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Emotional and behavioural difficulties in children and adolescents with hearing impairment: a systematic review and meta-analysis

Emotional and behavioural difficulties in children and adolescents with hearing impairment: a systematic review and meta-analysis
Emotional and behavioural difficulties in children and adolescents with hearing impairment: a systematic review and meta-analysis
The aim of this study is to estimate the extent to which children and adolescents with hearing impairment (HI) show higher rates of emotional and behavioural difficulties compared to normally hearing children. Studies of emotional and behavioural difficulties in children and adolescents were traced from computerized systematic searches supplemented, where appropriate, by studies referenced in previous narrative reviews. Effect sizes (Hedges’ g) were calculated for all studies. Meta-analyses were conducted on the weighted effect sizes obtained for studies adopting the Strength and Difficulties Questionnaire (SDQ) and on the unweighted effect sizes for non-SDQ studies. 33 non-SDQ studies were identified in which emotional and behavioural difficulties in children with HI could be compared to normally hearing children. The unweighted average g for these studies was 0.36. The meta-analysis of the 12 SDQ studies gave estimated effect sizes of 0.23 (95 % CI 0.07, 0.40), 0.34 (95 % CI 0.19, 0.49) and −0.01 (95 % CI −0.32, 0.13) for Parent, Teacher and Self-ratings of Total Difficulties, respectively. The SDQ sub-scale showing consistent differences across raters between groups with HI and those with normal hearing was Peer Problems. Children and adolescents with HI have scores on emotional and behavioural difficulties measures about a quarter to a third of a standard deviation higher than hearing children. Children and adolescents with HI are in need of support to help their social relationships particularly with their peers.
hearing impairment, emotional difficulties, behavioural difficulties
1018-8827
477-496
Stevenson, Jim
0c85d29b-d294-43cb-ab8d-75e4737478e1
Kreppner, Jana
6a5f447e-1cfe-4654-95b4-e6f89b0275d6
Pimperton, Hannah
705a9281-403e-4b1a-8de3-d46bf8f0a30a
Worsfold, Sarah
9e3f6aa2-8c17-4965-adf4-b3bc1d04ab54
Kennedy, Colin
7c3aff62-0a86-4b44-b7d7-4bc01f23ec93
Stevenson, Jim
0c85d29b-d294-43cb-ab8d-75e4737478e1
Kreppner, Jana
6a5f447e-1cfe-4654-95b4-e6f89b0275d6
Pimperton, Hannah
705a9281-403e-4b1a-8de3-d46bf8f0a30a
Worsfold, Sarah
9e3f6aa2-8c17-4965-adf4-b3bc1d04ab54
Kennedy, Colin
7c3aff62-0a86-4b44-b7d7-4bc01f23ec93

Stevenson, Jim, Kreppner, Jana, Pimperton, Hannah, Worsfold, Sarah and Kennedy, Colin (2015) Emotional and behavioural difficulties in children and adolescents with hearing impairment: a systematic review and meta-analysis. European Child & Adolescent psychiatry, 24 (5), 477-496. (doi:10.1007/s00787-015-0697-1). (PMID:25758233)

Record type: Article

Abstract

The aim of this study is to estimate the extent to which children and adolescents with hearing impairment (HI) show higher rates of emotional and behavioural difficulties compared to normally hearing children. Studies of emotional and behavioural difficulties in children and adolescents were traced from computerized systematic searches supplemented, where appropriate, by studies referenced in previous narrative reviews. Effect sizes (Hedges’ g) were calculated for all studies. Meta-analyses were conducted on the weighted effect sizes obtained for studies adopting the Strength and Difficulties Questionnaire (SDQ) and on the unweighted effect sizes for non-SDQ studies. 33 non-SDQ studies were identified in which emotional and behavioural difficulties in children with HI could be compared to normally hearing children. The unweighted average g for these studies was 0.36. The meta-analysis of the 12 SDQ studies gave estimated effect sizes of 0.23 (95 % CI 0.07, 0.40), 0.34 (95 % CI 0.19, 0.49) and −0.01 (95 % CI −0.32, 0.13) for Parent, Teacher and Self-ratings of Total Difficulties, respectively. The SDQ sub-scale showing consistent differences across raters between groups with HI and those with normal hearing was Peer Problems. Children and adolescents with HI have scores on emotional and behavioural difficulties measures about a quarter to a third of a standard deviation higher than hearing children. Children and adolescents with HI are in need of support to help their social relationships particularly with their peers.

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More information

Accepted/In Press date: 16 February 2015
e-pub ahead of print date: 11 March 2015
Published date: May 2015
Keywords: hearing impairment, emotional difficulties, behavioural difficulties
Organisations: Psychology

Identifiers

Local EPrints ID: 375574
URI: https://eprints.soton.ac.uk/id/eprint/375574
ISSN: 1018-8827
PURE UUID: 16a65e2b-a60c-455a-8aec-4f62efd40ed8
ORCID for Jana Kreppner: ORCID iD orcid.org/0000-0003-3527-9083

Catalogue record

Date deposited: 31 Mar 2015 11:56
Last modified: 06 Jun 2018 12:37

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