Diana Bigler1, Kristen Burke1, Nicholas Laureano2, Kristan Alfonso2, Julie Jacobs3, Matthew L Bush2. 1. 1 College of Medicine, University of Kentucky, Lexington, Kentucky, USA. 2. 2 Department of Otolaryngology-Head and Neck Surgery, University of Kentucky Medical Center, Lexington, Kentucky, USA. 3. 3 Department of Health, Behavior and Society, College of Public Health, University of Kentucky Medical Center, Lexington, Kentucky, USA.
Abstract
OBJECTIVE: There is evidence that children who are deaf and hard of hearing (DHH) have a higher incidence of behavioral disorders. Assessment of behavioral health in this population is often complicated by language developmental delays, which may result in unrecognized and untreated behavioral problems. The purpose of this study is to assess the association of behavioral disorders among children who are DHH and to explore behavioral interventions for children in this population. DATA SOURCES: PubMed, CINALH, PsychINFO, and Web of Science. REVIEW METHODS: Search terms included the following: problem behavior, child behavior disorders/diagnosis, child behavior disorders/psychology coupled with hearing loss, cochlear implants, hearing aids, or deafness. Studies from the last 30 years (1985-2016) were included. The articles were reviewed independently by 3 reviewers. RESULTS: Thirty-six articles met criteria. There was an association between internalizing behaviors and hearing loss among children, which may persist after cochlear implantation. These problems may be more pronounced for children with additional disabilities. Conduct and hyperactivity disorders as well as emotional and executive function problems among children who are DHH may be related to poor language development. There was limited evidence regarding interventions to address the behavioral disorders of DHH children. CONCLUSIONS: There is a significant body of evidence demonstrating behavioral problems among DHH children but a lack of clear understanding of the mechanisms involved. There is limited evidence on interventions to address the behavioral problems of DHH children. Future research is warranted to mitigate the long-term effects of disruptive behavior among these children.
OBJECTIVE: There is evidence that children who are deaf and hard of hearing (DHH) have a higher incidence of behavioral disorders. Assessment of behavioral health in this population is often complicated by language developmental delays, which may result in unrecognized and untreated behavioral problems. The purpose of this study is to assess the association of behavioral disorders among children who are DHH and to explore behavioral interventions for children in this population. DATA SOURCES: PubMed, CINALH, PsychINFO, and Web of Science. REVIEW METHODS: Search terms included the following: problem behavior, childbehavior disorders/diagnosis, childbehavior disorders/psychology coupled with hearing loss, cochlear implants, hearing aids, or deafness. Studies from the last 30 years (1985-2016) were included. The articles were reviewed independently by 3 reviewers. RESULTS: Thirty-six articles met criteria. There was an association between internalizing behaviors and hearing loss among children, which may persist after cochlear implantation. These problems may be more pronounced for children with additional disabilities. Conduct and hyperactivity disorders as well as emotional and executive function problems among children who are DHH may be related to poor language development. There was limited evidence regarding interventions to address the behavioral disorders of DHHchildren. CONCLUSIONS: There is a significant body of evidence demonstrating behavioral problems among DHHchildren but a lack of clear understanding of the mechanisms involved. There is limited evidence on interventions to address the behavioral problems of DHHchildren. Future research is warranted to mitigate the long-term effects of disruptive behavior among these children.
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