Home Environment As a Predictor of Long-Term Executive Functioning Following Early Childhood Traumatic Brain Injury

Overview

Journal J Int Neuropsychol Soc

Publisher Cambridge University Press

Specialties Neurology
Psychology

Date 2017 Jul 21

PMID 28724466

Citations 3

Authors

Christianne Laliberte Durish

Keith Owen Yeates

Terry Stancin

H Gerry Taylor

Nicolay C Walz

Shari L Wade

Affiliations

Soon will be listed here.

Abstract

Objectives: This study examined the relationship of the home environment to long-term executive functioning (EF) following early childhood traumatic brain injury (TBI).

Methods: Participants (N=134) were drawn from a larger parent study of 3- to 6-year-old children hospitalized for severe TBI (n=16), complicated mild/moderate TBI (n=44), or orthopedic injury (OI; n=74), recruited prospectively at four tertiary care hospitals in the United States and followed for an average of 6.8 years post-injury. Quality of the home environment, caregiver psychological distress, and general family functioning were assessed shortly after injury (i.e., early home) and again at follow-up (i.e., late home). Participants completed several performance-based measures of EF at follow-up. Hierarchical regression analyses examined the early and late home environment measures as predictors of EF, both as main effects and as moderators of group differences.

Results: The early and late home environment were inconsistent predictors of long-term EF across groups. Group differences in EF were significant for only the TEA-Ch Walk/Don't Walk subtest, with poorer performance in the severe TBI group. However, several significant interactions suggested that the home environment moderated group differences in EF, particularly after complicated mild/moderate TBI.

Conclusions: The home environment is not a consistent predictor of long-term EF in children with early TBI and OI, but may moderate the effects of TBI on EF. The findings suggest that interventions designed to improve the quality of stimulation in children's home environments might reduce the long-term effects of early childhood TBI on EF. (JINS, 2018, 24, 11-21).

Citing Articles

Cumulative Influence of Inflammatory Response Genetic Variation on Long-Term Neurobehavioral Outcomes after Pediatric Traumatic Brain Injury Relative to Orthopedic Injury: An Exploratory Polygenic Risk Score.

Treble-Barna A, Pilipenko V, Wade S, Jegga A, Yeates K, Taylor H J Neurotrauma. 2020; 37(13):1491-1503.

PMID: 32024452 PMC: 7307697. DOI: 10.1089/neu.2019.6866.

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.

Parenting styles as a predictor of long-term psychosocial outcomes after traumatic brain injury (TBI) in early childhood.

Schorr E, Wade S, Taylor H, Stancin T, Yeates K Disabil Rehabil. 2019; 42(17):2437-2443.

PMID: 31006276 PMC: 7141764. DOI: 10.1080/09638288.2019.1602676.

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