Journal article
Cognitive outcome in children and adolescents following severe traumatic brain injury: Influence of psychosocial, psychiatric, and injury-related variables
Journal of the International Neuropsychological Society, Vol.5(1), pp.58-68
01/1999
DOI: 10.1017/S1355617799511089
PMID: 9989025
Abstract
Previous studies of childhood traumatic brain injury
(TBI) have emphasized injury-related variables rather than
psychiatric or psychosocial factors as correlates of cognitive
outcomes. We addressed this concern by recruiting a consecutive
series (N = 24) of children age 5 through 14 years
who suffered a severe TBI, a matched group who sustained
a mild TBI, and a second matched group who sustained an
orthopedic injury. Standardized intellectual, memory, psychiatric,
family functioning, family psychiatric history, neurological,
and neuroimaging assessments were conducted at an average
of 2 years following injury. Severe TBI, when compared
to mild TBI and orthopedic injury, was associated with
significant decrements in intellectual and memory function.
A principal components analysis of independent variables
that showed significant (p < .05) bivariate
correlations with the outcome measures yielded a neuropsychiatric
factor encompassing severity of TBI indices and postinjury
psychiatric disorders and a psychosocial disadvantage
factor. Both factors were independently and significantly
related to intellectual and memory function outcome. Postinjury
psychiatric disorders added significantly to severity indices
and family functioning and family psychiatric history added
significantly to socioeconomic status in explaining several
specific cognitive outcomes. These results may help to
define subgroups of children who will require more intensive
services following their injuries. (JINS, 1999,
5, 58–68.)
Details
- Title: Subtitle
- Cognitive outcome in children and adolescents following severe traumatic brain injury: Influence of psychosocial, psychiatric, and injury-related variables
- Creators
- JEFFREY E MAX - Department of Psychiatry, University of Iowa, Iowa City, IAMARY ANN ROBERTS - Department of Pediatrics, University of Iowa, Iowa City, IASHARON L KOELE - Department of Psychiatry, University of Iowa, Iowa City, IASCOTT D LINDGREN - Department of Pediatrics, University of Iowa, Iowa City, IADONALD A ROBIN - Department of Speech Pathology and Audiology, University of Iowa, Iowa City, IASTEPHAN ARNDT - Department of Psychiatry, University of Iowa, Iowa City, IAWilbur L Smith Jr - Department of Radiology, University of Iowa, Iowa City, IAYUTAKA SATO - Department of Radiology, University of Iowa, Iowa City, IA
- Resource Type
- Journal article
- Publication Details
- Journal of the International Neuropsychological Society, Vol.5(1), pp.58-68
- DOI
- 10.1017/S1355617799511089
- PMID
- 9989025
- NLM abbreviation
- J Int Neuropsychol Soc
- ISSN
- 1355-6177
- eISSN
- 1469-7661
- Publisher
- Cambridge University Press
- Number of pages
- 11
- Language
- English
- Date published
- 01/1999
- Academic Unit
- Radiology; Psychiatry; Stead Family Department of Pediatrics; Biostatistics; Nursing; Injury Prevention Research Center
- Record Identifier
- 9984051977402771
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