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date: 07 July 2020

Abstract and Keywords

Research on outcomes following cochlear implantation has focused primarily on auditory and proximal spoken-language skills. More recently, however, evidence has emerged demonstrating that the effects of early auditory deprivation and language delays associated with deafness can have distal, cascading effects on neurocognitive and psychosocial outcomes. The few studies on psychosocial outcomes suggest that prelingually deaf cochlear implant (CI) users display highly variable outcomes, with some children demonstrating excellent adjustment and others struggling with emotional-behavioral problems and/or social deficits or delays. In this chapter, we describe how underlying neurocognitive processes, such as language and the self-regulation of cognitive and emotional responses, may account for unexplained individual differences in psychosocial outcomes in CI users. Furthermore, we identify the lack of psychometrically sound questionnaire measures of psychosocial functioning as a critical barrier to progress in the early identification and effective treatment of poor social, emotional, and behavioral outcomes in CI users.

Keywords: cochlear implants, psychosocial outcomes, language, executive function, self-regulation

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