Author:
MAX JEFFREY E.,ROBERTS MARY ANN,KOELE SHARON L.,LINDGREN SCOTT D.,ROBIN DONALD A.,ARNDT STEPHAN,SMITH WILBUR L.,SATO YUTAKA
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.)
Publisher
Cambridge University Press (CUP)
Subject
Psychiatry and Mental health,Neurology (clinical),Clinical Psychology,General Neuroscience
Cited by
81 articles.
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