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Schoolchildren with unilateral or mild to moderate bilateral sensorineural hearing loss should be screened for neurodevelopmental problems

Journal article
Authors C. Stubner
T. Flynn
Christopher Gillberg
Elisabeth Fernell
Carmela Miniscalco
Published in Acta Paediatrica
Pages 9
ISSN 0803-5253
Publication year 2019
Published at Gillberg Neuropsychiatry Centre
Pages 9
Language en
Links dx.doi.org/10.1111/apa.15088
Keywords Five-To-Fifteen questionnaire, mild to moderate hearing loss, neurodevelopmental disorder, schoolchildren, unilateral hearing loss, language-development, parent questionnaire, ftf 5, children, population, impairment, outcomes, autism, adhd, Pediatrics
Subject categories Neurosciences

Abstract

Aim The aim was to assess the rate and overlap of language and other neurodevelopmental problems in children aged 9-12 years with unilateral or mild to moderate bilateral sensorineural hearing loss. Methods Caregivers of 24 of the 58 eligible children, born 2004-2007, registered at the regional audiology department in Gothenburg, Sweden, with these types of hearing loss completed the Five-to-Fifteen questionnaire, a comprehensive screening instrument for neurodevelopmental problems. Of these 24 children, 21 were assessed with the Clinical Evaluation of Language Fundamentals-Fourth Edition (CELF-4). Children with scores indicating definite problem on the Five-to-Fifteen questionnaire and their parents were invited to a clinical neuropaediatric assessment. Results Of the 24 children, 13 (54%) screened positive for definite neurodevelopmental problems. Clinical assessments confirmed the presence of at least one neurodevelopmental disorder in eight of these 24, corresponding to 33%. Seven (33%) of the 21 children participating in the CELF-4 had scores indicating a language disorder, of whom four children had a neurodevelopmental disorder according to the neuropaediatric assessment. Conclusion The results support that schoolchildren with unilateral or mild to moderate bilateral sensorineural hearing loss should undergo neurodevelopmental screening to identify possible coexisting neurodevelopmental problems or disorders.

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