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Fatigue, Executive Functioning, and Quality of Life: Exploring Relationships in Children With Traumatic Brain Injury

Jessica Salley Riccardi1

  • 1Department of Communication Sciences and Disorders, University of Maine, Orono.

American Journal of Speech-Language Pathology
|October 23, 2023
PubMed

Insights

Fatigue significantly impacts quality of life in children with moderate-severe traumatic brain injury (TBI). Executive functioning was not a direct predictor, but sleep/rest fatigue and emotional executive function were linked to poorer quality of life.

Area of Science:

  • Pediatric neurology
  • Rehabilitation medicine
  • Child psychology

Background:

  • Traumatic brain injury (TBI) in children can lead to long-term challenges.
  • Understanding factors affecting quality of life (QoL) in pediatric TBI is crucial for effective interventions.

Purpose of the Study:

  • To investigate the relationship between fatigue, executive functioning, and QoL in children aged 8-17 with moderate-severe TBI.
  • To identify specific domains of fatigue and executive function that correlate with QoL outcomes.

Main Methods:

  • Online survey completed by 15 parents of children with moderate-severe TBI.
  • Utilized parent-report measures including the Behavior Rating Inventory of Executive Function (BRIEF-2) and Pediatric Quality of Life Inventory (PedsQL).

Main Results:

  • Fatigue emerged as a significant predictor of QoL in children with TBI.
  • Executive functioning was not a significant predictor overall, but specific subdomains showed associations.
  • Worse sleep/rest fatigue and emotional executive functioning were linked to lower physical and psychosocial QoL.

Conclusions:

  • Fatigue is a key factor contributing to reduced QoL in pediatric TBI survivors.
  • Healthcare and educational professionals should screen for fatigue in children with TBI.
  • Further research is warranted to explore the interplay between fatigue, executive function, and QoL in this population.
Abstract

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