Journal of Autism and Developmental Disorders

, Volume 29, Issue 5, pp 349–357 | Cite as

Autism and Hearing Loss

  • Ulf RosenhallEmail author
  • Viviann Nordin
  • Mikael Sandström
  • Gunilla Ahlsén
  • Christopher Gillberg


A group of 199 children and adolescents (153 boys, 46 girls) with autistic disorder was audiologically evaluated. Mild to moderate hearing loss was diagnosed in 7.9% and unilateral hearing loss in 1.6% of those who could be tested appropriately. Pronounced to profound bilateral hearing loss or deafness was diagnosed in 3.5% of all cases, representing a prevalence considerably above that in the general population and comparable to the prevalence found in populations with mental retardation. Hearing deficits in autism occurred at similar rates at all levels of intellectual functioning, so it does not appear that the covariation with intellectual impairment per se can account for all of the variance of hearing deficit in autism. Hyperacusis was common, affecting 18.0% of the autism group and 0% in an age-matched nonautism comparison group. In addition, the rate of serous otitis media (23.5%) and related conductive hearing loss (18.3%) appeared to be increased in autistic disorder. The study emphasizes the need for auditory evaluation of individuals with autism in order to refer those with pronouced to profound hearing loss for aural habilitation and to follow those with mild to moderate hearing loss because of the risk of deterioration.

