A prospective study of short- and long-term outcomes after traumatic brain injury in children: Behavior and achievement

被引:320
作者
Taylor, HG
Yeates, KO
Wade, SL
Drotar, D
Stancin, T
Minich, N
机构
[1] Rainbow Babies & Childrens Hosp, Dept Pediat, Cleveland, OH 44106 USA
[2] Case Western Reserve Univ, Dept Pediat, Cleveland, OH 44106 USA
[3] Ohio State Univ, Dept Pediat, Columbus, OH 43210 USA
[4] Columbus Childrens Hosp, Dept Pediat, Columbus, OH USA
[5] Univ Cincinnati, Coll Med, Cincinnati, OH 45221 USA
[6] Childrens Hosp, Med Ctr, Dept Phys Med & Rehabil, Cincinnati, OH 45229 USA
[7] Metrohlth Med Ctr, Dept Pediat, Cleveland, OH USA
关键词
D O I
10.1037//0894-4105.16.1.15
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
Longitudinal behavior and achievement outcomes of traumatic brain injury (TBI) were investigated in 53 children with severe TBI, 56 children with moderate TBI, and 80 children with orthopedic injuries not involving brain insult. Measures of preinjury child and family status and of postinjury achievement skills were administered shortly after injury. Assessments were repeated 3 times across a mean follow-up interval of 4 years. Results from mixed model analysis revealed persisting sequelae of TBI. Recovery of math skills was observed in the severe TBI group but only for children from less stressed families. Social disadvantage in children with TBI predicted more adverse behavioral sequelae, and less favorable changes in some outcome measures. The findings suggest that pediatric TBI has long-term effects on behavior and achievement but that postinjury progress is influenced by the family environment.
引用
收藏
页码:15 / 27
页数:13
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