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首页> 外文期刊>International journal of pediatric otorhinolaryngology >Level of psychosocial adaptation in young school children with otitis media.
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Level of psychosocial adaptation in young school children with otitis media.

机译：患有中耳炎的小学生的社会心理适应水平。

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OBJECTIVE: Assessment of the level of psychosocial adaptation in Dutch young school children with persistent and/or recurrent otitis media compared to a U.S. community sample. The goal of this study was to determine the presence of behavioural effects related to a history of hearing loss resulting from recurrent or persistent otitis media. METHODS: Caregivers of 160 children, age range 4-7 years, suffering from either upper respiratory tract infections (URTI) and/or otitis media with effusion (OME), completed the generic Strengths and Difficulties Questionnaire (SDQ) and impact supplement before consulting the ENT physician. RESULTS: In the ENT sample significant differences were found for the SDQ subscales hyperactivity-inattention and emotional symptoms, as well as for the total difficulties score and impact rating, compared to the U.S. community sample (p<.0005). Classification of severity (low, medium, high difficulties) for SDQ symptom scores, according to U.S. normative scoring bands, showed significantly more children in higher severity bands for SDQ total difficulties (p<.0005), emotional symptoms (p<.005), hyperactivity-inattention (p<.001) and prosocial behaviour (p<.005). This is expressed in a larger percentage of scores in the high difficulties (>90% of scores) than in the medium difficulties (80-90% of scores) band for most ENT SDQ scores, except for SDQ prosocial behaviour (18.1%) and total difficulties (17.5%). CONCLUSION: The level of psychosocial adaptation seems to be compromised in the Dutch ENT sample for both internalising (emotional symptoms) and externalising (hyperactivity-inattention) behaviour dimensions, which indirectly supports the cumulative effects of a disease history with chronic otitis media, resulting in poorer attention skills and fewer social interactions present. The classification of SDQ symptom severity, indicates that any behavioural effect of otitis media and resulting hearing loss is within the borderline score range, asking for vigilance regarding possible developmental and educational sequelae during childhood.
机译：目的：与美国社区样本相比，评估患有持续性和/或复发性中耳炎的荷兰小学生的心理社会适应水平。这项研究的目的是确定与复发性或持续性中耳炎引起的听力损失史相关的行为影响的存在。方法：对160名年龄在4至7岁之间的儿童进行照护，他们患有上呼吸道感染（URTI）和/或渗出性中耳炎（OME），在咨询前完成了通用的优势和困难问卷（SDQ）和影响补充耳鼻喉科医生。结果：与美国社区样本相比，在ENT样本中，SDQ分量表多动症注意力不足和情绪症状以及总困难评分和影响等级存在显着差异（p <.0005）。根据美国标准评分带，对SDQ症状评分的严重程度（低，中，高困难）进行分类显示，SDQ总困难程度（p <.0005），情绪症状（p <.005）的严重程度较高的儿童显着增加，注意力不集中（p <.001）和亲社会行为（p <.005）。对于大多数ENT SDQ分数，高难度（> 90％的分数）的分数比中等难度（80-90％分数）的分数百分比高，SDQ亲社会行为（18.1％）和总困难（17.5％）。结论：在荷兰耳鼻喉样本中，由于内在（情感症状）和外在（多动症-注意力不足）行为维度，心理社会适应水平似乎受到了影响，这间接支持了慢性中耳炎疾病史的累积影响，导致注意技能较差，社交互动较少。 SDQ症状严重程度的分类表明，中耳炎的任何行为影响和所导致的听力丧失都在临界评分范围内，要求对儿童时期可能的发育和教育后遗症保持警惕。

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