scholarly journals Theory of Mind Development in Preschoolers with Hearing Impairment

2021 ◽  
Vol 10 (2) ◽  
pp. 124-144
Author(s):  
Ya.K. Smirnova

The article is devoted to the study of the development of a mental model in preschoolers with hearing impairment after cochlear implantation. The analysis of the specifics of the manifestations of the mental model deficiency, which is associated with the peculiarities of using the means of special attention in preschoolers with hearing impairment, is carried out. The ability of a child's focal attention to attention as a critical additional, necessary for the development of a mental model. Sample consisted of 40 preschool children aged 5-7 years (Mage=5,9 years, SDage=0,6 months), 20 with sensorineural hearing loss with cochlear implants (years (Mage=5,6 years, SDage=0,6 months, age by moment of implantation Mage=3,2 years, SDage=0,6) and 20 typically developing preschoolers of 5–7 years old (Mage=5,1 years, SDage=0,5 months). Standardized methods for assessing the mental model were used: test for erroneous opinion (Sally–Anne's task), the task “What does Charlie want?”, the task of understanding intentions based on external signs, the task of understanding the principle “to see means” (A.S. Gerasimova, E.A. Sergienko) To fix the eye movement of preschoolers during the behavior of a child with an adult in play conditions, the eye-tracking method was used. It is recorded that preschoolers with hearing impairments are selectively unable to detect and interpret the intentions of another person, and they also have a lack of means of coordinated attention.

2017 ◽  
Vol 28 (06) ◽  
pp. 491-505 ◽  
Author(s):  
Nehzat Koohi ◽  
Deborah A. Vickers ◽  
Rahul Lakshmanan ◽  
Hoskote Chandrashekar ◽  
David J. Werring ◽  
...  

Background: Stroke survivors may suffer from a range of hearing impairments that may restrict their participation in postacute rehabilitation programs. Hearing impairment may have a significant impact on listening, linguistic skills, and overall communication of the affected stroke patient. However, no studies sought to systematically characterize auditory function of stroke patients in detail, to establish the different types of hearing impairments in this cohort of patients. Such information would be clinically useful in understanding and addressing the hearing needs of stroke survivors. Purpose: The present study aimed to characterize and classify the hearing impairments, using a detailed audiological assessment test battery, in order to determine the level of clinical need and inform appropriate rehabilitation for this patient population. Research Design: A case–control study. Study Sample: Forty-two recruited stroke patients who were discharged from a stroke unit and 40 control participants matched for age. Data Collection and Analysis: All participants underwent pure-tone audiometry and immittance measurements including acoustic reflex threshold, transient-evoked otoacoustic emissions, auditory-evoked brainstem response, and a central auditory processing assessment battery, performed in a single session. Hearing impairments were classified as peripheral hearing loss (cochlear and neural type), central auditory processing disorder (CAPD), and as a combination of CAPD and peripheral hearing loss. Results: Overall mean hearing thresholds were not significantly different between the control and stroke groups. The most common type of hearing impairment in stroke patients was the combination type, “peripheral and CAPD,” in the 61- to 80-yr-old subgroup (in 55%), and auditory processing deficits in 18- to 60-yr-olds (in 40%), which were both significantly higher than in controls. Conclusions: This is the first study to examine hearing function in detail in stroke patients. Given the importance of hearing for the efficiency of communication, it is essential to identify hearing impairments and differentiate peripheral and central deficits to define an appropriate intervention plan.


