The family environment as a moderator of psychosocial outcomes following traumatic brain injury in young children.
The family environment as a moderator of psychosocial outcomes following traumatic brain injury in young children.
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家庭环境是幼儿脑外伤后心理社会结果的调节因素。
DOI：
10.1037/a0018387
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发表时间：
2010
期刊：
影响因子：
2.4
通讯作者：
Wade,ShariL
中科院分区：
文献类型：
--
作者：
Yeates,KeithOwen;Taylor,HGerry;Walz,NicolayChertkoff;Stancin,Terry;Wade,ShariL
本研究旨在确定家庭环境是否缓和创伤性脑损伤（TBI）后的心理社会结果在年幼的children.MethodParticipants被招募从连续入院的3至6岁的儿童，包括19名严重的TBI，56复杂的轻度/中度TBI，99与骨科损伤（OI）。他们在受伤后的前18个月内完成了4次评估。最初的评估包括父母教养方式，家庭功能和家庭质量的措施。儿童的行为调整，适应功能和社会能力进行了评估，在每一个场合。混合模型分析探讨了家庭环境的关系，以心理社会outcomes across time. ResultsOI和TBI组不同的社会能力显着，但家庭环境没有缓和组的差异，这是中等幅度。相比之下，随着时间的推移，在高水平的专制和宽容的父母，行为调整的群体差异变得更加明显;然而，在严重创伤性脑损伤的儿童中，即使是那些低水平的宽容的父母也表现出行为问题的增加。对于适应性功能，更好的家庭环境在TBI后提供了一些保护，但对于严重TBI组来说，随着时间的推移，这种保护作用并不明显。这3种方式的相互作用组，家庭环境，和时间postinjury都是中等amplitude.ConclusionThe研究结果表明，家庭环境温和的心理社会后果TBI在年幼的孩子，但缓和的影响可能会随着时间的推移而减弱与严重的TBI儿童。（PsycINFO数据库记录（c）2016阿帕，保留所有权利）
ObjectiveThis study sought to determine whether the family environment moderates psychosocial outcomes after traumatic brain injury (TBI) in young children.MethodParticipants were recruited prospectively from consecutive hospital admissions of 3-to 6-year-old children, and included 19 with severe TBI, 56 with complicated mild/moderate TBI, and 99 with orthopedic injuries (OI). They completed 4 assessments across the first 18 months postinjury. The initial assessment included measures of parenting style, family functioning, and the quality of the home. Children's behavioral adjustment, adaptive functioning, and social competence were assessed at each occasion. Mixed model analyses examined the relationship of the family environment to psychosocial outcomes across time.ResultsThe OI and TBI groups differed significantly in social competence, but the family environment did not moderate the group difference, which was of medium magnitude. In contrast, group differences in behavioral adjustment became more pronounced across time at high levels of authoritarian and permissive parenting; among children with severe TBI, however, even those with low levels of permissive parenting showed increases in behavioral problems. For adaptive functioning, better home environments provided some protection following TBI, but not over time for the severe TBI group. These 3-way interactions of group, family environment, and time postinjury were all of medium magnitude.ConclusionThe findings indicate that the family environment moderates the psychosocial outcomes of TBI in young children, but the moderating influence may wane with time among children with severe TBI.(PsycINFO Database Record (c) 2016 APA, all rights reserved)