Introduction
Method
Studies not using SDQ
Non-SDQ study inclusion
Non-SDQ study retrieval
Non-SDQ study selection
Study | Reason for exclusion |
---|---|
Aplin [12] | Data not able to be compared with hearing controls |
Aplin [13] | Data not able to be compared with hearing controls |
Barker et al. [14] | Data not able to be compared with hearing controls |
Bat-Chava and Deignan [15] | Data not able to be compared with hearing controls |
Bat-Chava, Martin and Kosciw [16] | Data not able to be compared with hearing controls |
Bizjak [17] | Behaviour measured with instrument of uncertain equivalence to those used in other studies |
Freeman, Malkin, and Hastings [18] | Data not able to be compared with hearing controls |
Gallaudet research institute [19] | Data not able to be compared with hearing controls |
Hindley et al. [6] | Data not able to be compared with hearing controls |
Keilman, Limberger, and Mann [20] | Data not able to be compared with hearing controls |
Kent [21] | Behaviour measured with instrument of uncertain equivalence to those used in other studies |
King, Mulhall, and Gullone [22] | Behaviour measured with instrument of uncertain equivalence to those used in other studies |
Kouwenberg et al. [23] | Behaviour measured with instrument of uncertain equivalence to those used in other studies |
Maes and Grietens [24] | Data not able to be compared with hearing controls |
Polat [25] | Data not able to be compared with hearing controls |
Country | Nature of HI dB loss % Cochlear implant (CI) | Age in years | Measure | % With mental health problems or Mean and SD on mental health measure | Hedges’g
| ||
---|---|---|---|---|---|---|---|
Hearing impaired group | Control or norm group | ||||||
Anderssen et al. [26] | Sweden | 70 % severe or mild hearing loss in both ears 30 % severe or mild hearing loss in one ear | 7–12 | Rutter Parent Scalee
| |||
Internalizing | Mean = 1.95 | Mean = 1.84 | 0.16 | ||||
SD = 0.88 | SD = 0.59 | ||||||
N = 57 |
N = 187 | ||||||
Externalizing | Mean = 1.73 | Mean = 1.59 | 0.24 | ||||
SD = 0.75 | SD = 0.52 | ||||||
N = 57 |
N = 187 | ||||||
Rutter Teacher Scaleb
| |||||||
Internalizing | Mean = 2.04 | Mean = 1.81 | 0.28 | ||||
SD = 0.89 | SD = 0.80 | ||||||
N = 48 |
N = 208 | ||||||
Externalizing | Mean = 1.41 | Mean = 1.40 | 0.01 | ||||
SD = 0.63 | SD = 0.70 | ||||||
N = 48 |
N = 208 | ||||||
Arnold and Atkins [27] | England | Mean 66.7 dB loss | 4–11 | Bristol Social Adjustment Guidea
| 44 % (n = 10/23) | 30 % (n = 7/23) | 0.30 |
Rutter Teacher Scaleb
| 0 % | 0 % | – | ||||
Brubaker and Szakowski [28] | USA | 8 % 30–44 dB 13 % 45–59 dB 18 % 60–79 dB 61 % 80 + dB | 3–18 | Eyberg Child Behavior Inventory | |||
Intensity scale | Mean = 104.15 | Mean = 91.43 | 0.52 | ||||
SD = 25.86 | SD = 22.86 | ||||||
N = 39 |
N = 37 | ||||||
Problem scale | Mean = 8.05 | Mean = 6.39 | 0.27 | ||||
SD = 6.54 | SD = 5.90 | ||||||
