Behavior problems in children with cochlear implants

Wei Chieh Chao, Li Ang Lee, Tien Chen Liu, Yung Ting Tsou, Kai Chieh Chan, Che Ming Wu*


研究成果: 期刊稿件文章同行評審

23 引文 斯高帕斯(Scopus)


Objectives: (1) To examine behavior problems in Mandarin-speaking children with cochlear implants (CIs); (2) to investigate the associated factors of problem behaviors; (3) to understand the relationships between behavior problems and parenting stress. Methods and materials: Sixty patients (25 boys, 35 girls) aged 6-18 years (mean = 12.2 ± 3.2) who used CIs for a mean duration of eight years participated in the study. Behavior problems were assessed by Achenbach's child behavior checklist (CBCL). Categorical auditory performance (CAP) and speech intelligibility rating (SIR) scales were utilized to investigate auditory performance and speech production intelligibility. Parenting stress index (PSI) was filled out by parents to measure parenting stress level. Results: Significantly more CI subjects had problems with 'Withdrawn/Depressed' (p=0.010), 'Social Problems' (p<0.001), 'Thought Problems' (p<0.001), 'Attention Problems' (p<0.001), 'Aggressive Behavior' (p=0.010) and 'Overall Behavior' (p=0.001) than the normative sample did. 'Social Problems' was the most common problem and could be independently associated with gender, socioeconomic status and CAP (R2=0.361). CAP score was also associated with Overall Behaviors (R2=0.081). The results of PSI had a significant positive correlation with almost all CBCL subscales (p<0.05). Conclusion: The CI subjects still exhibit social and attention problems, which may in turn increase parenting stress. Good family support as well as aural-verbal rehabilitation are of particular importance in determining behavioral outcomes in CI children.

頁(從 - 到)648-653
期刊International Journal of Pediatric Otorhinolaryngology
出版狀態已出版 - 01 05 2015


Publisher Copyright:
© 2015 Elsevier Ireland Ltd.


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