Short- and long-term social outcomes following pediatric traumatic brain injury
Abstract
The social outcomes of pediatric traumatic brain injury (TBI) were examined in a prospective, longitudinal study that included 53 children with severe TBI, 56 with moderate TBI, and 80 with orthopedic injuries, recruited between 6 and 12 years of age. Child and family functioning were assessed at baseline, at 6- and 12-month follow-ups, and at an extended follow-up a mean of 4 years post injury. Growth curve analyses revealed that pediatric TBI yields negative social outcomes that are exacerbated by family environments characterized by lower socioeconomic status, fewer family resources, and poorer family functioning. After controlling for group membership, age, race, socioeconomic status, and IQ, path analyses indicated that long-term social outcomes were accounted for in part by specific neurocognitive skills, including executive functions and pragmatic language, and by social problem-solving. Deficits in these domains among children with TBI are likely to reflect damage to a network of brain regions that have been implicated in social cognition. ( JINS , 2004, 10 , 412–426.)
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The combination of parental trauma and poorer family functioning predicts the longer-term psychological, behavioral and general wellbeing of the ill child.
“It is not surprising that the combination of parental trauma and poorer family functioning predicts the longer-term psychological, behavioral and general wellbeing of the ill child [6, 10, 11, 16–18]”
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“It is not surprising that the combination of parental trauma and poorer family functioning predicts the longer-term psychological, behavioral and general wellbeing of the ill child [6, 10, 11, 16–18], and has been associated with elevated rates of child psychological, social and health difficulties, including weight a…”
Background
- Authors
- YEATES, K. O., SWIFT, E., TAYLOR, H. G., WADE, S. L., DROTAR, D., STANCIN, T., & MINICH, N.
- Affiliations
- The Ohio State University (US)
- Rainbow Babies & Children's Hospital (US)
- Cincinnati Children's Hospital Medical Center (US)
- MetroHealth Medical Center (US)
- Venue
- Journal of the International Neuropsychological Society
- Publisher
- Cambridge University Press (CUP)
- Published
- 2004-05
- Volume
- 10
- Issue
- 3
- Pages
- 412-426
- ISSN
- 1355-6177 (ISSN-L)
- 1469-7661
- OpenAlex
- W2159241227
- Cited by
- 421
- References
- 72
- Citations by year
- 2026: 1 · 2025: 8 · 2024: 8 · 2023: 9 · 2022: 19 · 2021: 11 · 2020: 18 · 2019: 24 · 2018: 25 · 2017: 32 · 2016: 18 · 2015: 42 · 2014: 29 · 2013: 22 · 2012: 25
- FWCI
- 7.70
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of the International Neuropsychological Society (publishedVersion)
- PubMed (publishedVersion)
- Funders
- U.S. Public Health Service (MCJ 390611)
- National Institute of Neurological Disorders and Stroke (5R01 NS36335, R01NS036335)
- Topics
- Health Sciences › Medicine › Epidemiology › Traumatic Brain Injury Research
- Health Sciences › Medicine › Neurology › Traumatic Brain Injury and Neurovascular Disturbances
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Automotive and Human Injury Biomechanics
- Keywords
- pediatric traumatic brain injury, social outcomes, family functioning, socioeconomic status, family resources, executive function, pragmatic language, social problem solving, social cognition, neurocognitive impairment, long-term outcomes, children
- MeSH terms
- Adaptation, Psychological, Brain Injuries, Child, Cognition Disorders, Family Relations, Female, Follow-Up Studies, Humans, Male, Neuropsychological Tests, Problem Solving, Prospective Studies, Regression Analysis, Social Adjustment, Social Behavior, Time Factors, Trauma Severity Indices, Glasgow Coma Scale
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