Influences on First-Year Recovery From Traumatic Brain Injury in Children

This study examined recovery over the first year following traumatic brain injury (TBI) in children 6-12 years of age. Forty-two children with severe TBI and 52 with moderate TBI were compared to 58 children with orthopedic injuries. The children and their families were evaluated at a baseline asses...

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Bibliographic Details
Published in:Neuropsychology 1999-01, Vol.13 (1), p.76-89
Main Authors: Taylor, H. Gerry, Yeates, Keith Owen, Wade, Shari L, Drotar, Dennis, Klein, Susan K, Stancin, Terry
Format: Article
Language:English
Subjects:
Academic Achievement
Behavior Change
Biological and medical sciences
Brain Injuries - diagnosis
Child
Child clinical studies
Cognition Disorders - diagnosis
Cognitive Ability
Cohort Studies
Disease Course
Family Relations
Female
Follow-Up Studies
Glasgow Coma Scale
Human
Humans
Injuries of the nervous system and the skull. Diseases due to physical agents
Injury Severity Score
Male
Medical sciences
Neuropsychological Tests
Organic mental disorders. Neuropsychology
Prospective Studies
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Recovery (Disorders)
Sequelae
Severity (Disorders)
Time Factors
Traumas. Diseases due to physical agents
Traumatic Brain Injury
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Summary:This study examined recovery over the first year following traumatic brain injury (TBI) in children 6-12 years of age. Forty-two children with severe TBI and 52 with moderate TBI were compared to 58 children with orthopedic injuries. The children and their families were evaluated at a baseline assessment and at 6- and 12-month follow-ups. Findings documented cognitive, achievement, and behavioral sequelae of TBI, with only limited evidence for recovery over the first year postinjury. Outcomes were predicted by preinjury factors, TBI severity, and measures of the postinjury family environment. Some of the sequelae of severe TBI were more marked in the context of higher compared with lower levels of family burden or dysfunction. The findings confirm the need to consider environmental contributions to outcomes of TBI in children.
ISSN:0894-4105
1931-1559
DOI:10.1037/0894-4105.13.1.76