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Autism and Hearing Loss
Abstract
A group of 199 children and adolescents (153 boys, 46 girls) with autistic disorder was audiologically evaluated. Mild to moderate hearing loss was diagnosed in 7.9% and unilateral hearing loss in 1.6% of those who could be tested appropriately. Pronounced to profound bilateral hearing loss or deafness was diagnosed in 3.5% of all cases, representing a prevalence considerably above that in the general population and comparable to the prevalence found in populations with mental retardation. Hearing deficits in autism occurred at similar rates at all levels of intellectual functioning, so it does not appear that the covariation with intellectual impairment per se can account for all of the variance of hearing deficit in autism. Hyperacusis was common, affecting 18.0% of the autism group and 0% in an age-matched nonautism comparison group. In addition, the rate of serous otitis media (23.5%) and related conductive hearing loss (18.3%) appeared to be increased in autistic disorder. The study emphasizes the need for auditory evaluation of individuals with autism in order to refer those with pronounced to profound hearing loss for aural habilitation and to follow those with mild to moderate hearing loss because of the risk of deterioration.
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Pronounced to profound bilateral hearing loss or deafness is present in 3.5% of all cases of autism.
“Studies have shown that pronounced to profound bilateral hearing loss or deafness seems to be present in 3.5% of all cases, and hyperacusis (increased sensitivity or decreased tolerance to sound) affects nearly 18–40% of children with autism (Williams et al. 2021; Rosenhall et al. 1999; Wilson et al. 2017).”
From Autism Spectrum Disorder and auditory sensory alterations: a systematic review on the integrity of cognitive and neuronal functions related to auditory processing (2023) · cites this paper as Rosenhall et al. 1999
Hyperacusis affects nearly 18-40% of children with autism.
“Studies have shown that pronounced to profound bilateral hearing loss or deafness seems to be present in 3.5% of all cases, and hyperacusis (increased sensitivity or decreased tolerance to sound) affects nearly 18–40% of children with autism (Williams et al. 2021; Rosenhall et al. 1999; Wilson et al. 2017).”
From Autism Spectrum Disorder and auditory sensory alterations: a systematic review on the integrity of cognitive and neuronal functions related to auditory processing (2023) · cites this paper as Rosenhall et al. 1999
Hearing problems, including hearing loss, were described in 10% of Swedish children and adolescents with autism (n = 199) (107).
“hearing problems, including hearing loss, were described in 10% of Swedish children and adolescents with autism (n = 199) (107).”
From Gene × Environment Interactions in Autism Spectrum Disorders: Role of Epigenetic Mechanisms (2014) · cites this paper as [107]
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Metadata
- Authors
- Rosenhall, U., Nordin, V., Sandström, M., Ahlsén, G., & Gillberg, C.
- Affiliations
- Karolinska University Hospital (SE)
- Sahlgrenska University Hospital (SE)
- Örebro University Hospital (SE)
- Corresponding author
- Rosenhall, Ulf
- Venue
- Journal of Autism and Developmental Disorders
- Published
- 1999-10
- Volume
- 29
- Issue
- 5
- Pages
- 349-357
- ISSN
- 0162-3257 (ISSN-L)
- 1573-3432
- OpenAlex
- W2121122075
- Cited by
- 403
- References
- 46
- Citations by year
- 2026: 9 · 2025: 17 · 2024: 19 · 2023: 21 · 2022: 17 · 2021: 31 · 2020: 10 · 2019: 15 · 2018: 14 · 2017: 17 · 2016: 24 · 2015: 22 · 2014: 27 · 2013: 21 · 2012: 22
- FWCI
- 1.11
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- Journal of Autism and Developmental Disorders (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Vetenskapsrådet
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
- Health Sciences › Health Professions › Speech and Hearing › Hearing Loss and Rehabilitation
- Life Sciences › Neuroscience › Sensory Systems › Hearing, Cochlea, Tinnitus, Genetics
- Keywords
- autism spectrum disorder, hearing loss, hyperacusis, otitis media with effusion, conductive hearing loss, profound hearing loss, prevalence, intellectual functioning, hearing assessment, children and adolescents
- MeSH terms
- Adolescent, Adult, Autistic Disorder, Child, Child, Preschool, Deafness, Female, Hearing Loss, Conductive, Hearing Loss, Sensorineural, Hearing Tests, Humans, Male, Intellectual Disability, Otitis Media with Effusion, Hyperacusis, Comorbidity
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