N = 39 |
N = 37 | ||||||
Cornes et al. [29] | Australia | 15 % severe 85 % profound | 11–18 | Youth Self Reportn
| |||
Internalizing | 17.9 % (n = 5/28) | 19.6 % (n = 250/1273) | −0.06 | ||||
Externalizing | 25.0 % (n = 7/21) | 16.4 % (n = 209/1273) | 0.29 | ||||
Davis et al. [30] | USA | 40 % < 44 dB 37.5 % 45–60 dB 22.5 % > 61 dB | 5–18 | Child Behavior Checklistc
| |||
Internalizing | Mean = 53.0 | Mean = 50.0h
| 0.30 | ||||
SD = 10.1 | SD = 10 | ||||||
N = 40 |
N = 300 | ||||||
Externalizing | Mean = 54.2 | Mean = 50.0h
| 0.42 | ||||
SD = 10.4 | SD = 10 | ||||||
N = 40 |
N = 300 | ||||||
Edwards et al. [31] | England | Profound pre-CI | 2–5 | CBCLg
| |||
Internalizing | Mean = 50.5 | Mean = 50.0h
| 0.05 | ||||
SD = 7.2 | SD = 10.0 | ||||||
N = 17 |
N = 300 | ||||||
Externalizing | Mean = 51.2 | Mean = 50.0h
| 0.12 | ||||
SD = 8.3 | SD = 10.0 | ||||||
N = 17 |
N = 300 | ||||||
Fundudis et al. [32] | England | Deaf not further specified | 7–10 | Rutter Teacher Scaleb
| 44 % (n = 24/54)b
| 18 % (n = 18/102)i
| 0.72 |
Furstenberg and Doyal [33] | USA | 80 % Serious or profound hearing loss in both ears | 11–21 | Teacher Report Formd
| Average across grades | ||
Internalizing | Mean = 53.71 | Mean = 50.0j
| 0.38 | ||||
SD = 8.73 | SD = 10 | ||||||
N = 63 |
N = 300 | ||||||
Externalizing | Mean = 53.16 | Mean = 50.0j
| 0.33 | ||||
SD = 6.95 | SD = 10 | ||||||
N = 63 |
N = 300 | ||||||
Hindley and Kroll [5] | England | >40 dB | 11–16 | Rutter Parent Scalee
Rutter Teacher Scaleb
| Hyperactive home | Hyperactive home | −0.15 |
9.9 % (n = 8/81) | 12.7 % (n = 63/498) | ||||||
Hyperactive school | Hyperactive school | 0.48 | |||||
16.0 % (n = 13/81) | 7.2 % (n = 36/498) | ||||||
Hyperactive pervasive | Hyperactive pervasive | 0.37 | |||||
8.6 % (n = 7/81) | 4.6 % (n = 23/498) | ||||||
Kammerer [34] | Germany | >20 dB | 10–13 | Rutter Teacher Scaleb
| 54 % (n = 99/183)b
| 16 %i
| 1.00 |
Kelly et al. [6] | USA | 89 % Severe or greater loss | 4–21 | Conners’ Parent Rating Scalef
| Females | Females | |
Impulsive-hyperactive | Mean = 0.77 | Mean = 0.83 | −0.09 | ||||
SD = 0.72 | SD = 0.61 | ||||||
N = 97 |
N = 238 | ||||||
Impulsive-hyperactive | Males | Males | |||||
Mean = 0.66 | Mean = 0.89 | −0.39 | |||||
SD = 0.65 | SD = 0.59 | ||||||
N = 115 |
N = 291 | ||||||
Hyperactivity | Females | Females | |||||
Mean = 0.52 | Mean = 0.55 | −0.07 | |||||
SD = 0.55 | SD = 0.39 | ||||||
N = 97 |
N = 238 | ||||||
Hyperactivity | Males | Males | |||||
Mean = 0.52 | Mean = 0.65 | −0.29 | |||||
SD = 0.49 | SD = 0.44 | ||||||
N = 115 |
N = 291 | ||||||
Konuk et al. [35] | Turkey | 3 % 56–70 db 8 % 71–90 db 89 % > 91 db | 6–18 | Child Behavior Checklistc
| |||
Internalizing | Mean = 57.84 | Mean = 52.11 | 0.50 | ||||
SD = 11.78 | SD = 10.74 | ||||||
N = 72 |
N = 45 | ||||||
Externalizing | Mean = 51.98 | Mean = 50.11 | 0.15 | ||||
SD = 12.02 | SD = 12.24 | ||||||
N = 72 |