Author(s):  
Piyush Sone ◽  
Ratan Jadhav ◽  
Medha Karbhari Adhyaru

<p><strong>Background:</strong> Syntax is an important aspect of language. It is very important to study syntax development in the children with hearing impairment (HI). The aim of study was to compare syntactic abilities of Marathi speaking children with hearing impairment using cochlear implant and typical developing children in the age range of 4 to 7 years.<strong></strong></p><p><strong>Methods: </strong>Ninety typically developing children, 26 language age matched children using cochlear implants were included in this study. They were grouped into three age groups: 4-5, 5-6 and 6-7 years. Syntax test in Marathi which has six subtests in comprehension: wh-questions, negations/yes/no questions, post-positions, plurals, tenses, person, number, gender markers and five subtests in expression: negation/yes/no questions, post-positions, plurals, tenses, person, number, gender markers was administered through a laptop to children in each group.</p><p><strong>Results: </strong>Results showed typically developing children performed significantly better than children with hearing impairment using cochlear implant I the age range of 4 to 5 years. Except postposition and PNG markers of comprehensive syntactic abilities all other syntactic abilities were significantly poor in children using cochlear implants. Only expressive syntactic abilities were significantly poor among children using cochlear implants in the age range of 6 to 7 years.</p><p><strong>Conclusions: </strong>Overall, the findings of this study showed that that Syntax test in Marathi can identify impairment in the syntactic ability in Marathi speaking children with hearing impairment. Children with hearing impairment using cochlear implants showed poor syntactic abilities.</p>


2021 ◽  
Vol 20 (3) ◽  
pp. 39-50
Author(s):  
A. A. Korneenkov ◽  
◽  
S. V. Ryazantsev ◽  
S. V. Levin ◽  
A. V. Khramov ◽  
...  

The aim of the study is a spatial and statistical analysis of hearing loss of various types (conductive, sensorineural, mixed) and deafness in the adult population of the Chelyabinsk region, assessment of its dynamics and the impact of environmental stress in the place of residence. The study materials were data from the regional audiological center of the Chelyabinsk regional clinical hospital for the period from 2016–2020. Epidemiological issues of the spread of diseases were studied using the methods of spatial analysis, in the R software environment. The main tasks of spatial analysis were to visualize a point pattern from the geographical coordinates of the patient’s places of residence, assess the properties of the spatial process that generates this point pattern, test the hypothesis about the spatial randomness of this process and the influence of the ecological situation on it. It was found that more than half of all primary visits were patients with bilateral sensorineural hearing loss. The number of patients who applied for the year during the observation period fluctuates within the average. Of all hearing impairments, the highest values of relative incidence are characteristic of sensorineural hearing loss, which has a direct relationship with age. The intensity of detection in patients with hearing impairment and deafness is directly related to the size of the living population. The existing division into zones with different ecological situations does not have a statistically significant (p <0.05) effect on the ratio of the number of patients with hearing impairments to the population.


2020 ◽  
Vol 47 (1) ◽  
pp. 71-96
Author(s):  
Katarzyna Makowiecka

The aim of the following article was to investigate the attitudes towards different aspects of deafness among hearing parents of children with hearing impairment. It was hypothesized that the valence of the attitude correlates with various factors, for instance: parents’ level of education, child’s age and number of other people with hearing loss known by the parents. For the purpose of this research, a 32-item scale, based on the theory of dualistic models of attitudes was created. Positive attitudes were associated with preference for sociocultural perspective on deafness, including respect for child’s preferred communication method, acceptance for sign language, perceiving people with hearing loss as able-bodied. Contrarily, negative perspective was related to the medical perspective on deafness, which includes insisting on curing deafness and treating it as a disability which requires supportive solutions e.g. hearing aids or cochlear implants. Neither of the two models appeared dominant. Further analyses were addressed to explore parents’ knowledge and beliefs about hearing impairment.


