Journal of Pediatric Psychology, Vol. 28, No. 4, 2003, pp. 251-263
© 2003 Society of Pediatric Psychology
Long-Term Behavior Problems Following Pediatric Traumatic Brain Injury: Prevalence, Predictors, and Correlates
1 Case Western Reserve University, 2 Rainbow Babies & Children's Hospital, 3 The Ohio State University and Columbus Children's Hospital, 4 University of Cincinnati and Children's Hospital Medical Center, 5 MetroHealth Medical Center
All correspondence should be sent to Lisa Schwartz, Department of Psychology, Case Western Reserve University, 10900 Euclid Avenue, Cleveland, Ohio 44106-7123. E-mail: lxs78{at}po.cwru.edu.
Objective To study identified rates of long-term behavior problems in children with traumatic brain injury (TBI) compared to children with only orthopedic injuries and risk factors and correlates for new behavior problems following TBI. Methods Sample included children with severe TBI (n = 42), moderate TBI (n = 41), and orthopedic injuries only (ORTHO;n = 50). The baseline assessment measured child behavior, adaptation, and neuropsychological, academic, and family functioning. Follow-ups were conducted at 6 and 12 months and at an extended follow-up a mean of 4 years after injury. Results The prevalence of caseness, defined as elevated behavior problem ratings, was higher in one or both TBI groups than in the ORTHO group at each follow-up (e.g., 36% of severe TBI group, 22% of moderate TBI group, and 10% of ORTHO group at extended follow-up). Most instances of postinjury-onset caseness at the extended follow-up were evident within the first year after TBI. Predictors were severe TBI, socioeconomic disadvantage, and preinjury behavioral concerns. Concurrent correlates included weakness in working memory and adaptive behavior skills, poorer behavior and school competence, and adverse family outcomes. Conclusions Postinjury-onset caseness is persistent, risks are multifactorial, and correlates include child dysfunction and family sequelae.
Key words: traumatic brain injury; children; behavior problems; caseness; risk factors; family functioning..
CiteULike 
Connotea 
Del.icio.us What's this?
This article has been cited by other articles:
|
|
 |
|
  T. J. Feeney and M. Ylvisaker Context-Sensitive Cognitive-Behavioral Supports for Young Children With TBI: A Second Replication Study Journal of Positive Behavior Interventions, April 1, 2008; 10(2): 115 - 128. [Abstract] [PDF]
|
|
|
|
 |
|
 J. E. Max, H. S. Levin, R. J. Schachar, J. Landis, A. E. Saunders, L. Ewing-Cobbs, S. B. Chapman, and M. Dennis Predictors of Personality Change Due to Traumatic Brain Injury in Children and Adolescents Six to Twenty-Four Months After Injury. J Neuropsychiatry Clin Neurosci, December 1, 2006; 18(1): 21 - 32. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 G. N. Holmbeck, E. Franks Bruno, and B. Jandasek Longitudinal Research in Pediatric Psychology: An Introduction to the Special Issue J. Pediatr. Psychol., November 1, 2006; 31(10): 995 - 1001. [Full Text] [PDF]
|
|
|
|
|
|
S. L. Wade, H. Gerry Taylor, K. O. Yeates, D. Drotar, T. Stancin, N. M. Minich, and M. Schluchter Long-term Parental and Family Adaptation Following Pediatric Brain Injury J. Pediatr. Psychol., November 1, 2006; 31(10): 1072 - 1083. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M. L. McCarthy, E. J. MacKenzie, D. R. Durbin, M. E. Aitken, K. M. Jaffe, C. N. Paidas, B. S. Slomine, A. M. Dorsch, J. R. Christensen, R. Ding, et al. Health-Related Quality of Life During the First Year After Traumatic Brain Injury Arch Pediatr Adolesc Med, March 1, 2006; 160(3): 252 - 260. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 V. Anderson, C. Catroppa, S. Morse, F. Haritou, and J. Rosenfeld Functional Plasticity or Vulnerability After Early Brain Injury? Pediatrics, December 1, 2005; 116(6): 1374 - 1382. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Vollrath and M. A. Landolt Personality Predicts Quality of Life in Pediatric Patients with Unintentional Injuries: A 1-Year Follow-up Study J. Pediatr. Psychol., September 1, 2005; 30(6): 481 - 491. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. L. Wade, C. Wolfe, T. M. Brown, and J. P. Pestian Putting the Pieces Together: Preliminary Efficacy of a Web-Based Family Intervention for Children with Traumatic Brain Injury J. Pediatr. Psychol., July 1, 2005; 30(5): 437 - 442. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 B Bruce and P McGrath Group interventions for the prevention of injuries in young children: a systematic review Inj. Prev., June 1, 2005; 11(3): 143 - 147. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 V A Anderson, C Catroppa, F Haritou, S Morse, and J V Rosenfeld Identifying factors contributing to child and family outcome 30 months after traumatic brain injury in children J. Neurol. Neurosurg. Psychiatry, March 1, 2005; 76(3): 401 - 408. [Abstract] [Full Text] [PDF]
|
|