N = 45 | ||||||
Kouwenberg et al. [36] | The Netherlands | >40 dB 37 % CI | 8–15 | Child Depression Inventoryo
| Mean = 1.39 | Mean = 1.33 | 0.29 |
SD = 0.21 | SD = 0.20 | ||||||
N = 78 |
N = 130 | ||||||
Li and Prevatt [37] | China | Deaf not further specified | 8–19 | Revised Children’s Manifest Anxiety Scales
| Females | Females | |
Mean = 14.30 | Mean = 10.61 | 0.71 | |||||
SD = 5.10 | SD = 5.08 | ||||||
N = 30 |
N = 34 | ||||||
Males | Males | ||||||
Mean = 15.55 | Mean = 11.18 | 1.08 | |||||
SD = 3.36 | SD = 4.50 | ||||||
N = 31 |
N = 30 | ||||||
Mitchell and Quittner [38] | USA | 53 % 70–100 dB 47 % > 100 dB | 6–14 | Child Behavior Checklistc
| Mean = 58.0 | Mean = 50.0h
| 0.79 |
SD = 10.5 | SD = 10.0 | ||||||
N = 39 |
N = 300 | ||||||
Teacher Report Formd
| Mean = 56.8 | Mean = 50.0j
| 0.71 | ||||
SD = 5.2 | SD = 10.0 | ||||||
N = 39 |
N = 300 | ||||||
Prior et al. [39] | Australia | All aided 30–110 dB | 2–5 | Teacher rating PBQ | |||
Total score |
t = 3.72, df = 50 | 1.05q
| |||||
Quittner et al. [40] | USA | Severe to profound | Under 5 | CBCLn
| |||
Total score Based on full information Imputed values | Mean = 24.81 | Mean = 18.73 | 0.27 | ||||
SD = 21.52 | SD = 14.29 | ||||||
N = 181 |
N = 92 | ||||||
Remine and Brown [41] | Australia | Deaf not further specified | 6–18 | Child Behavior Checklistc
| |||
Internalizing | 16.9 % (11/65) | 13.3 % (433/3255) | 0.16 | ||||
Externalizing | 13.8 % (9/65) | 12.7 % (413/3255) | 0.06 | ||||
Youth Self-Reportn
| |||||||
Internalizing | 11.4 % (4/35) | 16.4 %(209/1273) | −0.23 | ||||
Externalizing | 8.6 %(3/35) | 19.6 %(249/1273) | −0.53 | ||||
Rutter, Graham, and Yule [42] | England | At least 40 dB loss | 5–14 | Interview and questionnaires | 15 % (n = 2/13)b
| 7 % (n = 153/2189)i
| 0.49 |
Sahli, Arslan, and Belgin [43] | Turkey | 100 % with CI | 6–18 | Rosenberg Self-Esteem Scalet
| |||
Depressive emotioning | Mean = 3.02 | Mean = 2.30 | 0.67 | ||||
SD = 1.68 | SD = 0.53 | ||||||
N = 30 |
N = 60 | ||||||
Sinkkonen [44] | Finland | Deaf not further specified | 6–16 | Rutter Teacher Scaleb
| 21 % (n = 62/294)b
| 16 % (n = 37/234)i
| 0.19 |
Tharpe et al. [45] | USA | At least 80 dB loss 32 % with CI | 8–14 | Child Behavior Checklistc
| Mean = 47.07k
| Mean = 37.20 | 1.11 |
SD = 6.80 | SD = 11.25 | ||||||
N = 18 |
N = 10 | ||||||
Teacher Report Formd
| Mean = 46.48k
| Mean = 46.00 | 0.05 | ||||
SD = 7.56 | SD = 11.25 | ||||||
N = 17 |
N = 8 | ||||||
Theunissen et al. [46] | The Netherlands | 24 % 40–60 dB loss 28 % 61–90 dB loss 34 % > 90 dB loss 14 % Not known 33 % CI | 8–16 | Child Depression Inventoryo
| Mean = 1.38 | Mean = 1.32 | 0.30 |
SD = 0.21 | SD = 0.19 | ||||||
N = 83 |
N = 117 | ||||||
Theunissen et al. [47] | The Netherlands | 26 % 40–60 dB loss 21 % 61–90 dB loss 53 % > 90 dB loss 14 % Not known | 9–16 | Child symptom inventoriesp
| |||
Generalized anxiety disorder | Mean = 1.50 | Mean = 1.36 | 0.35 | ||||
