Castellanos, IrinaKronenberger, William G.Pisoni, David B.2019-08-212019-08-212018-05Castellanos, I., Kronenberger, W. G., & Pisoni, D. B. (2018). Psychosocial Outcomes in Long-Term Cochlear Implant Users. Ear and hearing, 39(3), 527–539. doi:10.1097/AUD.0000000000000504https://hdl.handle.net/1805/20464OBJECTIVES: The objectives of this study were to investigate psychosocial outcomes in a sample of prelingually deaf, early-implanted children, adolescents, and young adults who are long-term cochlear implant (CI) users and to examine the extent to which language and executive functioning predict psychosocial outcomes. DESIGN: Psychosocial outcomes were measured using two well-validated, parent-completed checklists: the Behavior Assessment System for Children and the Conduct Hyperactive Attention Problem Oppositional Symptom. Neurocognitive skills were measured using gold standard, performance-based assessments of language and executive functioning. RESULTS: CI users were at greater risk for clinically significant deficits in areas related to attention, oppositional behavior, hyperactivity-impulsivity, and social-adaptive skills compared with their normal-hearing peers, although the majority of CI users scored within average ranges relative to Behavior Assessment System for Children norms. Regression analyses revealed that language, visual-spatial working memory, and inhibition-concentration skills predicted psychosocial outcomes. CONCLUSIONS: Findings suggest that underlying delays and deficits in language and executive functioning may place some CI users at a risk for difficulties in psychosocial adjustment.en-USPublisher PolicyAdolescent behaviorAge of onsetChild, PreschoolCochlear implants -- psychologyDeafness -- rehabilitationArticle