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| Content Provider | frontiers |
|---|---|
| Author | Jones, Kelly M. Starkey, Nicola Barker-Collo, Suzanne Ameratunga, Shanthi Theadom, Alice Pocock, Katy Borotkanics, Robert Feigin, Valery L. |
| Abstract | Background: Increasing evidence suggests potential lifetime effects following mild traumatic brain injury (TBI) in childhood. Few studies have examined medium-term outcomes among hospitalized and non-hospitalized samples. Study aims were to describe children’s behavioral and emotional adjustment, executive function, quality of life, and participation at 7-years following mild TBI using parents’ and teachers’ reports. Methods: Nested case control study of 86 children (68% male, mean age at assessment = 11.27 years; range 7-17 years) who sustained a mild TBI 7-years previously, identified from a prospective, population-based study. They were compared to 69 children free from TBI (61% male, mean age at assessment = 11.12 years; range 5-17 years). In addition to parent-reported socio-demographic details, parents (mild TBI n = 86, non-TBI n = 69) completed age-appropriate standardized questionnaires about children’s health-related quality of life, behavioral and emotional adjustment, executive function, and social participation. Parents own mood was assessed using the Hospital Anxiety and Depression Scale. Teachers (mild TBI n = 53, non-TBI n = 42) completed questionnaires about children’s behavioral and emotional adjustment, and executive function. Results: Parent reports showed median group-level scores for cases were statistically significantly greater than controls for emotional symptoms, conduct problems, hyperactivity/inattention, total behavioral difficulties, inhibitory control, shifting, planning/organizing, and Global Executive Composite (total) executive function difficulties (p-values .001 to .029). Parent reports of child quality of life and social participation were similar, as were teacher reports of child behavioral and emotional adjustment, and executive function (p >.05). When examining clinical cut-offs, compared to controls, cases had greater risk of parent-reported total executive function difficulties (odds ratio = 3.00) and, to a lesser extent, total behavior problems (odds ratio = 2.51). Conclusions: As a group, children with a history of mild TBI may be at elevated risk for clinically significant everyday executive function difficulties in the medium-term compared to non-TBI controls, as judged by their parents. Further multi-informant longitudinal research is required, following larger samples. Aspects requiring particular attention include pre-injury characteristics, such as sleep disturbances and comorbidities (e.g., headaches), that may act as potential confounders influencing the association between mild TBI and child behavioral problems. |
| ISSN | 16642295 |
| DOI | 10.3389/fneur.2021.683661 |
| Volume Number | 12 |
| Journal | Frontiers in Neurology |
| Language | English |
| Publisher Date | 2021-07-23 |
| Access Restriction | Open |
| Subject Keyword | Emotional adjustment Behavior Social participation (MeSH) Executive Function Quality of Life Mild traumatic brain injury Children |
| Content Type | Text |
| Resource Type | Article |
| Subject | Neurology Neurology (clinical) |
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