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objective determine influence presence auditory neuropathy spectrum disorder ansd speech language psychosocial development children three years age design populationbased longitudinal study performed outcomes children hearing impairment lochi australia demographic characteristics children described developmental outcomes evaluated three years age performance children ansd compared children without ansd lochi study study sample 47 children ansd study sample results sixtyfour percent children ansd hearing sensitivity loss ranging mild severe degree remaining profound hearing loss three years 27 children used hearing aids 19 used cochlear implants one child use hearing device thirty percent children disabilities addition hearing loss average significant differences performance level children without ansd also variability scores significantly different two groups conclusions significant difference performance levels variability children without ansd children use hearing aids children use cochlear implants