Research Reports - Social and behavioral outcomes following childhood traumatic brain injury

J Neurotrauma. 2016 Dec 21. doi: 10.1089/neu.2016.4594. [Epub ahead of print]

Catroppa C(1), Hearps S(1), Crossley L(1), Yeates K(2), Beauchamp M(3), Fusella
J(4), Anderson V(1,)(5,)(6).

This study sought to investigate social and behavioral outcomes 12 months
following childhood traumatic brain injury (TBI) and to identify predictors of
these outcomes. The study also compared rates of impairment in social and
behavioral outcomes at 12 months post-injury between children with TBI and a
typically developing (TD) control group. The study comprised 114 children ages
5.5 to 16.0 years, 79 with mild, moderate, or severe TBI and 35 TD children,
group-matched for age, sex and socio-economic status. Children with TBI were
recruited via consecutive hospital admissions and TD children from the community.
Social and behavioral outcomes were measured via parent-rated questionnaires.
Analysis of covariance models identified a significant mean difference between
the mild and moderate groups for social problems only, but the moderate and
severe TBI groups showed a higher rate of impairment, particularly in
externalizing problems. Pre-injury function, injury severity, parent mental
health, and child self-esteem all contributed significantly to predicting social
and behavioral outcomes. Both injury and non-injury factors should be considered
when identifying children at risk for long-term difficulties in social and
behavioral domains. 

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