Preinjury family environment as a determinant of recovery from traumatic brain injuries in school-age children
Preinjury family environment as a determinant of recovery from traumatic brain injuries in school-age children
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受伤前家庭环境是学龄儿童脑外伤康复的决定因素
DOI：
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发表时间：
1997
影响因子：
2.6
通讯作者：
C. Schatschneider
中科院分区：
文献类型：
--
作者：
K. Yeates;H. Taylor;D. Drotar;S. Wade;S. Klein;T. Stancin;C. Schatschneider
以前的儿童创伤性脑损伤（TBI）的研究强调损伤相关的变量，而不是环境因素作为恢复的预测因子。我们使用在对TBI或骨科损伤（OI）儿童及其家人进行前瞻性研究期间收集的数据来解决这一问题。参与者包括53名重度TBI儿童，56名中度TBI儿童和80名OI儿童，受伤时年龄均为6至12岁。受伤后不久（基线）收集的措施，伤前的家庭环境。在基线和6个月和12个月随访时评估儿童认知和行为结果。个体生长曲线分析表明，损伤前家庭环境的测量一致地预测了损伤后12个月的认知和行为功能水平，以及12个月随访期间的个体内变化率，即使考虑到组成员身份和损伤严重程度。在某些情况下，受伤前的家庭环境是一个显着的调解人的影响，创伤性脑损伤，缓冲其影响，在高功能的家庭和加剧它在低功能的家庭。因此，损伤前的环境因素可以预测儿童TBI后的恢复，即使在考虑了损伤相关变量后。(JINS，1997，3，617-630.）
Previous studies of childhood traumatic brain injury (TBI) have emphasized injury-related variables rather than environmental factors as predictors of recovery. We addressed this concern using data collected during a prospective study of children with either TBI or orthopedic injuries (OI) and their families. Participants included 53 children with severe TBI, 56 with moderate TBI, and 80 with OI, all from 6 to 12 years of age at the time of injury. Measures of the preinjury family environment were collected shortly after the injury (baseline). Child cognitive and behavioral outcomes were assessed at baseline and at 6- and 12-month follow-ups. Individual growth curve analyses showed that measures of the preinjury family environment consistently predicted both the level of cognitive and behavioral functioning at 12 months postinjury and the rate of intraindividual change during the 12-month follow-up period, even after taking into account group membership and injury severity. In some cases, the preinjury family environment was a significant moderator of the effect of TBI, buffering its impact in high-functioning families and exacerbating it in low-functioning families. Thus, preinjury environmental factors predict recovery following TBI in children, even after accounting for injury-related variables. (JINS, 1997, 3, 617–630.)
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DOI：
10.1016/s0899-3289(88)80017-8
发表时间：
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影响因子：
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影响因子：
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