METHODS: A case-control study included 53 children was done. They were divided into 2 groups, the control group included 28 healthy volunteers with normal hearing and the case group included 25 children with severe to profound hearing loss, fitted for cochlear implantation. The Arabic Child Behavior Checklist (CBCL) was used to detect different behavioral problems in both groups. Case group children were followed up and reassessed again by CBCL 3 months later after cochlear implantation.
RESULTS: There were highly significant differences regarding total scores of internalizing and externalizing domains of empirically based CBCL between the control group and the case group after cochlear implants (p=0.001). There were non-significant differences in children within case group (pre- and post-cochlear implantation) regarding emotional and behavioral problems on both empirically based and Diagnostic and Statistical Manual of Mental Disorders-based CBCL.
CONCLUSIONS: For better results, it is necessary to include a specialist of psychosomatic medicine in the cochlear rehabilitation teamwork.
方法:一项病例对照研究包括53名儿童。他们分为两组,对照组包括28名听力正常的健康志愿者,病例组包括25名重度至重度听力损失的儿童,适合人工耳蜗植入。阿拉伯儿童行为清单(CBCL)用于检测两组中的不同行为问题。病例组患儿在人工耳蜗植入3个月后再次进行CBCL随访和评估。
结果:在人工耳蜗植入后,对照组和病例组的基于经验的CBCL的内在化和外在化域总分存在非常显著的差异(p=0.001)。在基于经验和基于心理疾病诊断和统计手册的CBCL中,病例组(人工耳蜗植入前后)中的儿童在情绪和行为问题上均无显着差异。
结论:为了获得更好的结果,有必要在耳蜗康复团队中包括一名心身医学专家。