PMID- 20187874
OWN - NLM
STAT- MEDLINE
DCOM- 20110119
LR  - 20101223
IS  - 1469-8749 (Electronic)
IS  - 0012-1622 (Linking)
VI  - 52
IP  - 10
DP  - 2010 Oct
TI  - Narrative skills following early confirmation of permanent childhood hearing 
      impairment.
PG  - 922-8
LID - 10.1111/j.1469-8749.2010.03641.x [doi]
AB  - AIM: the aim of this study was to compare spoken language production in children 
      with permanent childhood hearing impairment (PCHI) whose PCHI was confirmed 
      either early or late. METHOD: audio-taped spoken narrative was assessed for 
      syntax, phonology, morphology, and narrative in transcripts from a 
      population-based sample of 89 children (49 males, 40 females; age mean age 7y 
      7mo, SD1y 1mo, range 6y 6mo-10y 9mo) with bilateral PCHI (>/= 40dB hearing loss) 
      and a comparison group of 63 children (37 males, 26 females; mean age 8y 1mo; SD 
      1y) with normal hearing. Of the 89 children with PCHI, 41 (21 males, 20 females) 
      had their hearing impairment confirmed by the age of 9 months. All children with 
      PCHI were tested with hearing aids in place, including 16 with cochlear implants. 
      The group of children whose PCHI had been confirmed by age 9 months was compared 
      with the group with later confirmation of PCHI using regression models on the 
      outcome measures. RESULTS: compared with those with late-confirmed PCHI, children 
      with early-confirmed PCHI used significantly more sentences (mean difference 2.7; 
      95% confidence interval [CI] 0.49-5.24; p=0.019) and categories of high-pitched 
      morphological markers (mean difference 6.64; 95% CI 1.96-11.31; p=0.006). The 
      number of categories of low-pitched morphological markers, phonological 
      simplifications, and sentences with multiple clauses did not differ between 
      groups. The odds ratios (95% CI) of superior narrative structure and narrative 
      content in children whose PCHI was confirmed early were 3.03 (1.09-8.46; p=0.034) 
      and 4.43 (1.52-12.89; p=0.006) respectively. INTERPRETATION: early confirmation 
      compared with late confirmation of PCHI was associated with benefit to narrative 
      skills and to certain expressive aspects of syntax and morphology, but not 
      expressive phonology.
FAU - Worsfold, Sarah
AU  - Worsfold S
AD  - Clinical Neurosciences, School of Medicine, University of Southampton, 
      Southampton, UK. smw3@soton.ac.uk
FAU - Mahon, Merle
AU  - Mahon M
FAU - Yuen, Ho Ming
AU  - Yuen HM
FAU - Kennedy, Colin
AU  - Kennedy C
LA  - eng
GR  - 061839/Wellcome Trust/United Kingdom
PT  - Comparative Study
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20100224
PL  - England
TA  - Dev Med Child Neurol
JT  - Developmental medicine and child neurology
JID - 0006761
SB  - IM
EIN - Dev Med Child Neurol. 2010 Sep;52(9):879
CIN - Dev Med Child Neurol. 2010 Oct;52(10):886-7. PMID: 20345952
MH  - Age Factors
MH  - Child
MH  - England
MH  - Female
MH  - *Hearing Loss/diagnosis/psychology
MH  - Humans
MH  - Infant, Newborn
MH  - Language
MH  - Linguistics
MH  - Male
MH  - *Narration
MH  - Neonatal Screening
MH  - Severity of Illness Index
MH  - Sign Language
MH  - *Speech
EDAT- 2010/03/02 06:00
MHDA- 2011/01/20 06:00
CRDT- 2010/03/02 06:00
PHST- 2010/03/02 06:00 [entrez]
PHST- 2010/03/02 06:00 [pubmed]
PHST- 2011/01/20 06:00 [medline]
AID - DMCN3641 [pii]
AID - 10.1111/j.1469-8749.2010.03641.x [doi]
PST - ppublish
SO  - Dev Med Child Neurol. 2010 Oct;52(10):922-8. doi: 
      10.1111/j.1469-8749.2010.03641.x. Epub 2010 Feb 24.