SD = 0.46 | SD = 0.35 | ||||||
N = 72 |
N = 98 | ||||||
Theunissen et al. [48] | The Netherlands | 24 % 40–60 dB loss 21 % 61–90 dB loss 49 % > 90 dB loss 7 % Not known | 8–16 | Child symptom inventoriesp
| |||
ADHD |
t = 2.84 df = 192 | 0.41q
| |||||
ODD |
t = 2.65 df = 192 | 0.38q
| |||||
CD |
t = 3.30 df = 192 | 0.48q
| |||||
Topol et al. [49] | USA | 40 % Unilateral or < 40 dB loss 60 % > 40 dB loss | 1.5–2 | Child Behavior Checklist 1.5–5l
| Mean = 45.9 | Mean = 43.5 | 0.26 |
SD = 5.2 | SD = 10.3 | ||||||
N = 30 |
N = 91 | ||||||
Van Eldik [50] | The Netherlands | +80 dB | 6–11 | CBCLc
| |||
Total score |
t = 2.10, df = 493 | 0.19q
| |||||
Van Eldik et al. [7] | The Netherlands | >90 dB | 4–18 | Child Behavior Checklistc
| 41 % (n = 98/238) | 16 % (n = 331/2068) | 0.72 |
Van Eldik [51] | The Netherlands | >25 dB | 11–18 | Youth Self Reportg
| 37 % (n = 75/202) | 17 % (n = 173/1016) | 0.58 |
Van Gent et al. [8] | The Netherlands | 19 % 73–95 dB 81 % > 95 dB | 13–21 | Child Behavior Checklistc
| 28 % (n = 16/58) | 16 % | 0.38 |
Teacher Report Formd
| 32 % (n = 22/68) | 17 % | 0.47 | ||||
Vostanis et al. [2] | England | Severe to profound | 2–18 | Child Behavior Checklistc
| 40 % (n = 29/73) | 8 %m
| 1.11 |
Wake et al. [52] | Australia | 22 % 20–40 dB 31 % 41–60 dB 17 % 61–80 dB 29 % > 80 dB | 7–8 | Child Behavior Checklistc
| 36 % (n = 36/77) | 12 % (n = 24/198) | 1.02 |
Teacher Report Formd
| 20 % (n = 16/80) | 8 % (n = 7/86) | 0.58 | ||||
Watt and Davis [53] | USA | >90 dB loss | Mean age = 13.7 years | Beck Depression Inventoryr
| Mean = 10.52 | Mean = 6.62 | 0.66 |
SD = 5.59 | SD = 6.13 | ||||||
N = 50 |
N = 30 |
Studies using SDQ
SDQ study inclusion
SDQ study retrieval
SDQ study selection
Study | Reason for exclusion |
---|---|
Fellinger et al. [75] | Sub-set of participants reported in Fellinger et al. [99] |
Fellinger et al. [76] | Same participants as in Fellinger et al. [99] |
Fellinger and Holzinger [77] | Not peer reviewed |
Garg et al. [78] | No report of findings by hearing loss, although neurofibromatosis type 2 is associated with hearing loss |
Gurney et al. [79] | Did not use the SDQ |
Hintermair [80] | Duplicate of data in Hintermair [101] |
Hintermair [81] | Did not provide means and SDs |
Hutchison and Gordon [82] | Not only children with HI |
Ketelaar et al. [83] | Non-standard use of sub-set of SDQ items |
Marret et al. [84] | Not only children with HI |
McCormack et al. [85] | Not only children with HI |
Moller [86] | Adults with complex disabilities |
Muigg, Nekahm-Heis, and Juen [87] | Did not provide means and SDs |
Rieffe, Ketelaar, and Wiefferink [88] | Not on children with HI |
Saigal et al. [89] | Not just children with HI |
St Clair et al. [90] | Not just children with HI |
Stevenson et al. [1] | Same sample as Stevenson et al. [107] |
Sumpter et al. [91] | Not just children with HI |
