Long-term executive function deficits in children with traumatic brain injuries: Assessment using the Behavior Rating Inventory of Executive Function (BRIEF)
Long-term executive function deficits in children with traumatic brain injuries: Assessment using the Behavior Rating Inventory of Executive Function (BRIEF)
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DOI：
10.1076/chin.8.4.271.13503
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发表时间：
2002-12-01
影响因子：
2.2
通讯作者：
Taylor, HG
中科院分区：
文献类型：
--
作者：
Mangeot, S;Armstrong, K;Taylor, HG
使用执行功能行为评定量表（BRIEF）检查儿童创伤性脑损伤（TBI）后执行功能的长期缺陷。父母在受伤后大约 5 年完成了这份简要报告，作为对 6 岁至 12 岁受伤儿童的前瞻性研究的一部分。评估时儿童的年龄在 10 岁至 19 岁之间，其中包括 33 名重度 TBI、31 名中度 TBI 和 34 名骨科损伤。家长还对孩子的适应功能进行了评估，并完成了其他几项家长和家庭功能的衡量标准。儿童接受了一套神经心理学测试，其中包括多项执行功能的测量。各组的 Brief 评分呈现显着的线性趋势，据报告，患有严重 TBI 的儿童的执行功能缺陷最大。各组的简短分数始终与工作记忆测试相关，但与其他神经心理学测量无关。简短的分数还预测了儿童的适应性功能和行为调整，以及父母的心理困扰、感知的家庭负担和一般家庭功能。研究结果表明，创伤性脑损伤会导致执行功能的长期缺陷，这与儿童的心理社会结果以及父母和家庭功能有关。
Long-term deficits in executive functions following childhood traumatic brain injuries (TBI) were examined using the Behavior Rating Inventory of Executive Function (BRIEF). Parents completed the BRIEF approximately 5 years postinjury as part of a prospective study of children injured between the ages of 6 and 12. The children were between 10 and 19 years of age at the time of the assessment, and included 33 with severe TBI, 31 with moderate TBI, and 34 with orthopedic injuries. Parents also rated children's adaptive functioning and completed several other measures of parent and family functioning. Children were administered a neuropsychological test battery that included several measures of executive functions. The groups displayed a significant linear trend in BRIEF scores, with the largest deficits in executive functions reported in children with severe TBI. BRIEF scores were related consistently across groups to a test of working memory, but not to other neuropsychological measures. BRIEF scores also predicted children's adaptive functioning and behavioral adjustment, as well as parent psychological distress, perceived family burden, and general family functioning. The findings indicate that TBI results in long-term deficits in executive functions that are related to children's psychosocial outcomes, as well as to parent and family functioning.