Differential At-Risk Pediatric Outcomes of Parental Sensitivity Based on Hearing Status

dc.contributor.authorJamsek, Izabela A.
dc.contributor.authorHolt, Rachael Frush
dc.contributor.authorKronenberger, William G.
dc.contributor.authorPisoni, David B.
dc.contributor.departmentPsychiatry, School of Medicineen_US
dc.date.accessioned2023-05-30T19:05:37Z
dc.date.available2023-05-30T19:05:37Z
dc.date.issued2021
dc.description.abstractPurpose: The aim of this study was to investigate the role of parental sensitivity in language and neurocognitive outcomes in children who are deaf and/or hard of hearing (DHH). Method: Sixty-two parent–child dyads of children with normal hearing (NH) and 64 of children who are DHH (3–8 years) completed parent and child measures of inhibitory control/executive functioning and child measures of sentence comprehension and vocabulary. The dyads also participated in a video-recorded, free-play interaction that was coded for parental sensitivity. Results: There was no evidence of associations between parental sensitivity and inhibitory control or receptive language in children with NH. In contrast, parental sensitivity was related to children's inhibitory control and all language measures in children who are DHH. Moreover, inhibitory control significantly mediated the association between parental sensitivity and child language on the Clinical Evaluation of Language Fundamentals–Fifth Edition Following Directions subscale (6–8 years)/Clinical Evaluation of Language Fundamentals Preschool–Second Edition Concepts and Following Directions subscale (3–5 years). Follow-up analyses comparing subgroups of children who used hearing aids (n = 29) or cochlear implants (CIs; n = 35) revealed similar correlational trends, with the exception that parental sensitivity showed little relation to inhibitory control in the group of CI users. Conclusions: Parental sensitivity is associated with at-risk language outcomes and disturbances in inhibitory control in young children who are DHH. Compared to children with NH, children who are DHH may be more sensitive to parental behaviors and their effects on emerging inhibitory control and spoken language. Specifically, inhibitory control, when scaffolded by positive parental behaviors, may be critically important for robust language development in children who are DHH.en_US
dc.eprint.versionFinal published versionen_US
dc.identifier.citationJamsek IA, Holt RF, Kronenberger WG, Pisoni DB. Differential At-Risk Pediatric Outcomes of Parental Sensitivity Based on Hearing Status. J Speech Lang Hear Res. 2021;64(9):3668-3684. doi:10.1044/2021_JSLHR-20-00491en_US
dc.identifier.urihttps://hdl.handle.net/1805/33358
dc.language.isoen_USen_US
dc.publisherAmerican Speech-Language-Hearing Associationen_US
dc.relation.isversionof10.1044/2021_JSLHR-20-00491en_US
dc.relation.journalJournal of Speech, Language, and Hearing Researchen_US
dc.rightsPublisher Policyen_US
dc.sourcePMCen_US
dc.subjectCochlear implantationen_US
dc.subjectDeafnessen_US
dc.subjectHearingen_US
dc.subjectLanguage developmenten_US
dc.titleDifferential At-Risk Pediatric Outcomes of Parental Sensitivity Based on Hearing Statusen_US
dc.typeArticleen_US
ul.alternative.fulltexthttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8642085/en_US
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