Watson and Brown [92] | No new data—editorial |
Study | Country | No. of hearing impaired | Nature of HI % Cochlear implant (CI) | Age HI in years | SDQ ratingsa
| Hearing controls | Other comparison used |
---|---|---|---|---|---|---|---|
Anmyr et al. [93] | Sweden | 22 | 41-69 dB loss 5 % 70-94 dB loss 14 % >95 dB loss 81 % CI 100 % | 9–15 | P, T, S | None | Meltzer et al. [94] |
Cornes and Brown [95] | Australia | 54 | >90 dB CI 18.5 % | 11–18 | P, T, S | None | Used Goodman [96] UK norms |
Dammeyer [97] | Denmark | 334 | >80 dB loss 36 %, <80 dB loss 36 %, CI 28 % | 6–19 | T | None | Used Smedje et al. [98]. Swedish hearing sample |
Dammeyer [73] | Denmark | 17 | Hearing loss confirmed by standard hearing tests completed by a clinical audiologist | 3–17 | T | None | Used Smedje et al. [98] Swedish hearing sample |
Fellinger et al. [99] | Austria | 99 | Bilateral hearing loss of at least 40 dB CI 20.9 % | 6:5–16 | P, T | None | Used norms from Germany Worner, et al. [100] and British SDQ standardization samples Meltzer et al. [94] |
Hintermair [101] | Germany | 213 | < 70 dB 38 % 70–90 dB 35 % > 90 dB 27 % CI 23.5 % | 4–12 | P | None | Used existing German norms for the SDQ, Woerner et al. [100] |
Hogan et al. [102] | Australia | Cohort B 26 | “Hearing problems” reported by parents | Cohort B 5.5 yearsb
| P | Cohort B Approx. 4000 normal-hearing children | Not applicable |
Cohort K 93 | Cohort K 7.5 yearsb
| P | Cohort K Approx. 4000 normal-hearing children | ||||
Huber and Kipman [103] | Austria | 35 | “Profound” bilateral hearing loss CI 100 % | 12–17 | P, T, S | 212 normal-hearing adolescent peers (mean age 15.0, ranging from 12.3 to 17.9 years) | Not applicable |
Mejstad et al. [104] | Sweden | 111 | Children who had been prescribed hearing aids CI 3.3 % | 11–18 | P, T, Sc
| None | |
Stevenson et al. [107]c
| UK | 107 | Moderate 40–69 dB loss 54 % Severe 70–94 dB loss 24 % Profound > 95 dB loss 22 % CI 13.6 % | 5:5–11:8 | P, Td
| Comparison group of 63 children with normal hearing aged 6:4 to 9:10, born at the same hospitals as those with PCHI | Not applicable |
Timmerman et al. [74] | The Netherlands | 160 | Children with a disease history of persistent or recurrent middle ear disease and suffering from either upper respiratory tract infections (URTI) and/or otitis media with effusion OME on the day of assessment The average bilateral hearing level found was 20.0 dB (S.D. = 11.5 dB, range 1.3–49.4 dB) CI 0 % | 4–7 | P | None | A community sample of US children participating in the National Health Interview Survey (NHIS) conducted by the National Centre for Health Statistics, was used for comparison (Simpson et al. [108]) |
Vetter et al. [109] | Germany | 57 | Degree of loss Mild 9 % Moderate 14 % High 40 % Residual hearing 37 % NB dB levels not specified CI 33 % | 6:11–12:7 | Tc
| None | None |
Data for normally hearing comparison groups
Calculating effect sizes
