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The relation of cognitive control to social outcome after paediatric TBI: Implications for intervention

Harvey S Levin1, Gerri Hanten, Xiaoqi Li

  • 1Department of Physical Medicine and Rehabilitation, Cognitive Neuroscience Laboratory, Baylor College of Medicine, Hoston, Texas 77030, USA. hlevin@bcm.edu

Developmental Neurorehabilitation
|May 19, 2010
PubMed

Insights

Cognitive control impacts social outcomes in children with traumatic brain injury (TBI) and orthopaedic injury (OI). Lower socioeconomic status (SES) may amplify these effects, suggesting potential benefits from cognitive training.

Area of Science:

  • Neuroscience
  • Developmental Psychology
  • Pediatric Rehabilitation

Background:

  • Children with traumatic brain injury (TBI) and orthopaedic injury (OI) often experience social difficulties.
  • Cognitive control, encompassing executive functions like working memory and inhibitory control, is crucial for adaptive functioning.
  • The relationship between cognitive control and social outcomes in pediatric injury populations requires further elucidation.

Purpose of the Study:

  • To investigate the association between cognitive control abilities and social outcomes in children with moderate-to-severe TBI and OI.
  • To examine the moderating role of socioeconomic status (SES) on the cognitive control-social outcome relationship.

Main Methods:

  • Cross-sectional analysis of 12-month post-injury data from 52 children (7-17 years) with TBI and 41 children with OI.
  • Cognitive control assessed using the Sternberg Task (working memory) and the Flanker Task (inhibitory control).
  • Social outcome measured via the Vineland Adaptive Behavioural Scales (Socialization and Communications domains).

Main Results:

  • Slower reaction times on the Sternberg task were linked to poorer social outcomes, particularly in children from lower SES backgrounds.
  • Both baseline and interference reaction times on the Flanker task correlated with social outcomes.
  • The association between interference reaction time and social outcome was more pronounced in children with lower SES.

Conclusions:

  • Cognitive control is significantly related to social outcomes in children following TBI and OI.
  • Findings suggest that interventions targeting cognitive control may improve social functioning by enhancing social information processing.
  • The influence of SES highlights the need for tailored support for vulnerable pediatric populations.
Abstract

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