RECOVERY FROM TRAUMATIC BRAIN INJURY IN CHILDREN

这项为期五年的研究将测试两个关于后遗症的具体假设 为儿童及其家庭提供TBI。 假设1是中度至 严重的TBI会对家庭社会环境产生不利影响， 导致更多父母心理困扰比创伤骨科 不涉及中枢神经系统（CNS）损伤的损伤。 假设2是，受伤后的家庭特征将预测 TBI儿童的结局，即使在损伤严重程度和损伤前 行为和学校表现也被考虑在内。 虽然家庭 还假设了一些因素来预测儿童的结局， 骨科损伤，TBI的负面家庭后果越多， 预计会导致后遗症的组间差异。 的设计 该项目是一项前瞻性后续研究， 116名儿童的家庭功能和儿童结局评估 中重度创伤性脑损伤 对数据的初步分析结果表明， 骨科受伤儿童的家庭承受着巨大的压力， 在住院期间，压力会持续到 出院后以及6个月和12个月随访。 在6和 12个月随访，两组之间有相当大的差异 在家庭影响或伤害负担的评级方面正在出现。 然而，骨科受伤儿童的家庭的痛苦， 在第一次随访时开始减少， TBI的孩子没有。GCRC心理测量师协助 后续评估。

This five-year study will test two specific hypotheses regarding sequelae of TBI for children and their families. Hypothesis 1 is that moderate-to- severe TBI will adversely affect the family social environment and will lead to more parental psychological distress than traumatic orthopedic injuries not involving insult to the central nervous system (CNS). Hypothesis 2 is that post-injury family characteristics will predict outcomes for children with TBI, even after injury severity and pre-injury behavior and school performance are taken into account. Although family factors are also hypothesized to predict outcomes in children with orthopedic injuries, the more negative family consequences of TBI is expected to contribute to group differences in sequelae. The design for the project is a prospective follow-up study involving repeated assessments of family functioning and child outcomes in 116 children with moderate-to-severe TBI. Results of preliminary analyses of data show that families of children with orthopedic injury are under significant stress during hospitalization and that stress continues through the immediate post-discharge period and 6-month and 12-month follow-ups. By the 6 and 12 months follow-ups, quite substantial differences between the two groups are emerging in terms of ratings of family impact or burden of injury. Whereas the distress of families of orthopedically injured children has begun to diminish by the first follow-up, the distress of families of children with TBI has not. The GCRC psychometrist assists with the follow-up assessments.