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A randomized problem-solving trial for adolescent brain injury: Changes in social competence.

Sarah J Tlustos1, Michael W Kirkwood1, H Gerry Taylor2

  • 1Department of Physical Medicine and Rehabilitation, Children's Hospital Colorado.

Rehabilitation Psychology
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Summary
This summary is machine-generated.

Behavioral interventions like CAPS can improve social competence in adolescents after traumatic brain injury (TBI). Executive dysfunction predicts poorer outcomes, while higher IQ predicts greater gains in social skills post-TBI.

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Area of Science:

  • Neuroscience
  • Psychology
  • Rehabilitation Science

Background:

  • Adolescent traumatic brain injury (TBI) significantly impacts social competence.
  • Limited research exists on behavioral interventions' effects on social competence post-TBI.
  • Identifying predictors of social competence changes after TBI is crucial.

Purpose of the Study:

  • To evaluate the effectiveness of a problem-solving and communication (CAPS) intervention compared to Internet resources for improving social competence in adolescents with TBI.
  • To identify factors, including TBI severity, age, and baseline cognition, associated with changes in social competence.

Main Methods:

  • Randomized controlled trial involving adolescents (12-17 years) with moderate to severe TBI.
  • Intervention group received online CAPS counseling; control group received Internet resources.
  • Parent-report social competence measures (CBCL, HCSBS, BERS-2) administered at baseline and 6 months post-injury.

Main Results:

  • CAPS showed greater positive effects on specific social competence measures for younger adolescents with moderate TBI and older adolescents with severe TBI.
  • Baseline executive dysfunction correlated with lower social competence and smaller gains.
  • Higher baseline IQ predicted greater improvements in social competence.

Conclusions:

  • The CAPS intervention may enhance social competence in adolescents post-TBI, with effectiveness varying by age and injury severity.
  • Parent-rated executive dysfunction is a significant predictor of both current social competence and future gains.
  • Baseline cognitive abilities, particularly IQ, are important indicators for predicting social competence recovery after TBI.