RECOVERY FROM TRAUMATIC BRAIN INJURY IN CHILDREN

这项为期五年的研究将检验关于后遗症的两个具体假设。 为儿童及其家庭提供的医疗保险。假设1是中等到- 严重的脑外伤会对家庭社会环境产生不利影响，并将 导致父母比创伤骨科更多的心理困扰 不涉及对中枢神经系统(CNS)的侮辱。 假设2是受伤后的家庭特征将预测 创伤性脑损伤儿童的预后，即使在损伤严重和损伤前 行为和在校表现都会被考虑在内。虽然是家人 还假设有一些因素可以预测儿童的预后。 骨科损伤，创伤性脑损伤的家庭后果越负面 预计会导致组内后遗症的差异。该设计的目的是 该项目是一项前瞻性的跟踪研究，涉及重复 116例慢性阻塞性肺疾病儿童家庭功能和儿童结局评估 中度至重度颅脑损伤。数据的初步分析结果表明， 骨科损伤儿童的家庭承受着巨大的压力 在住院期间，这种压力通过直接的 出院后6个月和12个月随访。由6和 12个月的随访，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已经 随着第一次后续行动，家庭的痛苦开始减少 患有脑外伤的儿童并没有。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.