Educational, Vocational, Psychosocial, and Quality‐of‐Life Outcomes for Adult Survivors of Childhood Traumatic Brain Injury
Abstract
OBJECTIVE: To examine long-term outcomes from child traumatic brain injury (TBI) and relevance of injury severity. DESIGN: A retrospective cross-sectional design. PARTICIPANTS: One hundred and twenty-four young adult survivors of childhood TBI (81 men), aged 18 to 30 years at evaluation (mean = 23.5, SD = 2.9), with injury on average 13.7 years prior to evaluation divided according to injury severity: mild (n = 60), moderate (n = 27), and severe (n = 37). MAIN MEASURES: Questionnaires assessed educational and employment status, psychosocial function, and quality-of-life issues. RESULTS: Functional difficulties persisted into adulthood. Injury severity was a particularly strong predictor of long-term outcomes, with environmental factors playing a less consistent role. Survivors of severe TBI were particularly vulnerable, demonstrating global impairment: poorer school performance, employment difficulties, poor quality of life, and increased risk of mental health problems. Mild and moderate TBI were more benign, although lower educational attainment and employment status were identified, and moderate TBI was associated with late developing mental health issues. CONCLUSIONS: Traumatic brain injury is a lifelong problem, compromising the individual's capacity to meet developmental expectations across a wide range of functional domains.
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Two main findings-that TBI was associated with subsequent adverse adulthood outcomes, and the dose-response relationship with injury severity-are consistent with previous research.
“Two main findings—that TBI was associated with subsequent adverse adulthood outcomes, and the dose-response relationship with injury severity—are consistent with previous research [17–20,44]”
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“Previous work suggests that TBI in children contributes to poorer measures of emotion perception and social interaction [17,18], employment, and quality of life [19,20].”
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Self-citation
- Authors
- Anderson, V., Brown, S., Newitt, H., & Hoile, H.
- Affiliations
- Royal Children's Hospital (AU)
- ORCID
- Anderson, Vicki
- Venue
- Journal of Head Trauma Rehabilitation
- Published
- 2009-09
- Volume
- 24
- Issue
- 5
- Pages
- 303-312
- ISSN
- 0885-9701 (ISSN-L)
- OpenAlex
- W2009355338
- Cited by
- 172
- References
- 27
- Citations by year
- 2026: 7 · 2025: 6 · 2024: 2 · 2023: 6 · 2022: 15 · 2021: 11 · 2020: 12 · 2019: 16 · 2018: 9 · 2017: 11 · 2016: 14 · 2015: 13 · 2014: 16 · 2013: 14 · 2012: 6
- FWCI
- 4.70
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Head Trauma Rehabilitation (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, adult survivors, long-term outcomes, injury severity, educational attainment, employment status, psychosocial functioning, quality of life, mental illness, functional disability, environmental factors
- MeSH terms
- Achievement, Adolescent, Adult, Age Factors, Mental Disorders, Child, Cross-Sectional Studies, Education, Special, Educational Status, Female, Health Services Accessibility, Humans, Male, Prognosis, Quality of Life, Rehabilitation, Vocational, Retrospective Studies, Social Adjustment, Socioeconomic Factors, Victoria, Injury Severity Score, Survivors, Brain Injury, Chronic, Young Adult
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