• We are sorry, but NCBI web applications do not support your browser and may not function properly. More information
Logo of archdischArchives of Disease in ChildhoodVisit this articleSubmit a manuscriptReceive email alertsContact usBMJ
Arch Dis Child. Aug 2001; 85(2): 91–95.
PMCID: PMC1718889

Behaviour and developmental effects of otitis media with effusion into the teens

Abstract

OBJECTIVE—To examine whether behavioural or cognitive sequelae of otitis media with effusion (OME) continue into late childhood and the early teens (11-18 years).
SETTING—Data from a large multipurpose birth cohort study: the Dunedin multidisciplinary health and development study.
PARTICIPANTS—Around 1000 children from the study. The main independent variable of interest was otological status of the child up to age 9.
MAIN OUTCOME MEASURES—Parent and teacher rated behaviour problems, including antisocial, neurotic, hyperactive, and inattentive behaviours, and tests of academic achievement including intelligence quotient (IQ), reading, and spelling were available in a high proportion of the cohort at ages 11 to 18years.
RESULTS—After adjustments for covariates such as socioeconomic status, hyperactive and inattentive behaviour problems were evident as late as 15 years, and lower IQ associated with OME remained significant to 13 years. The largest effects were observed for deficits in reading ability between 11 and 18years.
CONCLUSIONS—No previous study considering behaviour problems as an outcome has followed children long enough to determine whether some of the early sequelae of OME are still present in the early to late teens. Some developmental sequelae of OME, particularly deficits in reading ability, can persist into late childhood and the early teens.

Full Text

The Full Text of this article is available as a PDF (145K).

Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Teele DW, Klein JO, Chase C, Menyuk P, Rosner BA. Otitis media in infancy and intellectual ability, school achievement, speech, and language at age 7 years. Greater Boston Otitis Media Study Group. J Infect Dis. 1990 Sep;162(3):685–694. [PubMed]
  • Silva PA, Kirkland C, Simpson A, Stewart IA, Williams SM. Some developmental and behavioral problems associated with bilateral otitis media with effusion. J Learn Disabil. 1982 Aug-Sep;15(7):417–421. [PubMed]
  • Jerger J. Clinical experience with impedance audiometry. Arch Otolaryngol. 1970 Oct;92(4):311–324. [PubMed]
  • Pisecco S, Baker DB, Silva PA, Brooke M. Behavioral distinctions in children with reading disabilities and/or ADHD. J Am Acad Child Adolesc Psychiatry. 1996 Nov;35(11):1477–1484. [PubMed]
  • Ruben RJ, Wallace IF, Gravel J. Long-term communication deficiencies in children with otitis media during their first year of life. Acta Otolaryngol. 1997 Mar;117(2):206–207. [PubMed]
  • Secord GJ, Erickson MT, Bush JP. Neuropsychological sequelae of otitis media in children and adolescents with learning disabilities. J Pediatr Psychol. 1988 Dec;13(4):531–542. [PubMed]
  • Roberts JE, Burchinal MR, Clarke-Klein SM. Otitis media in early childhood and cognitive, academic, and behavior outcomes at 12 years of age. J Pediatr Psychol. 1995 Oct;20(5):645–660. [PubMed]
  • Bennett KE, Haggard MP. Behaviour and cognitive outcomes from middle ear disease. Arch Dis Child. 1999 Jan;80(1):28–35. [PMC free article] [PubMed]
  • Lous J. Otitis media and reading achievement: a review. Int J Pediatr Otorhinolaryngol. 1995 May;32(2):105–121. [PubMed]
  • Luotonen M, Uhari M, Aitola L, Lukkaroinen AM, Luotonen J, Uhari M, Korkeamäki RL. Recurrent otitis media during infancy and linguistic skills at the age of nine years. Pediatr Infect Dis J. 1996 Oct;15(10):854–858. [PubMed]
  • Updike C, Thornburg JD. Reading skills and auditory processing ability in children with chronic otitis media in early childhood. Ann Otol Rhinol Laryngol. 1992 Jun;101(6):530–537. [PubMed]

Articles from Archives of Disease in Childhood are provided here courtesy of BMJ Group

Formats:

Related citations in PubMed

See reviews...See all...

Cited by other articles in PMC

See all...

Links

  • Cited in Books
    Cited in Books
    PubMed Central articles cited in books
  • MedGen
    MedGen
    Related information in MedGen
  • PubMed
    PubMed
    PubMed citations for these articles