Comparison of Social Skills in Hard-of-Hearing Children with Hearing Aids and Cochlear Implants in Shiraz, Iran

Document Type : Original Articles

Authors

1 Assistant Professor, Department of Psychology and Counseling, Payame Noor University, Tehran, Iran

2 Department of Psychology and Education of Exceptional Children, School of Education and Psychology, Shiraz University, Shiraz, Iran

10.22122/jrrs.v12i6.2757

Abstract

Introduction: Using advanced hearing amplification devices such as hearing aids and cochlear implants (CI) may have multiple effects on different aspects of life of individuals with hearing loss. The purpose of this study was to compare social skills in 6-9-year-old children with CI with those with hearing aids.Materials and Methods: In this cross-sectional study, the Matson Evaluation of Social Skills with Youngsters (MESSY) and Test of Language Development (TOLD-3) were used to evaluate social behaviors and language development in 118 children with hearing impairment (58 with CI and 60 with hearing aids) in Shiraz, Iran. The collected data were analyzed using MANCOVA.Results: By controlling the language development level, the results showed a significant difference between the two groups in terms of social skills (P < 0.001). Children with CI showed more appropriate social skills (P < 0.001) and lower aggression (P < 0.001), but more difficulties in peer relationships than those with hearing aids (P < 0.001).Conclusion: Children with CI experience more problems in peer relationships, and educational and treatment interventions are necessary in this regard.

Keywords

  1. De Giacomo A, Craig F, D'Elia A, Giagnotti F, Matera E, Quaranta N. Children with cochlear implants: cognitive skills, adaptive behaviors, social and emotional skills. Int J Pediatr Otorhinolaryngol 2013; 77(12): 1975-9.
  2. Ketelaar L, Rieffe C, Wiefferink CH, Frijns JH. Social competence and empathy in young children with cochlear implants and with normal hearing. Laryngoscope 2013; 123(2): 518-23.
  3. Hoffman MF, Cejas I, Quittner AL. Comparisons of longitudinal trajectories of social competence: Parent ratings of children with cochlear implants versus hearing peers. Otol Neurotol 2016; 37(2): 152-9.
  4. Weisel A, Most T, Efron C. Initiations of social interactions by young hearing impaired preschoolers. J Deaf Stud Deaf Educ 2005; 10(2): 161-70.
  5. van Gent T, Goedhart AW, Knoors HE, Westenberg PM, Treffers PD. Self-concept and ego development in deaf adolescents: a comparative study. J Deaf Stud Deaf Educ 2012; 17(3): 333-51.
  6. Most T. Speech intelligibility, loneliness, and sense of coherence among deaf and hard-of-hearing children in individual inclusion and group inclusion. J Deaf Stud Deaf Educ 2007; 12(4): 495-503.
  7. Chen Y, Wong LL, Zhu S, Xi X. Vocabulary development in Mandarin-speaking children with cochlear implants and its relationship with speech perception abilities. Res Dev Disabil 2017; 60: 243-55.
  8. Svirsky MA, Teoh SW, Neuburger H. Development of language and speech perception in congenitally, profoundly deaf children as a function of age at cochlear implantation. Audiol Neurootol 2004; 9(4): 224-33.
  9. Huttunen K, Valimaa T. Parents' views on changes in their child's communication and linguistic and socioemotional development after cochlear implantation. J Deaf Stud Deaf Educ 2010; 15(4): 383-404.
  10. Huttunen K, Rimmanen S, Vikman S, Virokannas N, Sorri M, Archbold S, et al. Parents' views on the quality of life of their children 2-3 years after cochlear implantation. Int J Pediatr Otorhinolaryngol 2009; 73(12): 1786-94.
  11. Martin D, Bat-Chava Y, Lalwani A, Waltzman SB. Peer relationships of deaf children with cochlear implants: predictors of peer entry and peer interaction success. J Deaf Stud Deaf Educ 2011; 16(1): 108-20.
  12. Bat-Chava Y, Martin D, Imperatore L. Long-term improvements in oral communication skills and quality of peer relations in children with cochlear implants: parental testimony. Child Care Health Dev 2014; 40(6): 870-81.
  13. Netten AP, Rieffe C, Theunissen SC, Soede W, Dirks E, Briaire JJ, et al. Low empathy in deaf and hard of hearing (pre)adolescents compared to normal hearing controls. PLoS One 2015; 10(4): e0124102.
  14. Nicholas JG, Geers AE. Personal, social, and family adjustment in school-aged children with a cochlear implant. Ear Hear 2003; 24(1 Suppl): 69S-81S.
  15. National Institutes of Health. Cochlear Implants (NIH Publication No. 00-4798) [Online]. [cited 2011 Mar 1]; Available from: URL: https://www.nidcd.nih.gov/health/cochlear-implants
  16. Matson JL, Rotatori AF, Helsel WJ. Development of a rating scale to measure social skills in children: The Matson Evaluation of Social Skills with Youngsters (MESSY). Behav Res Ther 1983; 21(4): 335-40.
  17. Yoosofi F, Khayer M. Study of reliability and validity of Matson Social Scale and comparing male and female high school students in this scale. Journal of Social Sciences and Humanities of University of Shiraz 2002; 18(2):147-58. [In Persian].
  18. Newcomer PL, Hammill DD. TOLD-P: 3: Test of Language Development-Primary. Austin, TX: Pro-Ed; 1997.
  19. Hasanzadeh S, Minaei A. Adaptation and standardization of language development test TOLD-P: 3 for Persian language children. Journal of Exceptional Children 2001; 1(1): 35-51: [In Persian].
  20. Soleymani Z, Mahmoodabadi N, Nouri MM. Language skills and phonological awareness in children with cochlear implants and normal hearing. Int J Pediatr Otorhinolaryngol 2016; 83: 16-21.
  21. Newman BM, Newman PR. Development through life: A psychosocial approach. Cengage Learning; 2017.
  22. Farinetti A, Roman S, Mancini J, Baumstarck-Barrau K, Meller R, Lavieille JP, et al. Quality of life in bimodal hearing users (unilateral cochlear implants and contralateral hearing aids). Eur Arch Otorhinolaryngol 2015; 272(11): 3209-15.