Behavioral problems in deaf populations: a literature review
,
Abstract
Background and Aim: Studies have found that deaf individuals have higher rates of psychiatric disorders, such as behavioral problems, than those who can hear. The aim of this review was to provide a summary of the literature on behavioral problems, with specific reference to deaf individuals. The objectives of the review were to establish the prevalence of behavioral problems in deaf populations; describe the risk factor for behavioral problems in deaf populations; and describe approaches to intervention and behavioral problems prevention that have been used in deaf populations.
Recent Findings: A review of articles published between 1991 and 2013 showed that the prevalence of behavioral problems in deaf people is higher than that of hearing people. Risk factors for behavioral problems in deaf populations include language impairments, communication problems, the role of parents, and the community’s beliefs and attitudes regarding the issue.
Conclusion: Given the high prevalence of behavioral problems in deaf people, the effectiveness of prevention strategies should be examined. Consequently, it would be advantageous to increase the availability of specialist mental health services, promote deaf awareness including their abilities, promote awareness and skills development among teachers, staff, and specialists and implement behavior change programs.
1. Guttmannova K, Szanyi JM, Cali PW. Internalizing and externalizing behavior problems scores: cross-ethnic and longitudinal measurement invariance of the behavior problem index. Educ psychol meas. 2008;68(4):676-94.
2. Pastor PN, Reuben CA, Duran CR. Identifying emotional and behavioral problems in children aged 4-17 years: United States, 2001-2007. Natl Health Stat Report. 2012;(48):1-17.
3. Barker DH, Quittner AL, Fink NE, Eisenberg LS, Tobey EA, Niparko JK, et al. Predicting behavior problems in deaf and hearing children: the influences of language, attention, and parent-child communication. Dev Psychopathol. 2009;21(2):373-92.
4. Wallis D, Musselman C, MacKay S. Hearing mothers and their deaf children: the relationship between early, ongoing mode match and subsequent mental health functioning in adolescence. J Deaf Stud Deaf Educ. 2004;9(1):2-14.
5. Bailly D, Dechoulydelenclave MB, Lauwerier L. Hearing impairment and psychopathological disorders in children and adolescents. Review of the recent literature. Encephale. 2003;29(4 Pt 1):329-37. French.
6. Stevenson J, McCann D, Watkin P, Worsfold S, Kennedy C; On behalf of the Hearing Outcomes Study Team. The relationship between language development and behaviour problems in children with hearing loss. J Child Psychol Psychiatry. 2010;51(1):77-83.
7. Achenbach TM, Dumenci L, Rescorla LA. Are American children's problems still getting worse? A 23-year comparison. J Abnorm Child Psychol. 2003;31(1):1-11.
8. Turner O, Windfuhr K, Kapur N. Suicide in deaf populations: a literature review. Ann Gen Psychiatry. 2007;6:26.
9. Roberts B, Mugavin J. Alcohol and other drug use in the Australian deaf community: A needs assessment. Fitzory, Victoria: Turning point alcohol and drug centre; 2007.
10. Bubbico L, Rosano A, Spagnolo A. Prevalence of prelingual deafness in Italy. Acta Otorhinolaryngol Ital. 2007;27(1):17-21.
11. Hindley PA. Mental health problems in deaf children. Current paediatrics. 2005;15(2):114-9.
12. Ohre B, von Tetzchner S, Falkum E. Deaf adults and mental health: a review of recent research on the prevalence and distribution of psychiatric symptoms and disorders in the prelingually deaf adult population. International Journal On Mental Health And Deafness. 2011;1(1):3-23.
13. Stevenson J, McCann DC, Law CM, Mullee M, Petrou S, Worsfold S, et al. The effect of early confirmation of hearing loss on the behaviour in middle childhood of children with bilateral hearing impairment. Dev Med Child Neurol. 2011;53(3):269-74.
14. Kennedy CR, McCann DC, Campbell MJ, Law CM, Mullee M, Petrou S, et al. Language ability after early detection of permanent childhood hearing impairment. N Engl J Med. 2006;354(20):2131-41.
15. Austen S, Jeffery D. Deafness and challenging behavior: the 360° perspective. 1st ed. England: John Wiley & Sons Ltd; 2007.
16. Nock MK, Joiner TE Jr, Gordon KH, Lloyd-Richardson E, Prinstein MJ. Non-suicidal self-injury among adolescents: diagnostic correlates and relation to suicide attempts. Psychiatry Res. 2006;144(1):65-72.
