Objective The purpose of this study was to examine the level of empathy in deaf and hard of hearing (pre)adolescents compared to normal hearing controls and to define the influence of language... Show moreObjective The purpose of this study was to examine the level of empathy in deaf and hard of hearing (pre)adolescents compared to normal hearing controls and to define the influence of language and various hearing loss characteristics on the development of empathy. Methods The study group (mean age 11.9 years) consisted of 122 deaf and hard of hearing children (52 children with cochlear implants and 70 children with conventional hearing aids) and 162 normal hearing children. The two groups were compared using self-reports, a parent-report and observation tasks to rate the children’s level of empathy, their attendance to others’ emotions, emotion recognition, and supportive behavior. Results Deaf and hard of hearing children reported lower levels of cognitive empathy and prosocial motivation than normal hearing children, regardless of their type of hearing device. The level of emotion recognition was equal in both groups. During observations, deaf and hard of hearing children showed more attention to the emotion evoking events but less supportive behavior compared to their normal hearing peers. Deaf and hard of hearing children attending mainstream education or using oral language show higher levels of cognitive empathy and prosocial motivation than deaf and hard of hearing children who use sign (supported) language or attend special education. However, they are still outperformed by normal hearing children. Conclusions Deaf and hard of hearing children, especially those in special education, show lower levels of empathy than normal hearing children, which can have consequences for initiating and maintaining relationships. Show less
Children with hearing loss are at risk for developing psychopathology, which has detrimental consequences for academic and psychosocial functioning. Therefore, the aims of this thesis were to... Show moreChildren with hearing loss are at risk for developing psychopathology, which has detrimental consequences for academic and psychosocial functioning. Therefore, the aims of this thesis were to objectify levels of psychopathology in hearing-impaired children, and to investigate the influence of various risk and protective factors on psychopathology. The first result of this large multi-center study was that children with hearing loss were more prone to developing psychopathology than their normally hearing counterparts. The second outcome entailed that cochlear implants recipients equaled to or outperformed children with hearing aids involving their levels of psychopathology. Moreover, for several psychopathological symptoms, children that received cochlear implants were comparable to normally hearing children, which is a very positive outcome for the cochlear implant children. Thirdly, several factors that impacted levels of psychopathology were identified. For example, children at mainstream schools using well-developed spoken language, have low risks for developing psychopathology. On the basis of this thesis, it was concluded that it is not the severity of hearing loss that contributes to the genesis of psychopathology, but many other factors. This necessitates clinicians to always consider the heterogeneity of the HI population, in order to improve personalized screening and treatment trajectories. Show less
Kouwenberg, M.; Rieffe, C.; Theunissen, S.C.P.M.; Rooij, M. de 2012
