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Autism and Developmental Disorders
2025. Vol. 23, no. 4, 53–61
doi:10.17759/autdd.2025230406
ISSN: 1994-1617 / 2413-4317 (online)

Mental development of children after cochlear implantation as a factor of rehabilitation and resilience

 
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Abstract

Context and relevance. The growing number of children with cochlear implants, the need to support the development of their cognitive functions, and the search for effective approaches to psychological support and rehabilitation as factors contributing to child resilience underscore the relevance of studying cognitive development in children after cochlear implantation. Objective. To identify features of children’s mental development after cochlear implantation depending on the duration of cochlear implant use. Methods and materials. The sample comprised 42 children aged 6—11 years with different durations of cochlear implant use. Speech, thinking, memory, and attention (attention productivity) were assessed using A.R. Luria’s neuropsychological tests as adapted by Zh.M. Glozman. Group differences were analyzed using the nonparametric Kruskal—Wallis test. Results. Children’s mental development after cochlear implantation was associated with the duration of implant use. During the 8th—9th year of implant use, attention productivity decreased (p = 0.001), whereas speech, thinking, and mnemonic functions approached normative levels compared with children who had used the implant for up to 5 years (p = 0.001). Qualitative and quantitative analyses of mental development across each period are presented, including clinical examples. Conclusions. Following cochlear implantation, children showed lower performance on measures of thinking, mnemonic, and speech functions. The duration of cochlear implant use was associated with changes in mental development: speech, thinking, and memory improved, while attention productivity decreased. The findings may inform the development of psychological intervention programmers and can be used by psychologists and educators working with child

General Information

Keywords: children after cochlear implantation, risk factors, mental development, cognitive processes, rehabilitation, psychosocial intervention, protective factors, resilience

Journal rubric: Developmental disorders research

Article type: scientific article

DOI: https://doi.org/10.17759/autdd.2025230406

Funding. The authors declare that there are no sponsors or other financial sources for this study

Acknowledgements. The authors thank the management and staff of the State Educational Institution of the Republic of Sakha (Yakutia), in the city of Yakutsk "Special correctional Boarding School for deaf students" and the State Educational Institution of the Republic of Sakha (Yakutia) in the city of Yakutsk "Republican Correctional Boarding School" for their help in collecting data for the study.

Received 28.09.2025

Revised 30.10.2025

Accepted

Published

For citation: Gutkevich, E.V., Shishkina, V.O. (2025). Mental development of children after cochlear implantation as a factor of rehabilitation and resilience. Autism and Developmental Disorders, 23(4), 53–61. (In Russ.). https://doi.org/10.17759/autdd.2025230406

© Gutkevich E.V., Shishkina V.O., 2025

License: CC BY-NC 4.0

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Information About the Authors

Elena V. Gutkevich, Doctor of Medicine, professor of Genetic and Clinical Psychology Department, Faculty of Psychology, Tomsk State University, Leading Researcher, Department of Endogenous Disorders, Research Institute of Mental Health, Tomsk National Research Medical Center of the Russian Academy of Sciences (FSBI TNIMC RAS, Research Institute of Mental Health) "Research Institute of Mental Health", Tomsk, Russian Federation, ORCID: https://orcid.org/0000-0001-7416-7784, e-mail: gutkevich.elena@rambler.ru

Valentina О. Shishkina, senior lecturer, Department of Psychology and Social Sciences, Institute of Psychology, , North-Eastern Federal University, applicant for the degree of candidate of psychological sciences National Research Tomsk State University, Russian Federation, ORCID: https://orcid.org/0009-0009-3989-9125, e-mail: kazitseva@bk.ru

Contribution of the authors

Elena V. Gutkevich — ideas; annotation, writing and design of the manuscript; planning of the research; control over the research.

Valentina O. Shishkina — application of statistical, mathematical or other methods for data analysis; conducting the experiment; data collection and analysis; visualization of research results.

All authors participated in the discussion of the results and approved the final text of the manuscript.

Conflict of interest

The authors declare no conflict of interest. 

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