Attentional and processing skills following traumatic brain injury in early childhood

Attentional and processing skills following traumatic brain injury in early childhood
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DOI:
10.1080/02699050400025281
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发表时间:
2005-08-01
期刊:
影响因子:
1.9
通讯作者:
Rosenfeld, J
Rosenfeld, J
中科院分区:
医学4区
文献类型:
--
作者:
Anderson, V;Catroppa, C;Rosenfeld, J

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主要目的:成人颅脑损伤后注意力缺陷是常见的。研究设计:这项研究调查了学龄前儿童(n=56)和年龄匹配的对照组(n=26)在脑外伤后30个月的注意力。将颅脑损伤患儿分为轻、中、重度三组。方法和步骤:收集伤前资料。注意力评估包括连续操作测试、韦克斯勒智力量表和儿童个性问卷。主要结果和结果:严重的脑外伤与准确性降低和处理速度慢有关,特别是在复杂的运动反应上。持续的注意力更加完好无损。父母报告显示内在化的行为问题和躯体抱怨。结论:严重脑外伤的幼儿存在严重的、持续性的注意力障碍的风险。轻度和中度脑外伤的儿童表现出更好的预后,受伤前的行为和年龄也预示着受伤后30个月的注意力技能。
Primary objective: Attentional deficits are common following TBI in adults. This study examined whether these skills are also vulnerable following early childhood injury, when such skills are rapidly developing.Research design: This study investigated attention 30 months post-TBI in pre-schoolers (n = 56) and age-matched controls (n = 26). TBI children were divided into mild, moderate and severe injury groups.Methods and procedure: Pre-injury data were collected at time of injury. Assessment of attention included the Continuous Performance Test, Wechsler Intelligence Scale and Personality Inventory for Children.Main outcomes and results: Severe TBI was associated with reduced accuracy and slowed processing, particularly on complex motor responses. Sustained attention was more intact. Parental reports indicate internalized behavioural problems and somatic complaints.Conclusions: Young children with severe TBI are at risk for severe, persisting attentional impairments. Children with mild and moderate TBI show better outcome, with pre-injury behaviour and age also predictive of attentional skills at 30 months post-injury.