Sound Localization and Speech Perception in Noise of Pediatric Cochlear Implant Recipients: Bimodal Fitting Versus Bilateral Cochlear Implants

Deaf children with cochlear implants (CIs) are at risk for psychosocial adjustment problems, possibly due to delayed speech–
language skills. This study investigated associations between a core component of spoken-language ability—speech
intelligibility—and the psychosocial development of prelingually deaf CI users. Audio-transcription measures of speech
intelligibility and parent reports of psychosocial behaviors were obtained for two age groups (preschool, school-age/teen).
CI users in both age groups scored more poorly than typically hearing peers on speech intelligibility and several psychosocial
scales. Among preschool CI users, five scales were correlated with speech intelligibility: functional communication, attention
problems, atypicality, withdrawal, and adaptability. These scales and four additional scales were correlated with speech
intelligibility among school-age/teen CI users: leadership, activities of daily living, anxiety, and depression. Results suggest
that speech intelligibility may be an important contributing factor underlying several domains of psychosocial functioning in
children and teens with CIs, particularly involving socialization, communication, and emotional adjustment.