Skip to main content
Log in

Hearing Impairment, Autism Spectrum Disorder, and Developmental Functioning in Infants and Toddlers

  • ORIGINAL ARTICLE
  • Published:
Journal of Developmental and Physical Disabilities Aims and scope Submit manuscript

Abstract

Autism spectrum disorder (ASD) tends to co-occur with other psychiatric disorders and medical conditions, and identification of comorbidities is crucial for appropriate intervention. Currently, little research has examined the relationship between ASD and deafness or hearing impairment (D/HI). The present study aimed to examine the effects of ASD and D/HI on autism symptomology as measured by the Baby and Infant Screen for Children with aUtIsm Traits (BISCUIT), and developmental functioning in infants and toddlers as measured by the Battelle Developmental Inventory, Second Edition (BDI-2). Specific developmental domains were also investigated. This study compared children with atypical development (n = 24), comorbid atypical development and D/HI (n = 24), ASD only (n = 24), and comorbid ASD and D/HI (n = 24). The results indicated that an ASD diagnosis was a stronger indicator of ASD symptomology, overall developmental functioning, adaptive skills, personal-social skills, and communication skills than D/HI. However, the interaction between ASD and D/HI was more dynamic for the motor and cognitive domains. The results of the current study emphasize the importance of improved assessment techniques to identify both ASD and D/HI when they co-occur. Future research should be conducted to further elucidate the interaction of ASD and D/HI, as well as investigate these comorbidities in older samples.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

References

  • American Psychiatric Association (2013). Diagnostic and statistical manual of mental disorders: DSM-5. Arlington: American Psychiatric Association.

    Book  Google Scholar 

  • Baio, J. (2014). Prevalence of autism spectrum disorder among children aged 8 years. Retrieved 14 Nov 2015, from http://www.cdc.gov/mmwr/preview/mmwrhtml/ss6302a1.htm?s_cid=ss6302a1_w.

  • Bal, E., Yerys, B. E., Sokoloff, J. L., Celano, M. J., Kenworthy, L., Giedd, J. N., & Wallace, G. L. (2013). Do social attribution skills improve with age in children with high functioning autism spectrum disorders? Research in Autism Spectrum Disorders, 7(1), 9–16. doi:10.1016/j.rasd.2012.07.004.

    Article  PubMed  Google Scholar 

  • Carpentieri, S., & Morgan, S. B. (1996). Adaptive and intellectual functioning in autistic and nonautistic retarded children. Journal of Autism and Developmental Disorders, 26(6), 611–620. doi:10.1007/BF02172350.

    Article  PubMed  Google Scholar 

  • Cervantes, P. E., & Matson, J. L. (2015). The relationship between comorbid psychopathologies, autism, and social skill deficits in young children. Research in Autism Spectrum Disorders, 10, 101–108. doi:10.1016/j.rasd.2014.11.006.

    Article  Google Scholar 

  • Charman, T., Taylor, E., Drew, A., Cockerill, H., Brown, J.-A., & Baird, G. (2005). Outcome at 7 years of children diagnosed with autism at age 2: predictive validity of assessments conducted at 2 and 3 years of age and pattern of symptom change over time. Journal of Child Psychology and Psychiatry, 46(5), 500–513. doi:10.1111/j.1469-7610.2004.00377.x.

    Article  PubMed  Google Scholar 

  • Chawarska, K., Klin, A., Paul, R., & Volkmar, F. (2007). Autism spectrum disorder in the second year: stability and change in syndrome expression. Journal of Child Psychology and Psychiatry, 48(2), 128–138. doi:10.1111/j.1469-7610.2006.01685.x.

    Article  PubMed  Google Scholar 

  • Chawarska, K., Shic, F., Macari, S., Campbell, D. J., Brian, J., Landa, R., & Bryson, S. (2014). 18-Month predictors of later outcomes in younger siblings of children with autism spectrum disorder: A baby siblings research consortium study. Journal of the American Academy of Child and Adolescent Psychiatry, 53(12), 1317–1327.e1. doi:10.1016/j.jaac.2014.09.015.

    Article  PubMed  PubMed Central  Google Scholar 

  • Fitzpatrick, E. M., Lambert, L., Whittingham, J., & Leblanc, E. (2014). Examination of characteristics and management of children with hearing loss and autism spectrum disorders. International Journal of Audiology, 53(9), 577–586.

