听力损失儿童的学习障碍:系统综述。

IF 1.8 4区 医学 Q2 OTORHINOLARYNGOLOGY American Journal of Otolaryngology Pub Date : 2024-07-24 DOI:10.1016/j.amjoto.2024.104439
Daniel Savegnago , Leonardo Franz , Marco Gubernale , Chiara Gallo , Cosimo de Filippis , Gino Marioni , Elisabetta Genovese
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引用次数: 0

摘要

目的:本系统综述的主要目的是研究儿童听力损失[和/或中耳炎伴渗出(OME)病史]与学习困难之间可能存在的联系。次要目的是(i) 研究有学习困难的聋人和重听儿童(DHH)是否会表现出与其他神经发育障碍儿童不同的临床和神经心理学特征;(ii) 确定聋人和重听儿童学习困难的可能预测因素:对 Pubmed、Cochrane 和 Scopus 数据库中的科学文献进行了综述。纳入标准如下(i) 2000 年后发表的研究;(ii) 考虑到受试者年龄的研究:共确定了 924 项研究。根据上述标准,对其中四项进行了审查。分析结果表明(i) 与 6 个月后接受诊断和康复计划的听力损失儿童相比,6 个月前接受诊断和康复计划的听力损失儿童的入学准备水平以及语言和识字技能水平更高;(ii) 在语言习得期间,OME 发作频率较高和存在传导性听力损失与阅读技能得分较低有关;(iii) 听力损失受试者的阅读困难与语言困难受试者的阅读困难具有相似的特征:结论:有关这一主题的信息非常缺乏。因此,有必要对不同年龄段的听力损失儿童进行进一步的调查,以便利用现有的诊断工具揭示他们在阅读和写作能力方面的学习困难。
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Learning disabilities in children with hearing loss: A systematic review

Purpose

The main aim of this systematic review was to investigate the possible association between hearing loss [and/or history of otitis media with effusion (OME)] and learning difficulties in children. Secondary aims were to: (i) investigate if deaf and hard of hearing (DHH) children with learning difficulties might show different clinical and neuropsychological features compared with those with other neurodevelopmental disorders; (ii) identify possible predictors of learning difficulty in DHH children.

Methods

A review was conducted of the scientific literature reported by Pubmed, Cochrane and Scopus databases. The following inclusion criteria were used: (i) studies published after 2000; (ii) studies conducted considering subjects with age < 18 years; (iii) studies considering patients who showed both learning difficulties and hearing loss and/or episodes of OME; (iv) articles written in English. The exclusion criteria were: (i) presence in the studied cohort of any other proven comorbidities, other than hearing loss and/or OME; (ii) non-original studies.

Results

A total of 924 studies were identified. Four were reviewed after applying the above criteria. From their analysis it emerged that: (i) children with hearing loss who had undergone a diagnostic and rehabilitation program before 6 months of age had better levels of K readiness and language and literacy skills compared to those who had undergone it after 6 months; (ii) higher frequency of episodes of OME and the presence of a conductive hearing loss during the period of language acquisition was associated to lower scores in reading skills; (iii) reading difficulties found in subjects with hearing loss had similar characteristics to those with language difficulties.

Conclusions

There is a dearth of information about this topic. Further investigations are therefore necessary on children of various ages with hearing loss to disclose learning difficulties in reading and writing abilities using current diagnostic tools.

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来源期刊
American Journal of Otolaryngology
American Journal of Otolaryngology 医学-耳鼻喉科学
CiteScore
4.40
自引率
4.00%
发文量
378
审稿时长
41 days
期刊介绍: Be fully informed about developments in otology, neurotology, audiology, rhinology, allergy, laryngology, speech science, bronchoesophagology, facial plastic surgery, and head and neck surgery. Featured sections include original contributions, grand rounds, current reviews, case reports and socioeconomics.
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