Journal ArticleDOI
Long-Term Attention Problems in Children With Traumatic Brain Injury
Keith Owen Yeates,Kira Armstrong,Jennifer Janusz,H. Gerry Taylor,Shari L. Wade,Terry Stancin,Dennis Drotar +6 more
TLDR
Long-term behavioral symptoms of attention problems are related to the cognitive deficits in attention and executive functions that often occur in association with childhood TBI, and Childhood TBI exacerbates premorbid attention problems.Abstract:
Objective To examine long-term attention problems and their cognitive correlates after childhood traumatic brain injury (TBI). Method Data were drawn from a prospective, longitudinal study conducted between 1992 and 2002. Participants included 41 children with severe TBI, 41 with moderate TBI, and 50 with orthopedic injury (OI), who were all between 6 and 12 years of age at the time of injury. Parent ratings of attention problems were obtained at a long-term follow-up on average 4 years post-injury and compared with ratings of premorbid attention problems obtained shortly after injury. At the long-term follow-up, children also completed several cognitive tests of attention and executive functions. Results Hierarchical linear and logistic regression analyses indicated that the severe TBI group displayed significantly more attention problems than the OI group at 4 years post-injury, both behaviorally and cognitively, after controlling for race, socioeconomic status, and premorbid attention problems. At long-term follow-up, 46% of the severe TBI group displayed significant attention problems on the Child Behavior Checklist, as opposed to 26% of the OI group (odds ratio = 3.38; 95% confidence interval, 1.15-9.94). On the Attention-Deficit/Hyperactivity Disorder Rating Scale, 20% of the severe TBI group displayed clinically significant attention problems compared with 4% in the OI group (odds ratio = 9.59; 95% confidence interval, 1.24-73.99). However, group differences in behavioral symptoms were significantly larger for children with more premorbid symptoms than for children with fewer premorbid problems. Measures of executive functions were significantly related to behavioral attention problems, after controlling for group membership, race, and socioeconomic status. Conclusions Childhood TBI exacerbates premorbid attention problems. Long-term behavioral symptoms of attention problems are related to the cognitive deficits in attention and executive functions that often occur in association with childhood TBI.read more
Citations
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Journal ArticleDOI
Neurocognitive and neuroimaging correlates of pediatric traumatic brain injury: a diffusion tensor imaging (DTI) study.
Jeffrey R. Wozniak,Linda E. Krach,Erin E. Ward,Bryon A. Mueller,Ryan L. Muetzel,Sarah Schnoebelen,Andrew Kiragu,Kelvin O. Lim +7 more
TL;DR: DTI measures are sensitive to long-term WM changes and associated with cognitive functioning following pediatric TBI, and parent-reported executive deficits were inversely correlated with FA.
Journal ArticleDOI
Outcome and Predictors of Functional Recovery 5 Years Following Pediatric Traumatic Brain Injury (TBI)
TL;DR: Children who sustain a severe TBI in early childhood are at greatest risk of long- term impairment in day-to-day skills in the long-term postinjury.
Journal ArticleDOI
Blantyre Malaria Project Epilepsy Study (BMPES) of neurological outcomes in retinopathy-positive paediatric cerebral malaria survivors: a prospective cohort study
Gretchen L. Birbeck,Malcolm E. Molyneux,Peter W. Kaplan,Karl B. Seydel,Karl B. Seydel,Yamikani Chimalizeni,Kondwani Kawaza,Terrie E. Taylor,Terrie E. Taylor +8 more
TL;DR: Almost a third of retinopathy-positive cerebral malaria survivors developed epilepsy or other neurobehavioural sequelae, and neuroprotective clinical trials aimed at managing hyperpyrexia and optimising seizure control are warranted.
Journal ArticleDOI
The effect of pediatric traumatic brain injury on behavioral outcomes: a systematic review
Linda T. Li,Jianghong Liu +1 more
TL;DR: To review systematically the empirical evidence on traumatic brain injury during childhood and subsequent behavioral problems in response to TBI, the evidence is reviewed for consistency and consistency among studies on similar injuries.
Journal ArticleDOI
Attention Deficit Hyperactivity Disorder in Children and Adolescents Following Traumatic Brain Injury
Jeffrey E. Max,Amy E. Lansing,Sharon L. Koele,Carlos S. Castillo,Hirokazu Bokura,Russell Schachar,Nicole Collings,Kathryn E Williams +7 more
TL;DR: SADHD was significantly associated with TBI severity recorded by categorical and dimensional measures, intellectual and adaptive functioning deficits, and personality change due to TBI, but not with lesion area or location.
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