    Article  PubMed  Google Scholar 

  • Guthrie, W., Swineford, L. B., Nottke, C., & Wetherby, A. M. (2013). Early diagnosis of autism spectrum disorder: stability and change in clinical diagnosis and symptom presentation: stability of early diagnosis and symptoms in ASD. Journal of Child Psychology and Psychiatry, 54(5), 582–590. doi:10.1111/jcpp.12008.

    Article  PubMed  PubMed Central  Google Scholar 

  • Jure, R., Rapin, I., & Tuchman, R. F. (1991). Hearing-impaired autistic children. Developmental Medicine and Child Neurology, 33(12), 1062–1072.

    Article  PubMed  Google Scholar 

  • Kancherla, V., Van Naarden Braun, K., & Yeargin-Allsopp, M. (2013). Childhood vision impairment, hearing loss and co-occurring autism spectrum disorder. Disability and Health Journal, 6(4), 333–342. doi:10.1016/j.dhjo.2013.05.003.

    Article  PubMed  PubMed Central  Google Scholar 

  • Kanne, S. M., Gerber, A. J., Quirmbach, L. M., Sparrow, S. S., Cicchetti, D. V., & Saulnier, C. A. (2010). The role of adaptive behavior in autism Spectrum disorders: implications for functional outcome. Journal of Autism and Developmental Disorders, 41(8), 1007–1018. doi:10.1007/s10803-010-1126-4.

    Article  Google Scholar 

  • Kleinman, J. M., Ventola, P. E., Pandey, J., Verbalis, A. D., Barton, M., Hodgson, S., & Fein, D. (2008). Diagnostic stability in very young children with autism spectrum disorders. Journal of Autism and Developmental Disorders, 38(4), 606–615. doi:10.1007/s10803-007-0427-8.

    Article  PubMed  Google Scholar 

  • Landa, R. J. (2008). Diagnosis of autism spectrum disorders in the first 3 years of life. Nature Clinical Practice Neurology, 4(3), 138–147. doi:10.1038/ncpneuro0731.

    Article  PubMed  Google Scholar 

  • Leyfer, O. T., Folstein, S. E., Bacalman, S., Davis, N. O., Dinh, E., Morgan, J., & Lainhart, J. E. (2006). Comorbid psychiatric disorders in children with autism: interview development and rates of disorders. Journal of Autism and Developmental Disorders, 36(7), 849–861. doi:10.1007/s10803-006-0123-0.

    Article  PubMed  Google Scholar 

  • Mandell, D. S., Novak, M. M., & Zubritsky, C. D. (2005). Factors associated with age of diagnosis among children with autism spectrum disorders. Pediatrics, 116(6), 1480–1486.

    Article  PubMed  PubMed Central  Google Scholar 

  • Mannion, A., & Leader, G. (2013). Comorbidity in autism spectrum disorder: a literature review. Research in Autism Spectrum Disorders, 7(12), 1595–1616. doi:10.1016/j.rasd.2013.09.006.

    Article  Google Scholar 

  • Matson, J., Boisjoli, J., & Wilkins, J. (2007). The baby and infant screen for children with aUtIsm traits (BISCUIT). Baton Rouge: Disability Consultants, LLC.

    Google Scholar 

  • Matson, J. L., Fodstad, J. C., & Dempsey, T. (2009a). What symptoms predict the diagnosis of autism or PDD-NOS in infants and toddlers with developmental delays using the baby and infant screen for aUtIsm traits. Developmental Neurorehabilitation, 12(6), 381–388. doi:10.3109/17518420903029501.

    Article  PubMed  Google Scholar 

  • Matson, J. L., Wilkins, J., Sevin, J. A., Knight, C., Boisjoli, J. A., & Sharp, B. (2009b). Reliability and item content of the baby and infant screen for children with aUtIsm traits (BISCUIT): parts 1–3. Research in Autism Spectrum Disorders, 3(2), 336–344. doi:10.1016/j.rasd.2008.08.001.

    Article  Google Scholar 

  • Matson, J. L., Boisjoli, J. A., Hess, J. A., & Wilkins, J. (2010). Factor structure and diagnostic fidelity of the baby and infant screen for children with aUtIsm traits–part 1 (BISCUIT–part 1). Developmental Neurorehabilitation, 13(2), 72–79. doi:10.3109/17518420903213576.

