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Middle ear disease was associated with some behaviour problems at 5 and 10 years of age

Main results At 5 years, parent reported antisocial, neurotic, and hyperactive behaviour were associated with ear discharge and hearing difficulty (table). Poor conduct was associated with hearing difficulty. At 10 years, parent reported neurotic and hyperactive behaviour and clumsiness were associated with both ear discharge and hearing difficulty, and antisocial behaviour was associated with ear discharge. At 10 years, teacher reported antisocial behaviour was associated with ear discharge and hearing difficulty, and clumsiness was associated with hearing difficulty. Speech articulation was associated with ear discharge (p = 0.048) and hearing difficulty (p = 0.004). Children with hearing difficulties had lower verbal (p < 0.05) and non-verbal (p = 0.01) test scores at 5 years. At 10 years, children with ear discharge had lower language skills scores (p = 0.01).