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Open Access 01-05-2015 | Review

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

Authors: Jim Stevenson, Jana Kreppner, Hannah Pimperton, Sarah Worsfold, Colin Kennedy

Published in: European Child & Adolescent Psychiatry | Issue 5/2015

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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Title: Emotional and behavioural difficulties in children and adolescents with hearing impairment: a systematic review and meta-analysis
Authors: Jim Stevenson
Jana Kreppner
Hannah Pimperton
Sarah Worsfold
Colin Kennedy
Publication date: 01-05-2015
Publisher: Springer Berlin Heidelberg
Published in: European Child & Adolescent Psychiatry / Issue 5/2015
Print ISSN: 1018-8827
Electronic ISSN: 1435-165X
DOI: https://doi.org/10.1007/s00787-015-0697-1

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

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