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논문KCI 등재

아동기의 초기 중이염과 후기 언어발달의 관련성에 관한 문헌의 연구방법과 결과의 고찰

Review of Methods and Results in Literature on Relationship between Early Otitis Media and Later Language development in Children

김수진
한국특수아동학회 (Kacsn: Korean Association Of The Children With Special Need)|2005.12|특수아동교육연구 (The Journal of Special Children Education)|제7권 제4호|pp. 193-210

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참고문헌

키워드

언어발달language development청력손실중이염otitis mediahearing loss
주제분류교육학

초록

아동기에 최소한 한번은 중이염을 경험할 정도로 중이염은 보편적인 질병이다. 이 중이염과 언어발달의 관련성에 관한 Holm과 Kunze(1969)의 보고 이후 많은 연구가 활발히 진행되어왔으나 일치되지 않은 보고들로 인하여 그 관련성은 여전히 논쟁거리로 남겨져 있다. 본 연구는 아동기에서 초기 중이염과 후기 언어발달의 관련성을 조사한 선행연구들의 연구방법과 결과를 분석하고 그 관련성을 규명하고자 하였다. 선행연구들의 연구방법은 Ventry(1983)의 비평 이후 추적 연구방법을 사용한 연구들에서 만족할 만한 결과를 얻지 못하자 조망적 연구들의 메타 분석으로 통계적인 결과를 얻고자 하였으며 그 관련성에 대한 증거들을 최대한 활용하기 위하여 근거중심방법을 채택하는 변화를 추구하였다. 선행연구들의 결과 분석에서 통계적으로 유의미한 관련성이 없거나 매우 적게 나타났다. 그러나 중이염만을 독립변인으로 하는 연구방법의 문제점을 고려할 때 중이염과 관련된 청력손실이 아동의 언어발달에 영향을 미치는 주요 요인으로 지적되었다. 이는 중이염으로 인한 청력손실의 관리와 중재의 필요성을 제시한다.

Abstract

Otitis media is one of the most common diseases of childhood. Previous studies have not been conclusive about the relationship between early otitis media experience and later language development in children since Holm and Kunze(1969) reported that otitis media was a risk factor for speech disorder in childhood. The purposes of this study were to examine methods and findings of the previous studies about the relationship between early otitis media and later language development and search a conclusion on this topic. The methods of previous studies included occasional qualitative review of retrospective studies, meta-analysis of prospective studies, and evidence-based approach with methodological flaws. Findings of this study showed that there were no to very small relationships between early otitis media and later language development in children and suggested that the main factor was not otitis media but associated hearing loss affecting the language development. Therefore, audiologic evaluation and language testing are recommended for a child with otitis media.

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