17. van Eldik TT. Behavior problems with deaf Dutch boys. Am Ann Deaf. 1994;139(4):394-9.
18. van Eldik T. Mental health problems of Dutch youth with hearing loss as shown on the Youth Self Report. Am Ann Deaf. 2005;150(1):11-6.
19. Konuk N, Erdogan A, Atik L, Ugur MB, Simseckyilmaz O. Evaluation of behavioral and emotional problems in deaf children by using the child behavior checklist. Neurol Psychiatr Brain Res. 2006;(13):59-64.
20. Watt JD, Davis FE. The prevalence of boredom proneness and depression among profoundly deaf residential school adolescents. Am Ann Deaf. 1991;136(5):409-13.
21. Leigh I, Anthony S. Parent bonding in clinically depressed deaf and hard-of-hearing adults. J Deaf Stud Deaf Educ. 1999;4(1):28-36.
22. Leigh IW, Anthony-Tolbert S. Reliability of the BDI-II with deaf persons. Rehabil Psychol. 2001;46(2):195-202.
23. Werngren-Elgström M, Dehlin O, Iwarsson S. Aspects of quality of life in persons with pre-lingual deafness using sign language: subjective wellbeing, ill-health symptoms, depression and insomnia. Arch Gerontol Geriatr. 2003;37(1):13-24.
24. Connolly CM, Rose J, Austen S. Identifying and assessing depression in prelingually deaf people: a literature review. Am Ann Deaf. 2006;151(1):49-60.
25. Kvam MH, Loeb M, Tambs K. Mental health in deaf adults: symptoms of anxiety and depression among hearing and deaf individuals. J Deaf Stud Deaf Educ. 2007;12(1):1-7.
26. Black PA, Glickman NS. Demographics, psychiatric diagnoses, and other characteristics of North American deaf and hard-of-hearing inpatients. J Deaf Stud Deaf Educ. 2006;11(3):303-21.
27. Li H, Prevatt F. Deaf and hard of hearing children and adolescents in China: their fears and anxieties. Am Ann Deaf. 2010;155(4):458-66.
28. Mitchell VT, Quittner LA. Multimethod study of attention and behavior problems in hearing-impaired children. J Clin Child Adolesc Psychol. 1996;25(1):83-96.
29. Fellinger J, Holzinger D, Dobner U, Gerich J, Lehner R, Lenz G, et al. Mental distress and quality of life in a deaf population. Soc Psychiatry Psychiatr Epidemiol. 2005;40(9):737-42.
30. de Graaf R, Bijl RV. Determinants of mental distress in adults with a severe auditory impairment: differences between prelingual and postlingual deafness. Psychosom Med. 2002;64(1):61-70.
31. Theunissen SC, Rieffe C, Kouwenberg M, de Raeve LJ, Soede W, Briaire JJ, et al. Behavioral problems in school-aged hearing-impaired children: the influence of sociodemographic, linguistic, and medical factors. Eur Child Adolesc Psychiatry. 2014;23(4):187-96.
32. Hintermair M. Prevalence of socioemotional problems in deaf and hard of hearing children in Germany. Am Ann Deaf. 2007;152(3):320-30.
33. Theunissen SC, Rieffe C, Kouwenberg M, Soede W, Briaire JJ, Frijns JH. Depression in hearing-impaired children. Int J Pediatr Otorhinolaryngol. 2011;75(10):1313-7.
34. Behpazhouh A, Hejazi E, Hossein Khanzadeh AA, Ghobari Bonab B. A comparison of social skills of partially hearing impaired students in integrated versus nonintegrated schools. Journal of Psychology And Education. 2005-2006;35(2);63-83. Persian.
35. Farajollahi M, Sarmadi MR, Taghdirinooshabadi A. Comparing educational and behavioral performance in hearing-impaired boy students in atypical and integrated schools. Research on Exceptional Children. 2009;9(3):273-81. Persian.
36. van Eldik T, Treffers PD, Veerman JW, Verhulst FC. Mental health problems of deaf Dutch children as indicated by parents' responses to the child behavior checklist. Am Ann Deaf. 2004;148(5):390-5.
37. Brubaker RG, Szakowski A. Parenting practices and behavior problems among deaf children. Child Fam Behav Ther. 2000;22(4):13-28.
