Long-Term Outcome From Childhood Traumatic Brain Injury: Intellectual Ability, Personality, and Quality of Life
Long-Term Outcome From Childhood Traumatic Brain Injury: Intellectual Ability, Personality, and Quality of Life
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DOI：
10.1037/a0021217
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发表时间：
2011-03-01
期刊：
影响因子：
2.4
通讯作者：
Hoile, Hannah
中科院分区：
文献类型：
--
作者：
Anderson, Vicki;Brown, Sandra;Hoile, Hannah
目的：只有少数研究试图探索儿童创伤性脑损伤(TB！)的长期结局。这些研究一般没有充分考虑损伤严重程度的影响，也没有采用对幸存者日常功能敏感的措施。这项研究考察了成年后的结果，重点关注包括教育、就业和生活质量(QOL)在内的功能能力，并采用了包括受伤严重程度、受伤年龄、社会经济因素、智力和个性在内的预测因素。方法：本研究为回顾性横断面研究，纳入50例成年儿童颅脑损伤患者(男31例，男31例)，年龄19~30岁(男性=24.2，SD=3.6)，评估前平均损伤年限为13.3年。参与者按损伤严重程度分为轻度(n=20)、中度(n=12)和重度(n=18)，完成了关于教育和就业状况、个性和生活质量的智力评估和问卷调查。结果：智力和人格测量显示良好的结果，所有组的平均得分在平均范围内，很少有基于严重程度的发现。相比之下，那些创伤较严重的人更有可能出现教育和就业问题。在严重侮辱的情况下，生活质量显著降低，智商较低和人格因素最能预测这一领域的结果。轻度和中度创伤性脑损伤一般较良性。结论：研究结果表明，尽管脑外伤是一个终生问题，但它在生活质量领域的影响最为显著，在生活质量领域，伤害因素、认知和个性之间存在复杂的相互作用。
Objective: Only a handful of studies have attempted to explore very long-term outcomes from childhood traumatic brain injury (TB!). These studies have generally failed to fully consider the impact of injury severity or employ measures sensitive to the survivor's day-to-day function. This study examined outcomes in adulthood, with a focus on functional abilities including education, employment, and quality of life (QOL), and employed predictors including injury severity, age at injury, socioeconomic factors, intelligence, and personality. Method: The study was retrospective and cross-sectional and included 50 adult survivors of child TBI (31 males), aged 19-30 years at evaluation (M = 24.2, SD = 3.6), with injury on average 13.3 years prior to evaluation. Participants were divided according to injury severity mild (n = 20), moderate (n = 12), and severe (n = 18) completed an intellectual evaluation and questionnaires regarding educational and employment status, personality, and quality of life. Results: Intellectual and personality measures indicated good outcomes, with mean scores for all groups in the average range and few severity-based findings. In contrast, those with more severe TBI were more likely to have educational and employment problems. QOL was significantly reduced in the context of severe insult, with lower IQ and personality factors most predictive of outcome in this domain. Mild and moderate TBI were generally more benign. Conclusions: Findings suggest that, while TBI is a lifelong problem, its impact is most dramatic in the domain of QOL, where a complex interaction occurs between injury factors, cognition, and personality.