PT  - JOURNAL ARTICLE
AU  - Kathleen E Bennett
AU  - Mark P Haggard
TI  - Behaviour and cognitive outcomes from middle ear disease
AID  - 10.1136/adc.80.1.28
DP  - 1999 Jan 01
TA  - Archives of Disease in Childhood
PG  - 28--35
VI  - 80
IP  - 1
4099  - http://adc.bmj.com/content/80/1/28.short
4100  - http://adc.bmj.com/content/80/1/28.full
SO  - Arch Dis Child1999 Jan 01; 80
AB  - 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.