title: The impact of language skills on mental health in teenagers with hearing impairments.
abstract: OBJECTIVE
  The aim of this study was to examine the relationship of language competence level and mental distress in teenagers with hearing impairments.
  
  
  METHODS
  43 pupils were given a battery of linguistic tests and the Strengths and Difficulties Questionnaire (SDQ), which was also completed by 40 parents. Comparisons were made between the group of 33 children in mainstream education and 10 who were in a segregated school for the deaf.
  
  
  RESULTS
  The children had impaired language skills relative to published norms, especially marked in segregated schools. Parents rated children as having more distress than published norms. Those with superior level of spoken language had fewer peer relationship problems in mainstream education, but significantly more in segregated schools. The reverse was almost significant for those proficient in signed language.
  
  
  CONCLUSIONS
  Peer relationship problems are associated with the language competence levels in the way that children at school communicate with one another.
authors.affiliation: Health Centre for the Deaf, Hospital St John of God, Bischofstrasse 11, Linz, Austria. johannes.fellinger@bblinz.at
authors.forename: J
authors.initials: J
authors.lastname: Fellinger
authors.forename: D
authors.initials: D
authors.lastname: Holzinger
authors.forename: C
authors.initials: C
authors.lastname: Beitel
authors.forename: M
authors.initials: M
authors.lastname: Laucht
authors.forename: D P
authors.initials: DP
authors.lastname: Goldberg
mesh_terms: D000293:Adolescent; D002648:Child; D003866:Depressive Disorder / Q000175:diagnosis / Q000453:epidemiology* / Q000523:psychology*; D004519:Education, Special; D005260:Female; D006311:Hearing Disorders / Q000453:epidemiology*; D006312:Hearing Loss, Bilateral / Q000453:epidemiology; D046088:Hearing Loss, Unilateral / Q000453:epidemiology; D006801:Humans; D007360:Intelligence; D007361:Intelligence Tests; D007806:Language Disorders / Q000175:diagnosis / Q000453:epidemiology*; D007807:Language Tests; D008282:Mainstreaming, Education; D008297:Male; D015588:Observer Variation; D011932:Reading; D012660:Semantics; D012720:Severity of Illness Index; D012813:Sign Language; D013334:Students; D011795:Surveys and Questionnaires; D014825:Vocabulary; D014888:Wechsler Scales