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Clinically significant behavior problems during the initial 18 months following early childhood traumatic brain

Leah A Chapman1, Shari L Wade, Nicolay C Walz

  • 1Department of Psychology, University of Cincinnati, Cincinnati, OH, USA. chapmala@email.uc.edu

Rehabilitation Psychology
|February 24, 2010
PubMed

Insights

Young children with severe traumatic brain injury (TBI) experienced persistent behavior and executive function problems compared to orthopedic injury (OI) peers. Environmental factors like parenting and socioeconomic status predicted these difficulties.

Area of Science:

  • Pediatric Neurotrauma
  • Developmental Psychology
  • Clinical Child Psychology

Background:

  • Traumatic brain injury (TBI) in young children can lead to long-term developmental challenges.
  • Understanding the trajectory of behavioral, executive function, and social competence deficits is crucial for early intervention.
  • Environmental factors may significantly influence post-TBI outcomes.

Purpose of the Study:

  • To examine the emergence of behavioral, executive function, and social competence problems in young children after TBI.
  • To compare these outcomes with children sustaining orthopedic injuries (OI).
  • To identify environmental predictors of post-injury difficulties.

Main Methods:

  • Longitudinal study of children aged 3-7 years hospitalized for severe TBI, moderate TBI, or OI.
  • Data collection at baseline and 6, 12, and 18 months post-injury.
  • Utilized parent reports on behavior, executive function, social competence, family functioning, and home environment.

Main Results:

  • Severe TBI group showed significantly more externalizing behavior and executive function problems than the OI group.
  • These deficits persisted through the 18-month follow-up.
  • Emerging social competence difficulties were noted at 18 months, suggesting delayed onset.

Conclusions:

  • Permissive parenting, family dysfunction, and low socioeconomic status predicted the development of clinically significant problems.
  • Findings align with patterns observed in school-aged children, indicating consistent developmental impacts.
  • Early identification of risk factors is essential for supporting children post-TBI.
Abstract

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