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Twenty-six adolescents and young adults with Down's syndrome and 26 IQ- and CA-matched youth with other causes of intellectual impairment (comparison group) repeated a battery of audiological and auditory-cognitive tests on three annual assessments. Audiological tests revealed the following differences between the group with Down's syndrome and the comparison group: a) Poorer acuity and longitudinal declines at each frequency from 250-8000 Hz for the group with Down's syndrome, par- ticularly at the highest frequencies; b) A tendency for the middle ear problems of Down's syndrome individuals to be bilateral, chronic, and to reflect no mobility, retraction, or reduced mobility of the tympanic membrane; and c) Poorer reception and discrimination of speech in the group with Down's syndrome. Correlational analyses revealed the following reliable relationships between performance on audiological and auditory-cognitive tests: a) individuals with Down's syndrome who had lower speech discrimination scores, poorer acoustic reflexes, or bilaterally impaired tympanograms repeated spoken sentences less accurately; b) individuals with Down's syndrome who had lower speech discrimination scores performed more poorly on a language comprehension task; and c) individuals with Down's syndrome with im-

Relationships between hearing and auditory cognition in Down syndrome youth