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Archives of Disease in Childhood 1999;80:28-35; doi:10.1136/adc.80.1.28
Copyright © 1999 BMJ Publishing Group Ltd & Royal College of Paediatrics and Child Health.
Arch Dis Child 1999;80:28-35 ( January )

Behaviour and cognitive outcomes from middle ear disease

Kathleen E Bennett, Mark P Haggard

MRC Institute of Hearing Research, University Park, Nottingham NG7 2RD, UK

Correspondence to: Dr K E Bennett.


Accepted 18 August 1998

OBJECTIVES---To resolve controversies over associations between a history of middle ear disease and psychosocial or cognitive/educational outcomes
DESIGN---Multipurpose longitudinal birth cohort study. Original cohort comprised all UK births between 5 and 11 April 1970; data were available for approximately 12 000 children at 5 years old and 9000 children at 10 years old.
METHODS---For 5 year old children, parent reported data were available on health, social, and behavioural factors, including data on two validated markers of middle ear disease. Cognitive tests were administered at 5 and 10 years of age, and behavioural problems rated at 10 years by the child's teacher.
RESULTS---After adjustment for social background and maternal malaise, the developmental sequelae of middle ear disease remained significant even at 10 years. The largest effects were observed in behaviour problems and language test data at age 5, but effect sizes were modest overall.
IMPLICATIONS---These results provide an epidemiological basis for policies that aim to minimise the sequelae of middle ear disease by awareness in parents and preschool teachers, early referral, and intervention for more serious or persistent cases.

Keywords: middle ear disease; behaviour problems; cognitive development; longitudinal study

© 1999 by Archives of Disease in Childhood
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