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. 2025 Jun 25;9:762–790. doi: 10.1162/opmi.a.1

Table 1. .

Studies included in the review

Reference N Age Range Mean age Degree of hearing loss Hearing aid Parent language use How ToM tests were administered Task(s) used Main findings
Figueroa et al. (2020) CI: 36 12–16 14;0 Prelingually deaf CIage = 2;3 N/A SpL UT less verbal TH > CI
TH: 54 12–16 13;6 TH = CIearly; TH > CIlate
CIbilateral > CIunilateral; CIbilateral = TH
Marschark et al. (2019) CI: 46 College students N/A N/A CIage = 6;7 NS: 9 All groups in SL or SpL or both Second order FB, sarcasm, dubble bluff; self-ratings of SL and SpL; Non-verbal IQ Woodcock-Johnson III TH > CI or non-CI
No CI: 48 HA: 43 LS: 81
TH :41 No aid: 11
Meristo and Strid (2020) NS: 9 2;2–6;2 4;3 >80 dB No aid SL Non-verbally, eye tracking UT non-verbal NS > LS
LS: 13 1;5–8;5 4;9 >80 dB CI SpL NS = TH
TH: 24         SpL NS and TH above chance
LS at chance
Meristo et al. (2007) NS: 24 7;4–16;1 12;3 Prelingually deaf N/A SL SL UT, UC, second order FB, faux pas, strange stories (+ emotion understanding); RPM Deaf children attended either a bilingual or an oralist school.
LS: 37 8;0–15;11 12;3 SpL SL TH > LS Estonian bilingual
TH: 26 6;1–15;4 10;9 SpL SpL TH > LS Swedish bilingual
          TH > NS Estonian oralist
NS > LS Estonian bilingual
NS > LS Swedish bilingual
NS > NS Estonian oralist
TH = NS Estonian bilingual
Meristo et al. (2012) LS: 10 1;5–2;2 1;11 Moderate to profound 5CIage: 14 m SpL Non-verbally, eye tracking UT TH > LS in false belief trial
TH: 10 1;7–2;4 1;11 5HAage: 12 m TH = LS in true belief trial
Meristo et al. (2016) CI: 8 3;11–8;5 6;5 Profound CIage: 1;9 SpL Non-verbally, eye tracking + verbally with toys in SpL UT non-verbal TH > CI or HA (non-verbal)
HA: 7 4;0–7;11 5;8 45–65 dB HAage: 1;10 SpL UT × 3 verbal CI and HA at chance (non-verbal)
TH: 15 4;1–8;11 5;11     SpL PPVT TH above chance (non-verbal)
            Raven TH = CI and TH > HA (verbal)
Morgan and Kegl (2006) LS: 22 7;0–39;0 (1) 13;9 Severely to profoundly deaf N/A SpL SL UC drawings UC: Early learners > late learners
(2) 24;1 Narrative task
RPM
Sign language – teacher ratings
Netten et al. (2017) HL: 44 3;4–5;10 4;9 35–70 dB; age at detection 0;0 to 4;6 Bilateral HA-s all except one; Mean age at HA 2;2 N/A 89% spoken language, 11% sign-supported Dutch UT, picture stimuli; Language skills – medical records and parent reports TH > HL
TH: 101 3;4–5;10 4;9
Peters et al. (2021) CI: 25 3;0–6;4 4;9 N/A CIage = 12 m SpL   UT & UC TH = CI (UC and UT)
TH: 25 3;6–5;11 4;8 SpL ToM Scale TH = CI (ToM Scale)
Language scales
Peterson (2004) CI: 13 4;2–11;2 8;0 >91 dB CIage = 2–5 y SpL   2× UT & 2× UC TH > CI, HA or ASD
HA: 13 5;0–12;1 7;6 N/A SpL Verbal IQ; PPVT CI = HA
ASD: 9 5;3–12;6 8;6     Non-verbal IQ: the Goodenough-Harris CI + HA = ASD
TH: 17 4;1–5;8 4;10    
Peterson and Siegal (1995) LS: 26 8;1–13;0 10;7 Severely and profoundly prelingually deaf   SpL: 24 Total communication, toy play 2× UT; the Goodenough-Harris and Raven for non-verbal IQ + RPM LS < Down syndrome
SL: 2 LS = ASD
Peterson and Siegal (1999) LS: 34 5;6–12;8 9;4 Severe to profound   SpL Each child’s prefered language for LS and NS UT; UC; CA; the Goodenough-Harris for non-verbal IQ; teacher ratings of language for deaf. PPVT for TH NS = OD = TH
NS: 11 6;6–12;8 10;3 Severe to profound SL NS or OD or TH > LS
OD: 14 6;10–13;2 9;2 Moderate to severe SpL SpL LS = ASD
ASD: 22 6;2–13;9 9;6
TH: 21 3;11–5;4 4;6
Pluta et al. (2021) CI: 45 3;3–8;3 5;5 >90 dB CIage = 13 m SpL   UT less verbal TH > CIyounger
TH: 94 3;3–7;3 4;6 prelingual TH = CIolder
Smogorzewska and Osterhaus (2021) HL: 270 Longitudinal study, ages 7;6 to 9;6 7;6 Moderate to severe All HL children used CI or HA N/A Written test battery Second-order FB; Faux Pas TD > DHH > MID
TH: 250 7;6 Polish Language test for grammar, vocabulary, reading and writing
MID: 210 8;1
Sundqvist et al. (2014) CIearly: 8 4;3–9;3 6;7 All CI CIage = 1;6 SpL SpL UT TH > CIearly or CIlate
CIlate: 8 4;5–9;6 7;1 M = 88 dB CIage = 3;4 SpL SpL PPVT CIearly = CIlate
TH: 18 6;0–8;0 6;7 SpL SpL RPM

This study is missing in the table.

CA = changed appearance; UT = unexpected transfer; UC = unexpected contents; PPVT = Peabody Picture Vocabulary Test; RPM = Raven’s Progressive Matrices; LS = late signers (i.e., deaf children from hearing families); NS = native signers (i.e., deaf children from deaf families); OD = oral deaf children (i.e., children growing up with spoken language); TH = typically hearing children; ASD = autism spectrum disorder; HL = children with hearing loss; MID = mild intellectual disability; CI = cochlear implants, or children with cochlear implants; HA = conventional hearing aids, or children with conventional hearing aids; CIage = age of first cochlear implantation; HAage = age of initial hearing aid use; SL = sign language; SpL = spoken language.

Ages are provided in years and months (3;4 should be interpreted as 3 years and 4 months).

Degrees of hearing loss according to American Speech-Language-Hearing Association (mild 26 to 40 dB; moderate 41 to 55 dB; moderately severe 56 to 70 dB; severe 71 to 90 dB; profound 91+).