2018 ◽  
Vol 24 (2) ◽  
pp. 168-185 ◽  
Author(s):  
Robert Fulford ◽  
Carl Hopkins ◽  
Gary Seiffert ◽  
Jane Ginsborg

Evidence suggests that musicians may be more susceptible to developing a hearing impairment due to increased exposure to loud sounds over the lifespan. Hearing impairments can affect musical performance behaviours, yet research suggests they do not significantly affect ensemble synchrony unless the hearing loss is severe or profound. This study investigated the effect of reduced auditory feedback on ensemble synchrony, looking behaviour and playing level. Four violinists, with self-reported normal hearing, formed two duos in acoustically-isolated rooms separated by a glass window. Each player received feedback from their own and their co-performer’s playing attenuated by 0, 10, 20, 30 and 40 dB. Video recordings of their looking behaviours were coded and signed asynchronies were identified in the audio files. The strongest effects found were bi-directional changes to playing levels as a result of auditory feedback levels, which increased when a player’s own feedback was reduced and reduced when co-performer feedback was attenuated. Violinists’ looking behaviour was found to increase when co-performer feedback was attenuated by 20 dB or more relative to their own, such that they glanced more frequently and looked for longer towards their partners. There were no effects of auditory attenuation on ensemble synchrony, even with 40 dB attenuation. The results indicate that “self-to-other” sound level ratios are more likely to prompt compensatory musical performance behaviours than an individual’s hearing ability.


1986 ◽  
Vol 51 (1) ◽  
pp. 53-62 ◽  
Author(s):  
Julia M. Davis ◽  
Jill Elfenbein ◽  
Robert Schum ◽  
Ruth A. Bentler

An extensive psychoeducational evaluation was administered to 40 hearing-impaired children to investigate the effects of degree of hearing impairment, age, and other factors on intellectual, social, academic, and language behavior. Although children varied greatly in performance, hearing loss of any degree appeared to affect psychoeducational development adversely, leading to the conclusion that even minimal hearing loss places children at risk for language and learning problems.


1979 ◽  
Vol 44 (2) ◽  
pp. 220-229 ◽  
Author(s):  
Arthur J. Dahle ◽  
Faye P. McCollister ◽  
Sergio Stagno ◽  
David W. Reynolds ◽  
Holly E. Hoffman

Audiological assessment of 86 children with congenital cytomegalovirus infection revealed progressive hearing loss in four of 12 subjects with sensorineural hearing impairments. Case descriptions are presented documenting the progression of the hearing loss. In view of the findings, children with congenital cytomegalovirus should be monitored closely to insure detection of possible delayed or progressive hearing impairment and delivery of appropriate habilitative services.


2020 ◽  
Vol 3 (9) ◽  
pp. 242-244
Author(s):  
Muzaffarova Nodira Mardonovna

The degree of speech development is not the same as that of hearing impairment and depends on the following factors: the degree of hearing impairment; the time of onset of the hearing analyzer defect; pedagogical conditions of the child after hearing analyzer dysfunction; specific characteristics of the child. Each of the above factors plays a major role in assessing children’s speech. Hearing and speech development in children are directly related. The more a child’s hearing, the more speech is affected. If the importance of hearing is low, then the deviation of speech is not pronounced. If there is a hearing loss, the child will remain deaf until special education begins. With moderate hearing loss, there are disturbances in the phonetic, lexical, grammatical side of speech. Hearing loss can occur at different times in a child’s life. The presence or absence of a secondary appearance of the defect depends on the time factor. The faster the impairment occurs, the more it affects the formation of speech function. In a child under the age of two, the ability to hear leads to a complete lack of speech if speech is not yet formed. By the age of 3-3.5, hearing loss leads to loss of formed speech. If special preparation is not started immediately, speech will be almost completely broken by the age of 4-5 with full hearing. At the age of 6-7 years, hearing loss leads to a sharp deterioration of the child's speech, and without special pedagogical assistance, speech gradually deteriorates.


