Externalizing Behaviors in Preschool-Aged Children With Cochlear Implants.

Purpose: Deaf children with cochlear implants (CIs) experience challenges in early development of hearing and language skills that may place them at risk for externalizing behavior problems, such as aggression, hyperactivity--impulsivity, and oppositional behavior. This study is a longitudinal inves...

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Publicado en:Journal of Speech, Language & Hearing Research Vol. 68; no. 9; pp. 4490 - 4506
Autores principales: Kronenberger, William G., Castellanos, Irina, Beer, Jessica, Pisoni, David B.
Formato: Artículo
Publicado: American Speech-Language-Hearing Association Sep2025
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Acceso en línea:Ver este registro en EBSCOhost
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      dt: Sep2025
      vid: 68
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      pub: American Speech-Language-Hearing Association
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        10.1044/2025_JSLHR-25-00005
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        atl: Externalizing Behaviors in Preschool-Aged Children With Cochlear Implants.
      aug:
        au:
          Kronenberger, William G.
          Castellanos, Irina
          Beer, Jessica
          Pisoni, David B.
        affil:
          Department of Otolaryngology--Head and Neck Surgery, Indiana University School of Medicine, Indianapolis
          Department of Psychiatry, Indiana University School of Medicine, Indianapolis
          Department of Psychological and Brain Sciences, Indiana University, Bloomington
      su:
        Intellect
        Home environment
        Aggression (Psychology)
        Analysis of variance
        Externalizing behavior
        Child behavior
        Children
        Deafness & psychology
        Cochlear implants
        Pearson correlation (Statistics)
        T-test (Statistics)
        Research funding
        Descriptive statistics
        Longitudinal method
        Medical records
        Acquisition of data
        Confidence intervals
      sug:
        subj:
          Intellect
          Home environment
          Aggression (Psychology)
          Analysis of variance
          Externalizing behavior
          Child behavior
          Children
          Deafness & psychology
          Cochlear implants
          Pearson correlation (Statistics)
          T-test (Statistics)
          Research funding
          Descriptive statistics
          Longitudinal method
          Medical records
          Acquisition of data
          Confidence intervals
      ab: Purpose: Deaf children with cochlear implants (CIs) experience challenges in early development of hearing and language skills that may place them at risk for externalizing behavior problems, such as aggression, hyperactivity--impulsivity, and oppositional behavior. This study is a longitudinal investigation of (a) between-groups differences in externalizing behavior problems between preschoolaged children with CIs and normal-hearing (NH) peers, and (b) within-group factors that may explain variability in externalizing problems within the sample of CI users. Method: Parents of 26 children with CIs and 30 NH peers completed externalizing behavior checklists at two visits separated by 1 year, starting at ages 3 or 4 years. Demographic/hearing history variables, language (vocabulary), nonverbal intelligence, and coping flexibility were assessed for concurrent and predictive associations with externalizing problems within the CI sample. Results: Results showed significantly greater externalizing behavior problems in CI users compared to NH peers at Time 1, although these differences were less pronounced 1 year later. Poorer residual hearing and better coping flexibility at Time 1 were associated with fewer externalizing behavior problems in CI users at Time 2. CI users who showed improvement in coping flexibility over the 1- year period also showed improvement in externalizing behaviors during that period. Nonverbal intelligence and language were not associated with externalizing behavior problems. Conclusions: Preschool-aged CI users may be at greater risk than NH peers for the early development of externalizing behavior problems. Improved coping flexibility may offer the potential for improvement in externalizing behavior problems for young CI users.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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