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2026, Vol: 10, Issue: 3
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Review Article
Online Published: 26 Jan 2026
 


Emotional and mental development of children post cochlear implant: systematic review

Tameem Abdulaziz Alhomaid, Baan Alzuhair, Dana Aleidan, Joud Almohrij, Lina Alshabanah, Nour Alswailem.


Abstract
Sensorineural hearing loss (SNHL) in childhood significantly impacts development, yet cochlear implants (CIs) have revolutionized auditory rehabilitation. While their benefits for speech perception are established, their broader impact on emotional, cognitive, and mental development requires synthesis. This systematic review evaluated how cochlear implantation influence these developmental domains in children with SNHL compared to hearing aid users or normal-hearing (NH) peers. Following a systematic search of databases from 2010 to 2025, 15 studies were included. The evidence indicated that CIs, particularly when received early (before age 3-4 years), facilitate significant improvements, enabling cognitive and IQ scores comparable to NH peers. However, persistent challenges were evident in specific areas. Children with CIs often lag in social competence, prosocial behavior, and complex executive functions like verbal working memory and attention regulation. Key moderators of positive outcomes included early implantation, strong language proficiency, bilateral implantation, and high parental involvement and education. While emotional quality of life is often similar to peers, social quality of life remains lower, especially in special education settings. The findings suggested that CIs enabled remarkable developmental catch-up, but do not fully reach normalization in all domains. Therefore, a paradigmatic shift is needed towards holistic rehabilitation with a primary focus on social-pragmatic, executive, and emotional regulation alongside auditory-verbal training, so that children with CIs attain holistic well-being in addition to hearing.

Key words: Cochlear implants, child development, systematic review, neurocognitive outcomes, psychosocial functioning, language proficiency


 
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Pubmed Style

Alhomaid TA, Alzuhair B, Aleidan D, Almohrij J, Alshabanah L, Alswailem N. Emotional and mental development of children post cochlear implant: systematic review. IJMDC. 2026; 10(3): 934-943. doi:10.24911/IJMDC.51-1764448610

Web Style

Alhomaid TA, Alzuhair B, Aleidan D, Almohrij J, Alshabanah L, Alswailem N. Emotional and mental development of children post cochlear implant: systematic review. https://www.ijmdc.com/?mno=300324 [Access: February 23, 2026]. doi:10.24911/IJMDC.51-1764448610

AMA (American Medical Association) Style

Alhomaid TA, Alzuhair B, Aleidan D, Almohrij J, Alshabanah L, Alswailem N. Emotional and mental development of children post cochlear implant: systematic review. IJMDC. 2026; 10(3): 934-943. doi:10.24911/IJMDC.51-1764448610


Vancouver/ICMJE Style

Alhomaid TA, Alzuhair B, Aleidan D, Almohrij J, Alshabanah L, Alswailem N. Emotional and mental development of children post cochlear implant: systematic review. IJMDC. (2026), [cited February 23, 2026]; 10(3): 934-943. doi:10.24911/IJMDC.51-1764448610


Harvard Style

Alhomaid, T. A., Alzuhair, . B., Aleidan, . D., Almohrij, . J., Alshabanah, . L. & Alswailem, . N. (2026) Emotional and mental development of children post cochlear implant: systematic review. IJMDC, 10 (3), 934-943. doi:10.24911/IJMDC.51-1764448610


Turabian Style

Alhomaid, Tameem Abdulaziz, Baan Alzuhair, Dana Aleidan, Joud Almohrij, Lina Alshabanah, and Nour Alswailem. 2026. Emotional and mental development of children post cochlear implant: systematic review. International Journal of Medicine in Developing Countries, 10 (3), 934-943. doi:10.24911/IJMDC.51-1764448610


Chicago Style

Alhomaid, Tameem Abdulaziz, Baan Alzuhair, Dana Aleidan, Joud Almohrij, Lina Alshabanah, and Nour Alswailem. "Emotional and mental development of children post cochlear implant: systematic review." International Journal of Medicine in Developing Countries 10 (2026), 934-943. doi:10.24911/IJMDC.51-1764448610


MLA (The Modern Language Association) Style

Alhomaid, Tameem Abdulaziz, Baan Alzuhair, Dana Aleidan, Joud Almohrij, Lina Alshabanah, and Nour Alswailem. "Emotional and mental development of children post cochlear implant: systematic review." International Journal of Medicine in Developing Countries 10.3 (2026), 934-943. Print. doi:10.24911/IJMDC.51-1764448610


APA (American Psychological Association) Style

Alhomaid, T. A., Alzuhair, . B., Aleidan, . D., Almohrij, . J., Alshabanah, . L. & Alswailem, . N. (2026) Emotional and mental development of children post cochlear implant: systematic review. International Journal of Medicine in Developing Countries, 10 (3), 934-943. doi:10.24911/IJMDC.51-1764448610




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