PEDIATRICS ◽  
1970 ◽  
Vol 45 (2) ◽  
pp. 225-229
Author(s):  
Thomas E. Borton ◽  
Earl W. Stark

The purpose of this investigation was to describe the audiological findings in hearing loss secondary to maternal rubella. The mothers of all but three of the 80 subjects contracted rubella during the first trimester of pregnancy. Over 75.0% sustained the infection during the second or third month of gestation. The greatest incidence of additional congenital defects was found in those instances in which maternal rubella occurred during the first month of pregnancy. In almost all instances, all other congenital abnormalities had been identified prior to diagnosis of hearing impairment. Therefore, careful attention should be given to the possibility of undiagnosed hearing impairment being present in children whose mothers contracted rubella during the time of pregnancy. Audiograms were available for 55 of the subjects. The majority of these 55 subjects demonstrated hearing impairments classified as moderately severe to profound in degree. Ear differences were found in only 16 (29.0%) of the 55 children. No audiometric configuration emerged as representative of hearing impairment secondary to maternal rubella. Nevertheless, 40% of the audiograms were falling in pattern. The majority of the subjects demonstrated sensorineural impairments. However, about one-fourth exhibited mixed-type losses, according to the audiogram.


2017 ◽  
Vol 28 (04) ◽  
pp. 283-294 ◽  
Author(s):  
Rose Thomas Kalathottukaren ◽  
Suzanne C. Purdy ◽  
Elaine Ballard

Background: Auditory development in children with hearing loss, including the perception of prosody, depends on having adequate input from cochlear implants and/or hearing aids. Lack of adequate auditory stimulation can lead to delayed speech and language development. Nevertheless, prosody perception and production in people with hearing loss have received less attention than other aspects of language. The perception of auditory information conveyed through prosody using variations in the pitch, amplitude, and duration of speech is not usually evaluated clinically. Purpose: This study (1) compared prosody perception and production abilities in children with hearing loss and children with normal hearing; and (2) investigated the effect of age, hearing level, and musicality on prosody perception. Research Design: Participants were 16 children with hearing loss and 16 typically developing controls matched for age and gender. Fifteen of the children with hearing loss were tested while using amplification (n = 9 hearing aids, n = 6 cochlear implants). Six receptive subtests of the Profiling Elements of Prosody in Speech-Communication (PEPS-C), the Child Paralanguage subtest of Diagnostic Analysis of Nonverbal Accuracy 2 (DANVA 2), and Contour and Interval subtests of the Montreal Battery of Evaluation of Amusia (MBEA) were used. Audio recordings of the children’s reading samples were rated using a perceptual prosody rating scale by nine experienced listeners who were blinded to the children’s hearing status. Study Sample: Thirty two children, 16 with hearing loss (mean age = 8.71 yr) and 16 age- and gender-matched typically developing children with normal hearing (mean age = 8.87 yr). Data Collection and Analysis: Assessments were completed in one session lasting 1–2 hours in a quiet room. Test items were presented using a laptop computer through loudspeaker at a comfortable listening level. For children with hearing loss using hearing instruments, all tests were completed with hearing devices set at their everyday listening setting. Results: All PEPS-C subtests and total scores were significantly lower for children with hearing loss compared to controls (p < 0.05). The hearing loss group performed more poorly than the control group in recognizing happy, sad, and fearful emotions in the DANVA 2 subtest. Musicality (composite MBEA scores and musical experience) was significantly correlated with prosody perception scores, but this link was not evident in the regression analyses. Regression modeling showed that age and hearing level (better ear pure-tone average) accounted for 55.4% and 56.7% of the variance in PEPS-C and DANVA 2 total scores, respectively. There was greater variability for the ratings of pitch, pitch variation, and overall impression of prosody in the hearing loss group compared to control group. Prosody perception (PEPS-C and DANVA 2 total scores) and ratings of prosody production were not correlated. Conclusions: Children with hearing loss aged 7–12 yr had significant difficulties in understanding different aspects of prosody and were rated as having more atypical prosody overall than controls. These findings suggest that clinical assessment and speech–language therapy services for children with hearing loss should be expanded to target prosodic difficulties. Future studies should investigate whether musical training is beneficial for improving receptive prosody skills.


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