PEDIATRICS Vol. 83 No. 4 April 1989, pp. 477-485
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Otitis Media in Early Childhood and Cognitive, Academic, and Classroom Performance of the School-Aged Child

Joanne Erwick Roberts PhD1, Margaret R. Burchinal PhD1, Albert M. Collier MD1, Craig T. Ramey PhD1, Matthew A. Koch MD1, and Frederick W. Henderson MD1

1 The Frank Porter Graham Child Development Center, Division of Speech and Hearing Sciences and Departments of Pediatrics, Psychology, and Biostatistics, University of North Carolina, Chapel Hill

The relationship between the occurrence of otitis media during the first 3 years of life and cognitive, academic, and classroom performance during the third year of elementary school was evaluated in 44 socioeconomically disadvantaged children. The children attended a research day-care program where their otitis media experience and psychoeducational development were documented prospectively from birth. No significant relationship was found between otitis media in early childhood and performance on tests of verbal intelligence or academic achievement in the third year of school. The number of days of otitis media before 3 years of age was significantly correlated with teachers' ratings of children's attentional behavior in the classroom, however. Children with more early otitis media tended to be rated as less task oriented and less able to work independently than children with less otitis media. This was an exploratory study of a small number of children. Further study of the potential association is needed.

Key Words: otitis media • ear infection • classroom behavior • attentional behavior • academic achievement

Submitted on July 29, 1986
Accepted on June 22, 1988




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