Receptive speech in early implanted children later diagnosed with autism
Apstrakt
Introduction: Incidence of children with autism spectrum disorder (ASD) is rising through the years with estimated 1 in 68 in the US in 2014. This incidence is also rising in the population of congenitally deaf children. Favorable outcome after early cochlear implantation is expected due to plasticity and reorganization capacity of brain in infants and toddlers, but outcomes could be significantly modified in children with diagnosed ASD. Current methods of screening for autism have difficulties in establishing diagnosis in children who have both autism and other developmental delays, especially at such an early age. The aim of the study was to assess the development of auditory perception and speech intelligibility in implanted children with profound congenital hearing loss who were diagnosed with ASD comparing to those who were typically developing. Material and methods: Fourteen children underwent cochlear implantation; four were later diagnosed with ASD and ten were typically develo...ping. All children underwent intensive postoperative speech and hearing therapy. The development of auditory perception and speech intelligibility was assessed using the Categories of Auditory Performance (CAP) and the Speech Intelligibility Rating (SIR) during the 5-years follow-up. Results: In children later diagnosed with ASD, auditory processing developed slowly. Depending on the individual capabilities, by the age of six they could identify environmental sounds or discriminate speech sounds. Speech Intelligibility in children with ASD was at best rated as category 2, with very little or no progress up to the age of six, despite extensive speech and language therapy. Communication skills were strongly affected by a degree of autistic features expression. Conclusion: Preoperative psychological assessment in congenitally deaf infants should be expanded by the use of validated instruments for early detection of autism. The possibility of developing ASD should be kept in mind by all professionals involved in programs for cochlear implantation.
Ključne reči:
Autism spectrum disorder / Cochlear implantation / SpeechIzvor:
European Annals of Otorhinolaryngology-Head and Neck Diseases, 2016, 133, S36-S39Izdavač:
- Elsevier Masson, Milano
DOI: 10.1016/j.anorl.2016.01.012
ISSN: 1879-7296
PubMed: 27246741
WoS: 000388628700009
Scopus: 2-s2.0-84970016306
Institucija/grupa
rFASPERTY - JOUR AU - Mikić, Branka AU - Jotić, Ana AU - Mirić, D. AU - Nikolić, Mina AU - Janković, N. AU - Arsović, Nenad PY - 2016 UR - http://rfasper.fasper.bg.ac.rs/handle/123456789/987 AB - Introduction: Incidence of children with autism spectrum disorder (ASD) is rising through the years with estimated 1 in 68 in the US in 2014. This incidence is also rising in the population of congenitally deaf children. Favorable outcome after early cochlear implantation is expected due to plasticity and reorganization capacity of brain in infants and toddlers, but outcomes could be significantly modified in children with diagnosed ASD. Current methods of screening for autism have difficulties in establishing diagnosis in children who have both autism and other developmental delays, especially at such an early age. The aim of the study was to assess the development of auditory perception and speech intelligibility in implanted children with profound congenital hearing loss who were diagnosed with ASD comparing to those who were typically developing. Material and methods: Fourteen children underwent cochlear implantation; four were later diagnosed with ASD and ten were typically developing. All children underwent intensive postoperative speech and hearing therapy. The development of auditory perception and speech intelligibility was assessed using the Categories of Auditory Performance (CAP) and the Speech Intelligibility Rating (SIR) during the 5-years follow-up. Results: In children later diagnosed with ASD, auditory processing developed slowly. Depending on the individual capabilities, by the age of six they could identify environmental sounds or discriminate speech sounds. Speech Intelligibility in children with ASD was at best rated as category 2, with very little or no progress up to the age of six, despite extensive speech and language therapy. Communication skills were strongly affected by a degree of autistic features expression. Conclusion: Preoperative psychological assessment in congenitally deaf infants should be expanded by the use of validated instruments for early detection of autism. The possibility of developing ASD should be kept in mind by all professionals involved in programs for cochlear implantation. PB - Elsevier Masson, Milano T2 - European Annals of Otorhinolaryngology-Head and Neck Diseases T1 - Receptive speech in early implanted children later diagnosed with autism EP - S39 SP - S36 VL - 133 DO - 10.1016/j.anorl.2016.01.012 ER -
@article{ author = "Mikić, Branka and Jotić, Ana and Mirić, D. and Nikolić, Mina and Janković, N. and Arsović, Nenad", year = "2016", abstract = "Introduction: Incidence of children with autism spectrum disorder (ASD) is rising through the years with estimated 1 in 68 in the US in 2014. This incidence is also rising in the population of congenitally deaf children. Favorable outcome after early cochlear implantation is expected due to plasticity and reorganization capacity of brain in infants and toddlers, but outcomes could be significantly modified in children with diagnosed ASD. Current methods of screening for autism have difficulties in establishing diagnosis in children who have both autism and other developmental delays, especially at such an early age. The aim of the study was to assess the development of auditory perception and speech intelligibility in implanted children with profound congenital hearing loss who were diagnosed with ASD comparing to those who were typically developing. Material and methods: Fourteen children underwent cochlear implantation; four were later diagnosed with ASD and ten were typically developing. All children underwent intensive postoperative speech and hearing therapy. The development of auditory perception and speech intelligibility was assessed using the Categories of Auditory Performance (CAP) and the Speech Intelligibility Rating (SIR) during the 5-years follow-up. Results: In children later diagnosed with ASD, auditory processing developed slowly. Depending on the individual capabilities, by the age of six they could identify environmental sounds or discriminate speech sounds. Speech Intelligibility in children with ASD was at best rated as category 2, with very little or no progress up to the age of six, despite extensive speech and language therapy. Communication skills were strongly affected by a degree of autistic features expression. Conclusion: Preoperative psychological assessment in congenitally deaf infants should be expanded by the use of validated instruments for early detection of autism. The possibility of developing ASD should be kept in mind by all professionals involved in programs for cochlear implantation.", publisher = "Elsevier Masson, Milano", journal = "European Annals of Otorhinolaryngology-Head and Neck Diseases", title = "Receptive speech in early implanted children later diagnosed with autism", pages = "S39-S36", volume = "133", doi = "10.1016/j.anorl.2016.01.012" }
Mikić, B., Jotić, A., Mirić, D., Nikolić, M., Janković, N.,& Arsović, N.. (2016). Receptive speech in early implanted children later diagnosed with autism. in European Annals of Otorhinolaryngology-Head and Neck Diseases Elsevier Masson, Milano., 133, S36-S39. https://doi.org/10.1016/j.anorl.2016.01.012
Mikić B, Jotić A, Mirić D, Nikolić M, Janković N, Arsović N. Receptive speech in early implanted children later diagnosed with autism. in European Annals of Otorhinolaryngology-Head and Neck Diseases. 2016;133:S36-S39. doi:10.1016/j.anorl.2016.01.012 .
Mikić, Branka, Jotić, Ana, Mirić, D., Nikolić, Mina, Janković, N., Arsović, Nenad, "Receptive speech in early implanted children later diagnosed with autism" in European Annals of Otorhinolaryngology-Head and Neck Diseases, 133 (2016):S36-S39, https://doi.org/10.1016/j.anorl.2016.01.012 . .