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Home Environment as a Predictor of Long-Term Executive Functioning following Early Childhood Traumatic Brain Injury

Christianne Laliberté Durish1, Keith Owen Yeates2, Terry Stancin3

  • 11Department of Psychology,University of Calgary,Alberta Children's Hospital Research Institute,Calgary,AB.

Journal of the International Neuropsychological Society : JINS
|July 21, 2017
PubMed

Insights

The home environment did not consistently predict long-term executive functioning (EF) after childhood traumatic brain injury (TBI). However, it may moderate TBI

Area of Science:

  • Neuroscience
  • Developmental Psychology
  • Pediatric Rehabilitation

Background:

  • Early childhood traumatic brain injury (TBI) can impact long-term executive functioning (EF).
  • The quality of the home environment is a critical factor in child development.
  • Understanding the interplay between home environment and TBI outcomes is crucial for effective interventions.

Purpose of the Study:

  • To examine the relationship between the home environment and long-term EF in children with early TBI.
  • To investigate whether the home environment moderates the effects of TBI on EF.

Main Methods:

  • Longitudinal study of 134 children (3-6 years) with severe TBI, complicated mild/moderate TBI, or orthopedic injury (OI).
  • Assessment of home environment quality and caregiver distress shortly after injury and at follow-up (average 6.8 years).
  • Performance-based EF measures administered at follow-up; hierarchical regression analyses used.

Main Results:

  • The home environment was an inconsistent predictor of long-term EF across all groups.
  • Significant group differences in EF were observed only on the TEA-Ch Walk/Don't Walk subtest, with poorer performance in the severe TBI group.
  • Significant interactions indicated that the home environment moderated group differences in EF, especially after complicated mild/moderate TBI.

Conclusions:

  • The home environment does not consistently predict long-term EF in children with early TBI and OI.
  • The home environment may play a moderating role in the impact of TBI on EF.
  • Interventions to enhance home environment stimulation could mitigate long-term EF deficits following childhood TBI.
Abstract

Keywords:
AttentionNeuropsychologyParentingPreschoolProblem solvingfamily

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