Autistic disorder hearing loss serous otitis media hyperacusis 


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  1. American Psychiatric Association. (1987). Diagnostic and statistical manual of mental disorders (3rd ed. Rev.). Washington, DC: Author.Google Scholar
  2. Axelsson, A., Aniansson, G., & Costa, O. (1987). Hearing loss in school children. Scandinavian Audiology, 16, 137–143.Google Scholar
  3. Axelsson, A., Rosenhall, U., & Zackau, G. (1994). Hearing in 18-year old Swedish males. Scandinavian Audiology, 23, 129–134.Google Scholar
  4. Augustsson, I., Nilson, C., & Engstrand, I. (1990). The preventive value of audiometric screening of preschool and young school-children. International Journal of Pediatric Otorhinolaryngology, 20, 51–62.Google Scholar
  5. Braden, J. P. (1994). Deafness, deprivation and IQ. New York: Plenum Press.Google Scholar
  6. Chess, S. (1977). Follow-up report on autism in congenital rubella. Journal of Autism and Childhood Schizophrenia, 7, 69–81.Google Scholar
  7. Coleman, M., & Gillberg, C. (1985). The biology of the autistic syndromes. New York: Praeger.Google Scholar
  8. Davis, A., Wood, S., Healy, R., Webb, H., & Rowe, S. (1995). Risk factors for hearing disorders: Epidemiologic evidence of change over time in the UK. Journal of the American Academy of Audiology, 6, 365–370.Google Scholar
  9. Fleiss, J. L. (1981). Statistical methods for rates and proportions (2nd ed.). New York: Wiley.Google Scholar
  10. Gillberg, C., Rosenhall, U., & Johansson, E. (1983). Auditory brainstem responses in childhood psychosis. Journal of Autism and Developmental Disorders, 13, 181–195.Google Scholar
  11. Gillberg, C. (1992). Subgroups in autism: are there behavioural phenotypes typical of underlying medical conditions? Journal of Intellectual Disability Research, 36, 201–214.Google Scholar
  12. Gillberg, C., & Coleman, M. (1992). The biology of the autistic syndromes (2nd Rev. ed.). New York: Mac Keith.Google Scholar
  13. Gimsing, S., & Bergholtz, L. M. (1983). Audiologic screening of seven-and ten-year-old children. Scandinavian Audiology, 12, 171–177.Google Scholar
  14. Göstason, R. (1985). Psychiatric illness amnog the mentally retarded. A Swedish population study. Acta Psychiatrica Scandinavica Suppl. 318, 1–117.Google Scholar
  15. Grandin, T. (1992). An inside view of autism. In E. Schopler & G. B. Mesibov (Eds.), High-functioning individuals with autism (pp. 105–126), New York: Plenum Press.Google Scholar
  16. Grillon, C., Courchesne, E., & Akshoomoff, N. (1989). Brainstem and middle latency auditory evoked potentials in autism and developmental language disorder. Journal of Autism and Developmental Disorders, 19, 255–269.Google Scholar
  17. Hagberg, B., & Kyllerman, M (1983). Epidemiology of mental retardation. Brain and Development, 5, 441–449.Google Scholar
  18. Hayes, R. W., & Gordon, A. G. (1977). Auditory abnormalities in autistic children. Lancet, 2, 767.Google Scholar
  19. Hirsch, A. (1988). Hearing loss and associated handicaps in preschool children. Scandinavian Audiology, Suppl. 30, 61–64.Google Scholar
  20. International Organization for Standardization. ISO 389, (1991). Acoustics-standard reference zero for the calibration of pure-tone air conduction audiometers. Geneva: International Organization for Standardization.Google Scholar
  21. Jure, R., Rapin, I., & Tuchman, R. F. (1991). Hearing-impaired autistic children. Developmental Medicine and Child Neurology, 33, 1062–1072.Google Scholar
  22. Kankkunen, A. (1982). Pre-school children with impaired hearing in Goteborg 1964–1980. Acta Otolaryngologica, Suppl. 391.Google Scholar
  23. Klin, A. (1993). Auditory brainstem responses in autism: brainstem dysfunction or peripheral hearing loss? Journal of Autism and Developmental Disorders, 23, 15–35.Google Scholar
  24. Konstantareas, M. M., & Homatidis, S. (1987). Ear infections in autistic and normal children (Brief report). Journal of Autism and Developmental Disorders, 17, 585–593.Google Scholar
  25. Martin, J. A. M., Bentzen, O., Colley, J. R. T., Hennebert, D., Holm, C., Lurato, S., de Jonge, G. A., McCullen, O., Meyer, M. L., Moore, W. J., & Morgon, A. (1981). Childhood deafness in the European Community. Scandinavian Audiology, 10, 165–174.Google Scholar
  26. Nordin, V., & Gillberg, C. (1996) Autism spectrum disorders in children with physical or mental disability or both. I. Clinical and epidemiological aspects. Developmental Medicine and Child Neurology, 38, 297–313.Google Scholar
  27. Novick, B., Vaughan, H. G., Kurtzberg, D., & Simson, R. (1980). An electrophysiologic indication of auditory processing defects in autism. Psychiatry Research, 3, 107–114.Google Scholar
  28. O'Neill, M., & Jones, R. (1997) Sensory-perceptual abnormalities in autism—a case for more research? Journal of Autism and Developmental Disorders; 27, 283–293.Google Scholar
  29. Ornitz, E. M. (1987) Neurophysiologic studies of infantile autism. In D. Cohen & A. Donnellan (Eds.), Handbook of autism and pervasive developmental disorders (pp. 148–165). New York: Wiley.Google Scholar
  30. Parving, A. (1983). Epidemiology of hearing loss and aetiological diagnosis of hearing impairment in childhood. International Journal of Pediatric Otorhinolaryngology, 5, 151–165.Google Scholar
  31. Rosenblum, S. M., Arick, J. R., Krug, D. A., Stubbs, E. G., Young, N. B., & Pelson, R. O. (1980). Auditory brainstem evoked responses in autistic children. Journal of Autism and Developmental Disorders, 10, 215–225.Google Scholar
  32. Sehlin, P., Holmgren, G., & Zakrisson, J. (1990). Incidence, prevalence and etiology of hearing impairment in children in the county of Vasterbotten, Sweden. Scandinavian Audiology, 19, 193–200.Google Scholar
  33. Skoff, B. F., Mirsky, A. F., & Turner, D. (1980). Prolonged brainstem transmission time in autism. Psychiatry Research, 2, 157–166.Google Scholar
  34. Skoff, B. F., Fein, D., McNally, B., Lucci, D., Humes-Bartlo, M., & Waterhouse, L. (1986). Brainstem auditory evoked potentials in autism. Psychophysiology, 23, 462.Google Scholar
  35. Smith, D. E. P., Miller, S. D., Stewart, M., Walter, T. L., & McConnell, J. V. (1988). Conductive hearing loss in autistic, learning-disabled, and normal children. Journal of Autism end Developmental Disorders, 18, 53–65.Google Scholar
  36. Steffenburg, S., Gillberg, C., Hellgren, L., Andersson, L., Gillberg, I. C., Jakobsson, G., & Bohman, M. (1989). A twin study of autism in Denmark, Finland, Iceland, Norway and Sweden. Journal of Child Psychology and Psychiatry, 30, 405–416.Google Scholar
  37. Student, M., & Sohmer, H. (1978). Evidence from auditory nerve and brainstem evoked resonses for an organic brain lesion in children with autistic traits. Journal of Autism and Childhood Schizophrenia, 8, 13–20. (Erratum: Journal of Autism and Developmental Disorders 9, 309)Google Scholar
  38. Taylor, M. J., Rosenblatt, B., & Linschoten, L. (1982). Auditory brainstem response abnormalities in autistic children. Canadian Journal of Neurological Sciences, 9, 429–433.Google Scholar
  39. van Rijn, P. M. (1989). Causes of early childhood deafness. Thesis. The Hague: CipGegevens Koninklijke Bibliotheek.Google Scholar
  40. van Schrojenstein Lantman-de Valk, H. M. (1997). Prevalence and incidence of health problems in people with intellectual disability. Journal of Intellectual Disability. Research, 41, 42–51.Google Scholar

Copyright information

© Plenum Publishing Corporation 1999

Authors and Affiliations

  • Ulf Rosenhall
    • 1
    Email author
  • Viviann Nordin
    • 2
  • Mikael Sandström
    • 1
  • Gunilla Ahlsén
    • 3
  • Christopher Gillberg
    • 2
  1. 1.Department of AudiologyKarolinska Hospital, Karolinska InstituteStockholmSweden
  2. 2.Department of Child and Adolescent PsychiatrySahlgren University Hospital, Göteborg UniversityGoteborgSweden
  3. 3.Department of NeurophysiologyÖrebro HospitalÖrebroSweden

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