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Attributions of behavior in the pediatric mild closed head injury (CHI) population
Kevin M Antshel1, Anuj Malhotra, Danielle Seigers
1State University of New York-Upstate Medical University, Department of Psychiatry and Behavioral Sciences, Syracuse, NY 13210, USA. AntshelK@upstate.edu
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Children with mild closed head injury (CHI) showed increased externalizing behaviors. Parents of those with negative MRI scans reported worsening behaviors and attributed more controllability post-injury.
Area of Science:
- Pediatric Neurology
- Developmental Psychology
- Neuroimaging
Background:
- Mild closed head injury (CHI) can impact behavior in children.
- Understanding the long-term behavioral effects and parental perceptions is crucial.
Purpose of the Study:
- To investigate behavioral changes and parental attributions in children with mild CHI.
- To compare outcomes between children with MRI-negative and MRI-positive findings.
Main Methods:
- A cohort of children with mild CHI and typically developing controls were assessed.
- Behavioral checklists were administered at multiple time points post-injury.
- Magnetic resonance imaging (MRI) was used to categorize CHI cases.
Main Results:
- Parents reported increased externalizing symptoms in children with CHI post-injury.
- Children with MRI-negative CHI showed a further increase in externalizing behaviors post-MRI.
- Parents of MRI-negative children attributed greater controllability to behaviors post-injury.
Conclusions:
- Behavioral changes in mild CHI may differ based on MRI findings.
- Parental attributions of controllability may influence perceived behavioral changes.
Abstract:
Forty-one children between the ages of 6 and 11 years with a history of a mild closed head injury and 23 age-, gender-, and IQ-matched typically developing control children participated. All of the children in the CHI sample were referred for a magnetic resonance imaging (MRI) scan at 3 months post-injury and children in the CHI sample were further divided into MRI-Negative (n=31) and MRI-Positive (n=10) conditions according to the MRI results. Parents and teachers completed behavioral checklists at three points, including just prior to the MRI and 6 months post-injury. Prior to the MRI (Time 2), in both samples of children with a CHI, parents reported an increase in externalizing symptoms after the CHI. At 6 months post-injury (Time 3: post-MRI), parents of children in the MRI-Positive group did not report any significant changes in their child's externalizing behaviors when compared with pre-MRI, yet parents of children in the MRI-Negative group reported a further increase in externalizing behaviors. Parent attributions also changed as a function of group membership; whereas no changes were noted in the other two groups, parents of children in the MRI-Negative sample ascribed more controllability at Time 3 when compared with Time 2.
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