Prevalence and correlates of psychopathology in a sample of deaf adolescents

Gent, Tiejo van; Goedhart, Arnold W.; Hindley, Peter; Treffers, Philip D. A.

doi:10.1111/j.1469-7610.2007.01775.x

Cited by 110 publications

(113 citation statements)

References 19 publications

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“…Introduction health problems have been observed for those with multiple health problems [12], communication problems [2,6,8,10], and intellectual impairments [11][12][13].…”

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confidence: 99%

Mental health problems among 4–17-year-olds with hearing problems

Hancock

Brenann-Jones

Vithiatharan

et al. 2017

Hearing Balance and Communication

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Objective: This study aimed to characterise the risk of mental health problems among a representative sample of 6,310 4-17 year olds, 147 of whom had parent-reported hearing problems. Methods:The study used data from the Young Minds Matter survey. The Diagnostic Interview Schedule for Children (DISC-IV) assessed prevalence of mood, anxiety and behavioural disorders. The Strengths and Difficulties Questionnaire (SDQ) assessed social and emotional problems. Logistic regression models were used to estimate odds of having mental health problems adjusting for child factors (speech and language problems, global health, age and gender), family factors (family structure, parent income, education, financial strain and psychological distress) and school-related factors (bullying, school liking, school absence). Results:In unadjusted analyses children and young people with hearing problems had substantially higher odds of most mental health problems. Hearing problems were not associated with any mental health problem among 4-11 year olds after adjusting for other child factors. After adjustments for child, family and school-related factors, 12-17 year olds with a hearing problem remained at greater risk of social phobia and generalised anxiety (DISC-IV), and of peer and emotional problems (SDQ). Conclusions:Clinicians caring for children and young people with hearing problems should be alert for heightened risk of specific mental health problems based on age and the nature of hearing problems. Understanding a wider range of correlates associated with the higher prevalence of mental health problems may allow health professionals to be more informed about the nature of mental health problems that are comorbid to hearing problems.

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“…Introduction health problems have been observed for those with multiple health problems [12], communication problems [2,6,8,10], and intellectual impairments [11][12][13].…”

mentioning

confidence: 99%

Mental health problems among 4–17-year-olds with hearing problems

Hancock

Brenann-Jones

Vithiatharan

et al. 2017

Hearing Balance and Communication

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“…1,2 Hearing impairment is associated with a large range of consequences on the child's social, cognitive, emotional, and neuromotor development. [3][4][5] Previous research has concentrated on the impact of hearing impairment on language development and mental health. 3,4,6 With respect to motor performance, several studies have found that children with hearing impairment show deficits in motor development.…”

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confidence: 99%

“…This is two to five times higher than prevalence rates for hearing children. 3,4,17 In a previous investigation we used the parent-rated Strengths and Difficulties Questionnaire (SDQ) to measure mental health and demonstrated that children with hearing impairment have higher problem scores in the areas of conduct, and emotional and peer problems than German norms. …”

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confidence: 99%

Motor performance and correlates of mental health in children who are deaf or hard of hearing