38. Rieffe C, Terwogt MM. Anger communication in deaf children. Cogn Emot. 2006;20(8):1261-73.
39. Cole P, Zdanowicz N. Does it exist?: "a psychopathology of deafness". Psychiatr Danub. 2010;22 Suppl 1:S114-6.
40. Oberg E, Lukomski J. Executive functioning and the impact of a hearing loss: performance-based measures and the Behavior Rating Inventory of Executive Function (BRIEF). Child Neuropsychol. 2011;17(6):521-45.
41. Edwards L, Crocker S. Psychological processes in deaf children with complex needs: an evidence-based practical guide. 1st ed. London & Philadelphia: Jessica Kingsley Publishers; 2008.
42. Movallali G, Nemati S. Difficulties in parenting hearing-impaired children. Audiol. 2009;18(1-2):1-11. Persian.
43. Knutson JF, Johnson CR, Sullivan PM. Disciplinary choices of mothers of deaf children and mothers of normally hearing children. Child Abuse Negl. 2004;28(9):925-37.
44. Fellinger J, Holzinger D, Pollard R. Mental health of deaf people. Lancet. 2012;379(9820):1037-44.
45. Akbari B, Teymori Z, Abolghasemi S, Khorshidiyan H. Stress coping strategies in hearing-impaired students. Audiol. 2013;22(1):41-9. Persian.
46. Sartawi A, ALMuhairy OA, Abdat MR. Behavioral problems among students with disabilities in United Arab Emirates. International Journal for Reseach in Education. 2011;(29):1-15.
47. Movallali G, Abdollahzadeh Rafi M, Nemati S. Comparison of general health status in mothers of hearing and hearing-impaired children. Audiol. 2013;22(2):33-9. Persian.
48. Gourley L, Wind C, Henninger EM, Chinitz S. Sensory processing difficulties, behavioral problems, and parental stress in a clinical population of young children. J Child Fam Stud. 2013;22(7):912-21.
49. Parand A, Movallali G. The effect of teaching stress management on the reduction of psychological problems of families with children suffering from hearing-impairment. Journal of Family Research. 2011;7(1):23-34. Persian.
50. Dyck MJ, Denver E. Can the emotion recognition ability of deaf children be enhanced? A Pilot Study. J Deaf Stud Deaf Educ. 2003;8(3):348-56.
51. Suárez M. Promoting social competence in deaf students: the effect of an intervention program. J Deaf Stud Deaf Educ. 2000;5(4):323-33.
52. Mahvashe Wernosfaderani A, Adibsereshki N, Movallali G. The effectiveness of life skills training on the social skills of hearing impaired secondary school students in inclusive schools. Journal of Research in Rehabilitation Sciences. 2012;8(3):477-88. Persian.
2. Pastor PN, Reuben CA, Duran CR. Identifying emotional and behavioral problems in children aged 4-17 years: United States, 2001-2007. Natl Health Stat Report. 2012;(48):1-17.
3. Barker DH, Quittner AL, Fink NE, Eisenberg LS, Tobey EA, Niparko JK, et al. Predicting behavior problems in deaf and hearing children: the influences of language, attention, and parent-child communication. Dev Psychopathol. 2009;21(2):373-92.
4. Wallis D, Musselman C, MacKay S. Hearing mothers and their deaf children: the relationship between early, ongoing mode match and subsequent mental health functioning in adolescence. J Deaf Stud Deaf Educ. 2004;9(1):2-14.
5. Bailly D, Dechoulydelenclave MB, Lauwerier L. Hearing impairment and psychopathological disorders in children and adolescents. Review of the recent literature. Encephale. 2003;29(4 Pt 1):329-37. French.
6. Stevenson J, McCann D, Watkin P, Worsfold S, Kennedy C; On behalf of the Hearing Outcomes Study Team. The relationship between language development and behaviour problems in children with hearing loss. J Child Psychol Psychiatry. 2010;51(1):77-83.
7. Achenbach TM, Dumenci L, Rescorla LA. Are American children's problems still getting worse? A 23-year comparison. J Abnorm Child Psychol. 2003;31(1):1-11.
8. Turner O, Windfuhr K, Kapur N. Suicide in deaf populations: a literature review. Ann Gen Psychiatry. 2007;6:26.
9. Roberts B, Mugavin J. Alcohol and other drug use in the Australian deaf community: A needs assessment. Fitzory, Victoria: Turning point alcohol and drug centre; 2007.