    Article  PubMed  Google Scholar 

  • Matson, J. L., Wilkins, J., & Fodstad, J. C. (2011). The validity of the baby and infant screen for children with aUtIsm traits: part 1 (BISCUIT: part 1). Journal of Autism and Developmental Disorders, 41(9), 1139–1146. doi:10.1007/s10803-010-0973-3.

    Article  PubMed  Google Scholar 

  • Meinzen-Derr, J., Wiley, S., Bishop, S., Manning-Courtney, P., Choo, D. I., & Murray, D. (2014). Autism spectrum disorders in 24 children who are deaf or hard of hearing. International Journal of Pediatric Otorhinolaryngology, 78(1), 112–118.

    Article  PubMed  Google Scholar 

  • Newborg, J. (2005). Battelle developmental inventory (2nd ed.). Itasca: Riverside.

    Google Scholar 

  • Niskar, A., Kieszak, S. M., Holmes, A., Esteban, E., Rubin, C., & Brody, D. J. (1998). Prevalence of hearing loss among children 6 to 19 years of age: the third national health and nutrition examination survey. JAMA, 279(14), 1071–1075. doi:10.1001/jama.279.14.1071.

    Article  PubMed  Google Scholar 

  • Peters-Scheffer, N., Didden, R., Korzilius, H., & Sturmey, P. (2011). A meta-analytic study on the effectiveness of comprehensive ABA-based early intervention programs for children with autism spectrum disorders. Research in Autism Spectrum Disorders, 5(1), 60–69. doi:10.1016/j.rasd.2010.03.011.

    Article  Google Scholar 

  • Reichow, B. (2012). Overview of meta-analyses on early intensive behavioral intervention for young children with autism spectrum disorders. Journal of Autism and Developmental Disorders, 42(4), 512–520. doi:10.1007/s10803-011-1218-9.

    Article  PubMed  Google Scholar 

  • Rieske, R. D., Matson, J. L., Beighley, J. S., Cervantes, P. E., Goldin, R. L., & Jang, J. (2015). Comorbid psychopathology rates in children diagnosed with autism spectrum disorders according to the DSM-IV-TR and the proposed DSM-5. Developmental Neurorehabilitation, 18(4), 218–223. doi:10.3109/17518423.2013.790519.

    Article  PubMed  Google Scholar 

  • Roper, L., Arnold, P., & Monteiro, B. (2003). Co-occurrence of autism and deafness diagnostic considerations. Autism, 7(3), 245–253. doi:10.1177/1362361303007003002.

    Article  PubMed  Google Scholar 

  • Rosenhall, U., Nordin, V., Sandström, M., Ahlsén, G., & Gillberg, C. (1999). Autism and hearing loss. Journal of Autism and Developmental Disorders, 29(5), 349–357. doi:10.1023/A:1023022709710.

    Article  PubMed  Google Scholar 

  • Shattuck, P. T., Durkin, M., Maenner, M., Newschaffer, C., Mandell, D. S., Wiggins, L., & Cuniff, C. (2009). Timing of identification among children with an autism spectrum disorder: findings from a population-based surveillance study. Journal of the American Academy of Child and Adolescent Psychiatry, 48(5), 474–483. doi:10.1097/CHI.0b013e31819b3848.

    Article  PubMed  PubMed Central  Google Scholar 

  • Simonoff, E., Pickles, A., Charman, T., Chandler, S., Loucas, T., & Baird, G. (2008). Psychiatric disorders in children with autism spectrum disorders: prevalence, comorbidity, and associated factors in a population-derived sample. Journal of the American Academy of Child and Adolescent Psychiatry, 47(8), 921–929. doi:10.1097/CHI.0b013e318179964f.

    Article  PubMed  Google Scholar 

  • Szarkowski, A., Mood, D., Shield, A., Wiley, S., & Yoshinaga-Itano, C. (2014). A summary of current understanding regarding children with autism Spectrum disorder who are deaf or hard of hearing. Seminars in Speech and Language, 35(04), 241–259. doi:10.1055/s-0034-1389097.

