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Journal of Pediatric Psychology 20(6) pp. 737-752, 1995
© 1995 Society of Pediatric Psychology

research-article

Assessing the Effects of Traumatic Brain Injury on Family Functioning: Conceptual and Methodological Issues1

Shari Wade2, Dennis Drotar, H. Gerry Taylor and Terry Stancin

Case Western Reserve University and Rainbow Babies & Childrens Hospital, Case Western Reserve University and MetroHealth Medical Center, Case Western Reserve University and Rainbow Babies & Childrens Hospital, Case Western Reserve University and MetroHealth Medical Center

2All correspondence should be sent to Shari Wade, 333 W. Sycamore Street, Oxford, Ohio 45056.

Reviewed empirical literature published since 1975 on the effects of pediatric traumatic brain injury (TBI) on the family. Few systematic, hypothesis-driven investigations of the impact of TBI on family functioning have been conducted. However, existing findings indicate that severe TBI can adversely affect families and individual family members. Certain factors, such as poor preinjury functioning and parental psychological disorder, appear to place families at greater risk for long-term disruption. Issues associated with the conceptualization of the impact of TBI on various aspects of family functioning are discussed and methodological considerations are outlined. Special attention is given to novel strategies for studying these complex, multifaceted issues. Finally, a framework is proposed for examining the processes of family adaptation after pediatric TBI to guide future research directions.

Key words: traumatic brain injury; family adaptation; family assessment; social resources; stressors.


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