delayed (>12 months of age) treatment with CI or HA.
Age of intervention affects the development of vocal/verbal communicative style. Language development, in particular, vocabulary growth, can be further stimulated by the enhancement of preverbal (both vocal and non-vocal) communicative skills.
本研究调查早期语言和非语言能力之间的联系是什么，在接受人工耳蜗植入（CI）或助听器（HA）干预后，主要的语言交流方式何时出现，以及它对聋和重听（DHH）婴幼儿及儿童后期语言发展的预测性如何。
队列：中重度听力障碍儿童（n = 49，20名女孩，HA或CI干预时的平均年龄 = 15个月，范围：4 - 35个月）。
干预后12个月进行视频分析，以及在24个月和36个月时测量接受性和表达性词汇。分析：评估对交流轮次的总体和语言反应对后期词汇发展的预测价值，以及DHH儿童声音/语言交流发展的相对时间进程。
24个月时的词汇量可由12个月时的听觉反应以及干预前的总体反应性预测。干预后6至12个月期间，非语言反应减少，总体语言反应显著增加。CI或HA治疗延迟（>12个月龄）的儿童中该趋势出现延迟。
干预年龄影响声音/语言交流方式的发展。特别是语言发展，尤其是词汇增长，可以通过提高语言前（包括有声和无声）交流技能来进一步促进。