    Article  PubMed  Google Scholar 

  • Szymanski, C. A., Brice, P. J., Lam, K. H., & Hotto, S. A. (2012). Deaf children with autism spectrum disorders. Journal of Autism and Developmental Disorders, 42(10), 2027–2037. doi:10.1007/s10803-012-1452-9.

    Article  PubMed  Google Scholar 

  • Tas, A., Yagiz, R., Tas, M., Esme, M., Uzun, C., & Karasalihoglu, A. R. (2007). Evaluation of hearing in children with autism by using TEOAE and ABR. Autism, 11(1), 73–79. doi:10.1177/1362361307070908.

    Article  PubMed  Google Scholar 

  • Tidmarsh, L., & Volkmar, F. R. (2003). Diagnosis and epidemiology of autism spectrum disorders. Canadian Journal of Psychiatry, 48(8), 517.

    PubMed  Google Scholar 

  • Van Naarden Braun, K., Christensen, D., Doernberg, N., Schieve, L., Rice, C., Wiggins, L., & Yeargin-Allsopp, M. (2015). Trends in the prevalence of autism Spectrum disorder, cerebral palsy, hearing loss, intellectual disability, and vision impairment, metropolitan Atlanta, 1991–2010. PloS One, 10(4), e0124120. doi:10.1371/journal.pone.0124120.

    Article  PubMed  PubMed Central  Google Scholar 

  • Virues-Ortega, J., Rodríguez, V., & Yu, C. T. (2013). Prediction of treatment outcomes and longitudinal analysis in children with autism undergoing intensive behavioral intervention. International Journal of Clinical and Health Psychology, 13(2), 91–100. doi:10.1016/S1697-2600(13)70012-7.

    Article  Google Scholar 

  • Volkmar, F. R., Lord, C., Bailey, A., Schultz, R. T., & Klin, A. (2004). Autism and pervasive developmental disorders. Journal of Child Psychology and Psychiatry, 45(1), 135–170. doi:10.1046/j.0021-9630.2003.00317.x.

    Article  PubMed  Google Scholar 

  • Wake, M., Poulakis, Z., Hughes, E. K., Carey-Sargeant, C., & Rickards, F. W. (2005). Hearing impairment: a population study of age at diagnosis, severity, and language outcomes at 7–8 years. Archives of Disease in Childhood, 90(3), 238–244. doi:10.1136/adc.2003.039354.

    Article  PubMed  PubMed Central  Google Scholar 

  • Walton, J. R., & Coury, D. L. (2015). Medical comorbidities in autism spectrum disorder. In E. Anagnostou, J. Brian, E. Anagnostou, & J. Brian (Eds.), Clinician’s manual on autism spectrum disorder (pp. 33–41). Cham: Springer International Publishing. doi:10.1007/978-3-319-03056-2_4.

    Chapter  Google Scholar 

  • Zuckerman, K. E., Lindly, O. J., & Sinche, B. K. (2015). Parental concerns, provider response, and timeliness of autism spectrum disorder diagnosis. The Journal of Pediatrics, 166(6), 1431–1439.e1. doi:10.1016/j.jpeds.2015.03.007.

    Article  PubMed  PubMed Central  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Claire O. Burns.

Ethics declarations

Funding

This study did not receive external funding.

Ethical Approval

The Louisiana State University Institutional Review Board and the State of Louisiana’s Department of Health and Hospitals Institutional Review Board have approved the use of data from EarlySteps for research purposes. All procedures were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained from all informants, who were parents or legal guardians of the participating children. Personal identifiers of EarlySteps participants, including name and date of birth, were removed from the database by OCDD before receipt.

Conflict of Interest

Deann Matson, Dr. Johnny L. Matson’s wife, is the sole owner of the Baby and Infant Screen for Children with autism Traits (BISCUIT) and sells the scale. Claire O. Burns declares that she has no conflict of interest. Paige E. Cervantes declares that she has no conflict of interest. Xinrui Jiang declares that she has no conflict of interest. Jasper A. Estabillo declares that she has no conflict of interest.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Burns, C.O., Matson, J.L., Cervantes, P.E. et al. Hearing Impairment, Autism Spectrum Disorder, and Developmental Functioning in Infants and Toddlers. J Dev Phys Disabil 28, 495–507 (2016). https://doi.org/10.1007/s10882-016-9486-0

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10882-016-9486-0

Keywords

Navigation