The relationship between executive functions and daily auditory behaviors in preschool cochlear implant users.

IF 1.4 4区心理学 Q4 CLINICAL NEUROLOGY

Applied Neuropsychology: Child Pub Date : 2026-08-21 DOI:10.1080/21622965.2026.2720752

Rumeysa Nur Akbaş, Ayşe Özer

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Abstract

Objective: This study aims to investigate the relationship between parent-reported daily life auditory behaviors and teacher-evaluated executive functions in preschool children using cochlear implants (CIs). Material and Methods: Forty-seven children (23 girls, 24 boys) aged 4-6 years with bilateral CIs participated. The clinical profile showed successful auditory access (aided thresholds: 24.8 dB HL; word recognition: 82.5%). Auditory Behavior in Everyday Life (ABEL) and the Childhood Executive Functioning Inventory (CHEXI) scales were used. Data were analyzed using correlation, hierarchical regression, and mediation analyses. Results: Duration of CI use correlated significantly with auditory behaviors (r = .50, p < .01) and working memory (WM) (r = .48, p < .01). Regression analysis showed WM explained an additional 22% of variance in auditory performance (β = .45, p < .001). Mediation analysis confirmed auditory behaviors partially mediate the relationship between device experience and WM development (β = .22, p = .014). Girls demonstrated significantly higher WM scores than boys (p = .032). Conclusion: WM is a vital neurocognitive resource operating in synergy with auditory experience. Clinical protocols should include integrated strategies supporting WM capacity to maximize developmental potential.

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学龄前人工耳蜗使用者执行功能与日常听觉行为的关系。

目的：探讨学龄前人工耳蜗儿童家长报告的日常生活听觉行为与教师评价的执行功能之间的关系。材料与方法：47例4-6岁双侧CIs患儿（女23例，男24例）。临床表现显示听觉通路成功（辅助阈值：24.8 dB HL；单词识别：82.5%）。使用日常生活听觉行为量表（ABEL）和儿童执行功能量表（CHEXI）。使用相关性、层次回归和中介分析对数据进行分析。结果：CI使用持续时间与听觉行为（r = 0.50, p < 0.01）和工作记忆（r = 0.48, p < 0.01）显著相关。回归分析显示，WM解释了另外22%的听觉表现差异（β = 0.45, p < 0.001）。中介分析证实听觉行为部分中介设备体验与WM发展之间的关系（β = 0.22, p = 0.014）。女生的WM得分明显高于男生（p = 0.032）。结论：WM是一种重要的神经认知资源，与听觉经验协同工作。临床方案应包括支持WM能力的综合战略，以最大限度地发挥其发展潜力。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Applied Neuropsychology: Child CLINICAL NEUROLOGY-PSYCHOLOGY

CiteScore

4.00

自引率

5.90%

发文量

期刊介绍： Applied Neuropsychology: Child publishes clinical neuropsychological articles concerning assessment, brain functioning and neuroimaging, neuropsychological treatment, and rehabilitation in children. Full-length articles and brief communications are included. Case studies of child patients carefully assessing the nature, course, or treatment of clinical neuropsychological dysfunctions in the context of scientific literature, are suitable. Review manuscripts addressing critical issues are encouraged. Preference is given to papers of clinical relevance to others in the field. All submitted manuscripts are subject to initial appraisal by the Editor-in-Chief, and, if found suitable for further considerations are peer reviewed by independent, anonymous expert referees. All peer review is single-blind and submission is online via ScholarOne Manuscripts.