Results
Studies not using SDQ
Studies using SDQ
No. of studies | Overall | Overall heterogeneity | Continuous only | Continuous heterogeneity | Ma
| |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
g
| 95 % CI |
Z
|
P
|
χ
2
| Df |
P
|
I
2
|
g
| 95 % CI |
Z
|
P
|
χ
2
| Df |
P
|
I
2
|
g
| ||
Total difficulties | ||||||||||||||||||
Parent | 10 | 0.23 | 0.07, 0.40 | 2.77 | 0.006 | 42.27 | 9 | 0.001 | 78 | 0.20 | −0.03, 0.43 | 1.75 | 0.080 | 40.77 | 5 | 0.001 | 88 | 0.20 |
Teacher | 9 | 0.34 | 0.19, 0.49 | 4.39 | 0.001 | 28.08 | 8 | 0.001 | 72 | 0.31 | 0.15, 0.46 | 3.91 | 0.001 | 12.50 | 5 | 0.001 | 60 | 0.31 |
Self-rated | 4 | −0.01 | −0.32, 0.13 | 0.85 | 0.397 | 3.78 | 3 | 0.287 | 21 | – | – | – | – | – | – | – | – | −0.23 |
Emotional symptoms | ||||||||||||||||||
Parent | 10 | 0.21 | 0.08, 0.32 | 3.43 | 0.001 | 29.60 | 9 | 0.001 | 70 | 0.22 | 0.07, 0.37 | 2.80 | 0.005 | 27.82 | 5 | 0.001 | 99 | 0.16 |
Teacher | 6 | 0.14 | −0.03, 0.30 | 1.62 | 0.106 | 14.22 | 5 | 0.014 | 94 | 0.15 | −0.04, 0.34 | 1.49 | 0.135 | 12.76 | 3 | 0.005 | 98 | −0.02 |
Self | 4 | 0.19 | −0.18, 0.40 | 0.74 | 0.456 | 59.58 | 3 | 0.001 | 95 | – | – | – | – | – | – | – | – | 0.05 |
Conduct problems | ||||||||||||||||||
Parent | 10 | 0.16 | −0.03, 0.35 | 1.65 | 0.100 | 61.72 | 9 | 0.001 | 99 | 0.12 | −14, 0.39 | 0.90 | 0.366 | 58.54 | 5 | 0.001 | 92 | 0.14 |
Teacher | 6 | 0.22 | 0.10, 0.34 | 3.62 | 0.001 | 5.86 | 5 | 0.001 | 94 | 0.23 | 0.11, 0.34 | 3.76 | 0.001 | 3.29 | 3 | 0.349 | 8 | 0.06 |
Self | 4 | −0.25 | −0.53, 0.03 | 1.74 | 0.082 | 6.66 | 3 | 0.001 | 96 | – | – | – | – | – | – | – | – | −0.25 |
Hyperactivity | ||||||||||||||||||
Parent | 10 | 0.05 | −0.06, 0.16 | 0.91 | 0.363 | 16.26 | 9 | 0.062 | 45 | 0.09 | −0.02, 0.20 | 1.56 | 0.119 | 10.14 | 5 | 0.071 | 50 | −0.07 |
Teacher | 6 | 0.03 | −0.16, 0.22 | 0.34 | 0.735 | 11.58 | 5 | 0.041 | 57 | 0.07 | −0.12, 0.27 | 0.73 | 0.464 | 8.32 | 3 | 0.040 | 64 | −0.17 |
Self | 4 | −0.21 | −0.38, −0.04 | 2.44 | 0.015 | 1.09 | 3 | 0.780 | 0 | – | – | – | – | – | – | – | – | −0.27 |
Peer problems | ||||||||||||||||||
Parent | 10 | 0.27 | 0.05, 0.49 | 2.40 | 0.016 | 72.71 | 9 | 0.001 | 88 | 0.28 | −0.01, 0.58 | 1.90 | 0.057 | 69.83 | 5 | 0.001 | 93 | 0.22 |
Teacher | 6 | 0.35 | 0.14, 0.57 | 3.23 | 0.001 | 19.09 | 5 | 0.002 | 74 | 0.22 | 0.07, 0.37 | 2.83 | 0.005 | 5.18 | 3 | 0.159 | 42 | 0.37 |
Self | 4 | 0.41 | 0.24, 0.58 | 4.79 | 0.001 | 0.91 | 3 | 0.823 | 0 | – | – | – | – | – | – | – | – | 0.43 |
Prosocial behaviour | ||||||||||||||||||
Parent | 10 | 0.30 | 0.08, 0.52 | 2.61 | 0.009 | 107.41 | 9 | 0.001 | 92 | 0.24 | −0.01, 0.49 | 1.87 | 0.062 | 84.62 | 5 | 0.001 | 85 | 0.25 |
Teacher | 6 | −0.10 | −0.31, 0.12 | 0.88 | 0.376 | 17.14 | 5 | 0.004 | 71 | −0.07 | −0.34, 0.20 | 0.52 | 0.605 | 15.44 | 3 | 0.001 | 81 | −0.15 |
Self | 4 | −0.00 | −0.33, 0.33 | 0.01 | 0.990 | 6.82 | 3 | 0.078 | 56 | – | – | – | – | – | – | – | – | 0.04 |