Robin L Peterson1, Michael W Kirkwood, H Gerry Taylor, Terry Stancin, Tanya M Brown, Shari L Wade. 1. Department of Psychology, University of Denver, Denver, Colorado (Dr Peterson); Department of Physical Medicine and Rehabilitation, Children's Hospital Colorado and University of Colorado Denver School of Medicine, Aurora, Colorado (Dr Kirkwood); Department of Pediatrics, Case Western Reserve University, Rainbow Babies and Children's Hospital, University Hospitals Case Medical Center, Cleveland, Ohio (Dr Taylor); Department of Psychiatry, MetroHealth Medical Center and Case Western Reserve University, Cleveland, Ohio (Dr Stancin); Department of Psychiatry and Psychology, Mayo Clinic, Rochester, Minnesota (Dr Brown); and Department of Pediatrics, Cincinnati Children's Hospital Medical Center and University of Cincinnati College of Medicine, Cincinnati, Ohio (Dr Wade).
Abstract
BACKGROUND: A small body of previous research has demonstrated that pediatric traumatic brain injury (TBI) increases risk for internalizing problems, but findings have varied regarding their predictors and correlates. METHODS: We examined the level and correlates of internalizing symptoms in 130 teens who had sustained a complicated mild to severe TBI within the past 1 to 6 months. Internalizing problems were measured via both maternal- and paternal-report Child Behavior Checklist. We also measured family functioning, parent psychiatric symptoms, and postinjury teen neurocognitive function. RESULTS: Mean parental ratings of internalizing problems were within the normal range. Depending on informant, 22% to 26% of the sample demonstrated clinically elevated internalizing problems. In multiple and binary logistic regression models, only parent psychiatric symptoms consistently provided unique prediction of teen internalizing symptoms. For maternal but not paternal report, female gender was associated with greater internalizing problems. CONCLUSION: Parent and teen emotional problems are associated following adolescent TBI. Possible reasons for this relationship, including the effects of TBI on the family unit, are discussed.
BACKGROUND: A small body of previous research has demonstrated that pediatric traumatic brain injury (TBI) increases risk for internalizing problems, but findings have varied regarding their predictors and correlates. METHODS: We examined the level and correlates of internalizing symptoms in 130 teens who had sustained a complicated mild to severe TBI within the past 1 to 6 months. Internalizing problems were measured via both maternal- and paternal-report Child Behavior Checklist. We also measured family functioning, parent psychiatric symptoms, and postinjury teen neurocognitive function. RESULTS: Mean parental ratings of internalizing problems were within the normal range. Depending on informant, 22% to 26% of the sample demonstrated clinically elevated internalizing problems. In multiple and binary logistic regression models, only parent psychiatric symptoms consistently provided unique prediction of teen internalizing symptoms. For maternal but not paternal report, female gender was associated with greater internalizing problems. CONCLUSION: Parent and teen emotional problems are associated following adolescent TBI. Possible reasons for this relationship, including the effects of TBI on the family unit, are discussed.
Authors: Jeffrey E Max; Eva Keatley; Elisabeth A Wilde; Erin D Bigler; Harvey S Levin; Russell J Schachar; Ann Saunders; Linda Ewing-Cobbs; Sandra B Chapman; Maureen Dennis; Tony T Yang Journal: J Neuropsychiatry Clin Neurosci Date: 2011 Impact factor: 2.198
Authors: Roma A Vasa; Joan P Gerring; Marco Grados; Beth Slomine; James R Christensen; William Rising; Martha B Denckla; Mark A Riddle Journal: J Am Acad Child Adolesc Psychiatry Date: 2002-02 Impact factor: 8.829
Authors: Laura Hobart-Porter; Shari Wade; Nori Minich; Michael Kirkwood; Terry Stancin; Hudson Gerry Taylor Journal: PM R Date: 2015-02-14 Impact factor: 2.298
Authors: Jesse T Fischer; H Julia Hannay; Candice A Alfano; Paul R Swank; Linda Ewing-Cobbs Journal: Neuropsychology Date: 2018-02 Impact factor: 3.295
Authors: Carolyn A McCarty; Douglas Zatzick; Elizabeth Stein; Jin Wang; Robert Hilt; Frederick P Rivara Journal: Pediatrics Date: 2016-09-13 Impact factor: 7.124
Authors: Elizabeth Stein; Waylon Howard; Ali Rowhani-Rahbar; Frederick P Rivara; Douglas Zatzick; Carolyn A McCarty Journal: Brain Inj Date: 2017-11-08 Impact factor: 2.311
Authors: Marisa B Osorio; Brad G Kurowski; Dean Beebe; H Gerry Taylor; Tanya M Brown; Michael W Kirkwood; Shari L Wade Journal: PM R Date: 2013-01-29 Impact factor: 2.298
Authors: Ann Lantagne; Robin L Peterson; Michael W Kirkwood; H Gerry Taylor; Terry Stancin; Keith Owen Yeates; Shari L Wade Journal: J Pediatr Psychol Date: 2018-08-01
Authors: Brad G Kurowski; Shari L Wade; Michael W Kirkwood; Tanya M Brown; Terry Stancin; H Gerry Taylor Journal: PM R Date: 2013-08-22 Impact factor: 2.298
Authors: Kathryn R Bradbury; Cydni Williams; Skyler Leonard; Emily Holding; Elise Turner; Amanda E Wagner; Juan Piantino; Madison Luther; Trevor A Hall Journal: J Child Adolesc Trauma Date: 2021-04-06
Authors: Linda Ewing-Cobbs; Janelle J Montroy; Amy E Clark; Richard Holubkov; Charles S Cox; Heather T Keenan Journal: Front Neurol Date: 2021-07-05 Impact factor: 4.003