Social competence in children with cochlear implants: is it possible to catch up with their peers?

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OTOLOGY

Social competence in children with cochlear implants: is it possible to catch up with their peers? Ozlem Topcu1   · Fahrettin Deniz Senli1   · Merve Ozbal Batuk1   · Samet Kilic1   · Gonca Sennaroglu1  Received: 26 April 2020 / Accepted: 8 September 2020 © Springer-Verlag GmbH Germany, part of Springer Nature 2020

Abstract Purpose  The objective of this study is to compare social competence skills in children with CI and their normal hearing peers. Methods  Forty-six children with normal hearing and 46 children with CI between the ages of 42 and 72 months were included in the control group and study group, respectively. Preschool teachers rated children’s social competence in the classroom using the Social Competence and Behavior Evaluation—Preschool Edition. Three subscales constitute the structure of the SCBE-30 scale: anger-aggression, social competence, and anxiety-withdrawal. Results  The analyses showed that there were statistically significant differences between social competence scores of the study group and the control group. However, there was no statistically significant difference between anger-aggression scores and anxiety-withdrawal scores of the study group and the control group. There was a significant correlation found between anger-aggression score and the age of starting rehabilitation. Conclusion  Anger-aggression scores and anxiety-withdrawal scores were similar between children using cochlear implant and normal hearing peers, whereas children with CI show lower social competence abilities than normal hearing peers. Earlier beginning to the rehabilitation programs coincide with lower anger-aggression scores. To the best of our knowledge, this is the first study to reflect these findings more objectively, from the view of teachers. Keywords  Hearing loss · Auditory rehabilitation · Social competence · Hearing impairment · Cochlear implant

Introduction It is important for every child to be able to engage in social interaction, whether they are hearing-impaired or not. Social interactions and friendships during childhood are associated with a variety of factors related to psychological well-being, such as protection against the stress of life [1]. A hearing disability adversely affects the quality of social interaction and self-esteem of individuals [2, 3]. Hearing disabilities may result in low self-esteem, isolation, loneliness, depression, and nervousness [1]. Children with hearing loss cannot interact with their peers closely [4]. Studies have shown that hearing-impaired children can have marked social difficulties when compared to their peers with normal hearing [5, 6]. Children with hearing-impaired encounter with difficulties in socialization with hearing peers [7]. They * Merve Ozbal Batuk [email protected] 1



Department of Audiology, Hacettepe University, Sihhiye, Ankara 06100, Turkey

cannot understand how their peers feel due to the limited speech intelligibility and speech comprehension [8]. This is the reason why children with hearing loss have been shown to be mor