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Journal of Pediatric Psychology Advance Access published online on July 13, 2006
Journal of Pediatric Psychology, doi:10.1093/jpepsy/jsl019
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© The Author 2006. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oxfordjournals.org
Received November 17, 2005
Revised March 14, 2006
Accepted May 31, 2006

Article

Children’s Attentional Skills 5 Years Post-TBI

Cathy Catroppa PhD 1 *, Vicki A. Anderson PhD 1, Sue A. Morse BAPPSCI 2, Flora Haritou BAPPSCI 2, and Jeffrey V. Rosenfeld FRACS 3

1 Australian Centre for Child Neuropsychology Studies, Murdoch Childrens Research Institute; Royal Children’s Hospital; University of Melbourne
2 Royal Children’s Hospital
3 Alfred Hospital; Monash University, Melbourne

* To whom correspondence should be addressed.
Cathy Catroppa, E-mail: cathy.catroppa{at}mcri.edu.au


  Abstract

Objective While a small number of research papers have reported findings on attentional deficits following pediatric traumatic brain injury (TBI), no study to date has reported findings in this area at 5 years post-TBI in very young children. This study examined attentional skills in a group of children who had sustained a mild, moderate, or severe TBI between the ages of 2 and 7 years. Methods The sample comprised 70 children, 54 of these had sustained a TBI and 16 the non-injured control group. Children were assessed 5 years post-TBI, with focus on tests of attentional ability. Results Attentional and processing speed (PS) deficits do occur and persist up to 5 years post-TBI, particularly following severe TBI in early childhood. Predictors of attentional outcomes varied depending on the component of attention investigated. Conclusions Those skills developing or emerging at time of injury (e.g., sustained attention, shifting attention, divided attention, PS) are more compromised and may not develop at a normal rate of post-injury.

Keywords: attention, children, traumatic brain injury.
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