10. Bubbico L, Rosano A, Spagnolo A. Prevalence of prelingual deafness in Italy. Acta Otorhinolaryngol Ital. 2007;27(1):17-21.
11. Hindley PA. Mental health problems in deaf children. Current paediatrics. 2005;15(2):114-9.
12. Ohre B, von Tetzchner S, Falkum E. Deaf adults and mental health: a review of recent research on the prevalence and distribution of psychiatric symptoms and disorders in the prelingually deaf adult population. International Journal On Mental Health And Deafness. 2011;1(1):3-23.
13. Stevenson J, McCann DC, Law CM, Mullee M, Petrou S, Worsfold S, et al. The effect of early confirmation of hearing loss on the behaviour in middle childhood of children with bilateral hearing impairment. Dev Med Child Neurol. 2011;53(3):269-74.
14. Kennedy CR, McCann DC, Campbell MJ, Law CM, Mullee M, Petrou S, et al. Language ability after early detection of permanent childhood hearing impairment. N Engl J Med. 2006;354(20):2131-41.
15. Austen S, Jeffery D. Deafness and challenging behavior: the 360° perspective. 1st ed. England: John Wiley & Sons Ltd; 2007.
16. Nock MK, Joiner TE Jr, Gordon KH, Lloyd-Richardson E, Prinstein MJ. Non-suicidal self-injury among adolescents: diagnostic correlates and relation to suicide attempts. Psychiatry Res. 2006;144(1):65-72.
17. van Eldik TT. Behavior problems with deaf Dutch boys. Am Ann Deaf. 1994;139(4):394-9.
18. van Eldik T. Mental health problems of Dutch youth with hearing loss as shown on the Youth Self Report. Am Ann Deaf. 2005;150(1):11-6.
19. Konuk N, Erdogan A, Atik L, Ugur MB, Simseckyilmaz O. Evaluation of behavioral and emotional problems in deaf children by using the child behavior checklist. Neurol Psychiatr Brain Res. 2006;(13):59-64.
20. Watt JD, Davis FE. The prevalence of boredom proneness and depression among profoundly deaf residential school adolescents. Am Ann Deaf. 1991;136(5):409-13.
21. Leigh I, Anthony S. Parent bonding in clinically depressed deaf and hard-of-hearing adults. J Deaf Stud Deaf Educ. 1999;4(1):28-36.
22. Leigh IW, Anthony-Tolbert S. Reliability of the BDI-II with deaf persons. Rehabil Psychol. 2001;46(2):195-202.
23. Werngren-Elgström M, Dehlin O, Iwarsson S. Aspects of quality of life in persons with pre-lingual deafness using sign language: subjective wellbeing, ill-health symptoms, depression and insomnia. Arch Gerontol Geriatr. 2003;37(1):13-24.
24. Connolly CM, Rose J, Austen S. Identifying and assessing depression in prelingually deaf people: a literature review. Am Ann Deaf. 2006;151(1):49-60.
25. Kvam MH, Loeb M, Tambs K. Mental health in deaf adults: symptoms of anxiety and depression among hearing and deaf individuals. J Deaf Stud Deaf Educ. 2007;12(1):1-7.
26. Black PA, Glickman NS. Demographics, psychiatric diagnoses, and other characteristics of North American deaf and hard-of-hearing inpatients. J Deaf Stud Deaf Educ. 2006;11(3):303-21.
27. Li H, Prevatt F. Deaf and hard of hearing children and adolescents in China: their fears and anxieties. Am Ann Deaf. 2010;155(4):458-66.
28. Mitchell VT, Quittner LA. Multimethod study of attention and behavior problems in hearing-impaired children. J Clin Child Adolesc Psychol. 1996;25(1):83-96.
29. Fellinger J, Holzinger D, Dobner U, Gerich J, Lehner R, Lenz G, et al. Mental distress and quality of life in a deaf population. Soc Psychiatry Psychiatr Epidemiol. 2005;40(9):737-42.
30. de Graaf R, Bijl RV. Determinants of mental distress in adults with a severe auditory impairment: differences between prelingual and postlingual deafness. Psychosom Med. 2002;64(1):61-70.
31. Theunissen SC, Rieffe C, Kouwenberg M, de Raeve LJ, Soede W, Briaire JJ, et al. Behavioral problems in school-aged hearing-impaired children: the influence of sociodemographic, linguistic, and medical factors. Eur Child Adolesc Psychiatry. 2014;23(4):187-96.