Fellinger

Holzinger²,

Aigner

et al. 2015

Develop Med Child Neuro

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SDQStrengths and Difficulties Questionnaire ZNA Z€ urich Neuromotor Assessment AIM This cross-sectional study investigates the relationship between motor performance and mental health in a representative population of children with hearing impairment.METHOD Ninety-three pupils (45 males, 48 females) aged 6 years to 16 years (mean 11y 3mo, SD 2y 9mo) with hearing impairment of at least 40dB and a Nonverbal IQ greater than 70 were assessed for motor performance with the Z€ urich Neuromotor Assessment (ZNA) and for mental health with the parent version of the Strengths and Difficulties Questionnaire (SDQ). RESULTS Children with hearing impairment had lower motor performance scores in all fourZNA subscales compared with ZNA norms (z-scores À1.42 to À2.67). After controlling for Nonverbal IQ, ZNA pure motor performance correlated negatively with the SDQ total difficulties score. Pure motor, pegboard, and dynamic balance subscales correlated negatively with peer-relationship problems. Dynamic balance correlated negatively with emotional problems. Performance in pure motor and dynamic balance skills correlated negatively with age. Except for static balance, no correlation was found between motor performance and the degree of hearing impairment.INTERPRETATION Results confirm that a high percentage of children with hearing impairment have poor motor performance. These problems are associated with difficulties in social relationships. Early recognition of these problems may lead to interventions to assist children with hearing impairment with their peer relationships.In Western countries, 1 to 2 of every 1000 children are affected by permanent bilateral hearing loss of at least moderate degree. 1,2 Hearing impairment is associated with a large range of consequences on the child's social, cognitive, emotional, and neuromotor development.3-5 Previous research has concentrated on the impact of hearing impairment on language development and mental health. 3,4,6 With respect to motor performance, several studies have found that children with hearing impairment show deficits in motor development. These studies used a variety of instruments and were based on samples that may not have been representative of the population of children with hearing impairment.5,7-9 Studies reporting normal levels of motor development were based on parent questionnaires (Vineland Adaptive Behavior Scales) and had no direct motor examination. 10,11 Livingstone and McPhillips showed that about 80% of 25 children with a bilateral hearing impairment >60dB (mean age 8y 8mo) scored in the bottom 15% (borderline) and about 50% in the bottom 5% (definite problems) of the standardized sample of the Movement Assessment Battery for Children. 5 In other words, 80% of those with hearing impairment reached the cut-off of motor performance for a possible diagnosis of developmental coordination disorder. 12Considering different aspects of motor development, the greatest deficits were shown in balance and complex motor tasks. 5,7,13 One study matching 32 children wi...

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“…As a group, these children also experience difficulties with expressive and receptive language development (Pimperton & Kennedy, 2012) and the acquisition of reading (Lederberg, Schick, & Spencer, 2013; Moeller, Tomblin, Yoshinaga‐Itano, Connor, & Jerger, 2007), particularly reading comprehension (McCann et al., 2009; Wauters, Van Bon, & Tellings, 2006). However, it is important to recognise that, although at increased risk at a group level, the majority of those with PCHL do not show clinically significant EBD (van Gent, Goedhart, Hindley, & Treffers, 2007; Stevenson et al., in press). In cross‐sectional analyses, we have shown that in middle childhood (Stevenson, McCann, Watkin, Worsfold, & Kennedy, 2010) and in adolescence (Stevenson et al., 2017) that within the PCHL group those with less well developed receptive language are more likely to have EBD.…”

Section: Introductionmentioning

confidence: 99%

Language and reading comprehension in middle childhood predicts emotional and behaviour difficulties in adolescence for those with permanent childhood hearing loss

Stevenson

Pimperton

Kreppner

et al. 2017

Child Psychology Psychiatry

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BackgroundPermanent childhood hearing loss (PCHL) is associated with an elevated level of emotional and behaviour difficulties (EBD). In children and adolescents with PCHL, EBD has been found to be linked to language ability in children with PCHL. The present study was designed to test whether childhood language and/or reading comprehension abilities of children with PCHL predict subsequent EBD in adolescence.MethodsLanguage comprehension (LC) and reading comprehension (RC) were measured at ages 6–10 years (Time 1) and 13–20 years (Time 2) in participants with PCHL who preferred to communicate using spoken language (n = 57) and a hearing comparison group (n = 38). EBD was measured at both time points by parent and by teacher ratings on the Strengths and Difficulties Questionnaire.ResultsWithin the PCHL group there were negative correlations between EBD scores and concurrent LC and RC scores at Time 1 and at Time 2. Cross‐lagged latent variable models fitted to the longitudinal data indicated that the associations between LC, RC and teacher‐rated EBD were more likely to arise from the impact of LC and RC on behaviour rather than the other way around.ConclusionsIn those with PCHL, poor language and reading comprehension in middle childhood increased the risk of emotional and behaviour difficulties at school in the teenage years. The results suggest that effective language and literacy interventions for children with hearing loss may also bring benefits to their mental health.

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Prevalence and correlates of psychopathology in a sample of deaf adolescents

Cited by 110 publications

References 19 publications

Mental health problems among 4–17-year-olds with hearing problems

Mental health problems among 4–17-year-olds with hearing problems

Motor performance and correlates of mental health in children who are deaf or hard of hearing

Language and reading comprehension in middle childhood predicts emotional and behaviour difficulties in adolescence for those with permanent childhood hearing loss

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