Social and Behavioral Outcomes: Pre-Injury to Six Months following Childhood Traumatic Brain Injury
Social and Behavioral Outcomes: Pre-Injury to Six Months following Childhood Traumatic Brain Injury
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DOI：
10.1089/neu.2013.3276
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发表时间：
2015-01-15
影响因子：
4.2
通讯作者：
Anderson, Vicki
中科院分区：
文献类型：
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作者：
Catroppa, Cathy;Crossley, Louise;Anderson, Vicki
本研究旨在扩展儿童创伤性脑损伤（TBI）后社会和行为结果的有限研究。该研究比较了这些技能的损伤前和损伤后的措施，并调查了损伤前儿童状态和损伤前家庭功能在损伤后6个月预测结果中的作用。第二个目的是比较TBI后儿童和典型发育（TD）对照组在损伤后6个月的损伤率。这项研究包括140名儿童，97名TBI幸存者（67名男性）和43名TD儿童（24名男性），年龄，性别和社会经济地位相匹配。所有参与者都是在2007年至2010年期间确定的，年龄在5.5岁至15.0岁之间。TBI儿童代表连续住院，并在受伤时招募到纵向研究中。TD儿童是通过选择提供一系列社会经济背景的当地学校从社区招募的。研究结果表明，受伤后社会参与技能的恶化，特别是对于那些遭受更严重伤害的人，以及TBI组中社会和行为结果的受损率始终较高。损伤前功能、损伤严重程度和对社会参与的限制（例如，减少体育活动）对结果有显著影响。在社会和行为领域的短期儿童后TBI的困难是显而易见的。必须对儿童进行长期监测，特别是随着社会期望和要求的增加。
This study aimed to extend the limited research investigating social and behavioral outcomes following childhood traumatic brain injury (TBI). The study compared pre-and post-injury measures of these skills and investigated the role of pre-injury child status and pre-injury family functioning in the prediction of outcome at six months post-injury. A secondary aim was to compare rates of impairment at six months post-injury between children post-TBI and a typically developing (TD) control group. This study comprised 140 children, 97 survivors of TBI (67 males) and 43 TD children (24 males), matched for age, sex, and socio-economic status. All participants were ascertained between 2007 and 2010, and were between ages 5.5 and 15.0 years. Children with TBI represented consecutive hospital admissions and were recruited at time of injury into a longitudinal study. TD children were recruited from the community, through local schools chosen to provide a range of socio-economic backgrounds. Findings indicated a deterioration of social participation skills post-injury, particularly for those sustaining a more severe injury, and a consistently higher rate of impairment in social and behavioral outcomes in the TBI group. Pre-injury function, injury severity and restrictions to social participation (e.g., reduced sport activities) as recommended by clinicians contributed significantly to outcome. Difficulties are evident in the short-term post-childhood TBI in social and behavioral domains. It is essential to monitor children long-term, particularly as societal expectations and demands increase.