32. Hintermair M. Prevalence of socioemotional problems in deaf and hard of hearing children in Germany. Am Ann Deaf. 2007;152(3):320-30.
33. Theunissen SC, Rieffe C, Kouwenberg M, Soede W, Briaire JJ, Frijns JH. Depression in hearing-impaired children. Int J Pediatr Otorhinolaryngol. 2011;75(10):1313-7.
34. Behpazhouh A, Hejazi E, Hossein Khanzadeh AA, Ghobari Bonab B. A comparison of social skills of partially hearing impaired students in integrated versus nonintegrated schools. Journal of Psychology And Education. 2005-2006;35(2);63-83. Persian.
35. Farajollahi M, Sarmadi MR, Taghdirinooshabadi A. Comparing educational and behavioral performance in hearing-impaired boy students in atypical and integrated schools. Research on Exceptional Children. 2009;9(3):273-81. Persian.
36. van Eldik T, Treffers PD, Veerman JW, Verhulst FC. Mental health problems of deaf Dutch children as indicated by parents' responses to the child behavior checklist. Am Ann Deaf. 2004;148(5):390-5.
37. Brubaker RG, Szakowski A. Parenting practices and behavior problems among deaf children. Child Fam Behav Ther. 2000;22(4):13-28.
38. Rieffe C, Terwogt MM. Anger communication in deaf children. Cogn Emot. 2006;20(8):1261-73.
39. Cole P, Zdanowicz N. Does it exist?: "a psychopathology of deafness". Psychiatr Danub. 2010;22 Suppl 1:S114-6.
40. Oberg E, Lukomski J. Executive functioning and the impact of a hearing loss: performance-based measures and the Behavior Rating Inventory of Executive Function (BRIEF). Child Neuropsychol. 2011;17(6):521-45.
41. Edwards L, Crocker S. Psychological processes in deaf children with complex needs: an evidence-based practical guide. 1st ed. London & Philadelphia: Jessica Kingsley Publishers; 2008.
42. Movallali G, Nemati S. Difficulties in parenting hearing-impaired children. Audiol. 2009;18(1-2):1-11. Persian.
43. Knutson JF, Johnson CR, Sullivan PM. Disciplinary choices of mothers of deaf children and mothers of normally hearing children. Child Abuse Negl. 2004;28(9):925-37.
44. Fellinger J, Holzinger D, Pollard R. Mental health of deaf people. Lancet. 2012;379(9820):1037-44.
45. Akbari B, Teymori Z, Abolghasemi S, Khorshidiyan H. Stress coping strategies in hearing-impaired students. Audiol. 2013;22(1):41-9. Persian.
46. Sartawi A, ALMuhairy OA, Abdat MR. Behavioral problems among students with disabilities in United Arab Emirates. International Journal for Reseach in Education. 2011;(29):1-15.
47. Movallali G, Abdollahzadeh Rafi M, Nemati S. Comparison of general health status in mothers of hearing and hearing-impaired children. Audiol. 2013;22(2):33-9. Persian.
48. Gourley L, Wind C, Henninger EM, Chinitz S. Sensory processing difficulties, behavioral problems, and parental stress in a clinical population of young children. J Child Fam Stud. 2013;22(7):912-21.
49. Parand A, Movallali G. The effect of teaching stress management on the reduction of psychological problems of families with children suffering from hearing-impairment. Journal of Family Research. 2011;7(1):23-34. Persian.
50. Dyck MJ, Denver E. Can the emotion recognition ability of deaf children be enhanced? A Pilot Study. J Deaf Stud Deaf Educ. 2003;8(3):348-56.
51. Suárez M. Promoting social competence in deaf students: the effect of an intervention program. J Deaf Stud Deaf Educ. 2000;5(4):323-33.
52. Mahvashe Wernosfaderani A, Adibsereshki N, Movallali G. The effectiveness of life skills training on the social skills of hearing impaired secondary school students in inclusive schools. Journal of Research in Rehabilitation Sciences. 2012;8(3):477-88. Persian.
| Issue | Vol 23 No 5 (2014) | |
| Section | Review Article(s) | |
| Keywords | ||
| Behavioral problems deaf populations hearing populations | ||
| Rights and permissions | |
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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
How to Cite
1.
Movallali G, Torabi F, Tavakoli E. Behavioral problems in deaf populations: a literature review. Aud Vestib Res. 2017;23(5):14-26.
