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Language Screening for Infants Prone to Otitis Media
Authors:Black, Maureen M.   Gerson, Linda F.   Freeland, Claire A. B.   Nair, Prasanna   Rubin, John S.   Hutcheson, Jacqueline J.
Affiliation:Department of Pediatrics, University of Maryland Medical System, Hearing and Speech Agency Baltimore, Department of Pediatrics, University of Maryland Medical System, Department of Surgery, University of Maryland Medical System, University of Maryland Baltimore County

2A11 correspondence should be sent to Maureen M. Black, Division of Behavioral and Developmental Pediatrics, University of Maryland, 630 W. Fayette Street, Baltimore, Maryland 21201

Abstract:The language, developmental status, and characteristics of mother-infantinteraction in a group of infants with a history of recurrentotitis media were compared to those of a healthy control group(mean age of infants = 14.66 months). Both groups received theirwell child and medical care at a university-affiliated inner-cityprimary pediatric clinic. An easily administered language screeninginstrument, the Early Language Milestones Scale (ELM), was highlysensitive and specific in the early identification of languagedelay. While the majority of infants exhibited language anddevelopmental scores within normal limits, 28% of the infantswith a history of otitis media had language and developmentaldelays by 18 months of age. Exposure to an enriched linguisticenvironment through maternal cognitive growth-fostering behaviorobserved during a mother-infant play session was positivelyassociated with higher scores on an infant assessment of cognitivedevelopment. These results lend support to a rational-constructionisttheoretical interpretation that through linguistic enrichmentinfants may compensate for periods of hearing loss.
Keywords:otitis media   infancy   screening   language development   parent-infant interaction.
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