Family Adaptation 18 Months After Traumatic Brain Injury in Early Childhood

Overview

Journal J Dev Behav Pediatr

Specialties Pediatrics
Social Sciences

Date 2010 May 1

PMID 20431399

Citations 13

Authors

Terry Stancin

Shari L Wade

Nicolay C Walz

Keith Owen Yeates

H Gerry Taylor

Affiliations

Soon will be listed here.

Abstract

Objective: The purpose of this study was to examine family adaptation to a traumatic brain injury (TBI) in young children during the first 18-month postinjury, when compared with children who had an orthopedic injury.

Methods: A concurrent cohort/prospective research design was used with repeated assessments of children aged 3 to 6 years with TBI or orthopedic injury requiring hospitalization and their families. Shortly after injury and at 6-, 12-, and 18-month postinjury, parents of 99 children with TBI (20 severe, 64 moderate, 15 mild) and 117 with orthopedic injury completed standardized assessments of family functioning, parental distress and coping, injury-related burden, and noninjury-related parent stressors and resources. Mixed models analyses examined group differences in parental burden and distress adjusted for race and social demographic factors.

Results: Both moderate and severe TBI were associated with higher levels of injury-related stress than orthopedic injury, with stress levels diminishing over time in all groups. Severe TBI was also associated with greater psychological distress on the Brief Symptom Inventory but not with more depressive symptoms. Family functioning and social resources moderated the relationship of TBI severity to injury-related burden and caregiver distress, respectively. Lower child adaptive skills were associated with poorer family outcome but group differences remained even when controlling for this effect.

Conclusions: Severe TBI in young children has adverse consequences for parents and families during the first 18-month postinjury. The consequences lessen over time for many families and vary as a function of social resources.

Citing Articles

Mood Disorders in Young People With Acquired Brain Injury: An Integrated Model.

Roberts H, Ford T, Karl A, Reynolds S, Limond J, Adlam A Front Hum Neurosci. 2022; 16:835897.

PMID: 35754774 PMC: 9218558. DOI: 10.3389/fnhum.2022.835897.

Caregiver and Child Behavioral Health Service Utilization Following Pediatric Traumatic Brain Injury.

Fisher A, Aguilar J, Zhang N, Yeates K, Taylor H, Kurowski B Res Child Adolesc Psychopathol. 2021; 49(4):491-501.

PMID: 33404944 PMC: 7987765. DOI: 10.1007/s10802-020-00737-1.

From Early Childhood to Adolescence: Lessons About Traumatic Brain Injury From the Ohio Head Injury Outcomes Study.

Petranovich C, Smith-Paine J, Wade S, Yeates K, Taylor H, Stancin T J Head Trauma Rehabil. 2020; 35(3):226-239.

PMID: 31996606 PMC: 7210058. DOI: 10.1097/HTR.0000000000000555.

Behavioral Health Service Utilization and Unmet Need After Traumatic Brain Injury in Childhood.

Narad M, Moscato E, Yeates K, Taylor H, Stancin T, Wade S J Dev Behav Pediatr. 2019; 40(6):451-457.

PMID: 31107769 PMC: 6660389. DOI: 10.1097/DBP.0000000000000681.

Prognostic Factors in Pediatric Sport-Related Concussion.

Zuckerman S, Brett B, Jeckell A, Yengo-Kahn A, Solomon G Curr Neurol Neurosci Rep. 2018; 18(12):104.

PMID: 30397831 DOI: 10.1007/s11910-018-0909-4.

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