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Cited by 180Traumatic Brain Injury ResearchTraumatic Brain Injury and Neurovascular DisturbancesAutomotive and Human Injury Biomechanics

Long-term outcome from childhood traumatic brain injury: Intellectual ability, personality, and quality of life.

Anderson, Vicki, Brown, Sandra, Newitt, Heidi, Hoile, Hannah·2011·Neuropsychology
DOI 10.1037/a0021217
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Abstract

OBJECTIVE: Only a handful of studies have attempted to explore very long-term outcomes from childhood traumatic brain injury (TBI). These studies have generally failed to fully consider the impact of injury severity or employ measures sensitive to the survivor's day-to-day function. This study examined outcomes in adulthood, with a focus on functional abilities including education, employment, and quality of life (QOL), and employed predictors including injury severity, age at injury, socioeconomic factors, intelligence, and personality. METHOD: The study was retrospective and cross-sectional and included 50 adult survivors of child TBI (31 males), aged 19-30 years at evaluation (M = 24.2, SD = 3.6), with injury on average 13.3 years prior to evaluation. Participants were divided according to injury severity-mild (n = 20), moderate (n = 12), and severe (n = 18)-completed an intellectual evaluation and questionnaires regarding educational and employment status, personality, and quality of life. RESULTS: Intellectual and personality measures indicated good outcomes, with mean scores for all groups in the average range and few severity-based findings. In contrast, those with more severe TBI were more likely to have educational and employment problems. QOL was significantly reduced in the context of severe insult, with lower IQ and personality factors most predictive of outcome in this domain. Mild and moderate TBI were generally more benign. CONCLUSIONS: Findings suggest that, while TBI is a lifelong problem, its impact is most dramatic in the domain of QOL, where a complex interaction occurs between injury factors, cognition, and personality.

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Authors
Anderson, V., Brown, S., Newitt, H., & Hoile, H.
Affiliations
  • Royal Children's Hospital (AU)
  • Murdoch Children's Research Institute (AU)
  • The University of Melbourne (AU)
ORCID
Anderson, Vicki
Venue
Neuropsychology
Publisher
American Psychological Association (APA)
Published
2011
Volume
25
Issue
2
Pages
176-184
ISSN
  • 0894-4105 (ISSN-L)
  • 1931-1559
DOI
10.1037/a0021217
OpenAlex
W2021181793
Semantic Scholar
4adbe17a1f7897badb0d43b431821b56b5110732
Cited by
180
References
34
Citations by year
2026: 6 · 2025: 5 · 2024: 9 · 2023: 7 · 2022: 14 · 2021: 15 · 2020: 14 · 2019: 16 · 2018: 14 · 2017: 9 · 2016: 8 · 2015: 23 · 2014: 14 · 2013: 13 · 2012: 9
FWCI
9.60
Type
journal article
Language
en
Open access
closed
Locations
  • Neuropsychology (publishedVersion)
  • PubMed (publishedVersion)
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, long-term outcomes, quality of life, injury severity, intellectual ability, personality, educational attainment, employment status, socioeconomic factors, age at injury, adult survivors
MeSH terms
Adolescent, Adult, Analysis of Variance, Brain Injuries, Employment, Female, Humans, Intelligence, Intelligence Tests, Longitudinal Studies, Male, Neuropsychological Tests, Personality, Personality Tests, Predictive Value of Tests, Quality of Life, Surveys and Questionnaires, Severity of Illness Index, Age of Onset, Young Adult

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