Emily Schorr1, Shari L Wade2, H Gerry Taylor3, Terry Stancin4, Keith Owen Yeates5. 1. Department of Psychology, University of Calgary, Calgary, Canada. 2. Division of Rehabilitation Medicine, Department of Pediatrics, Cincinnati Children's Hospital Medical Center and University of Cincinnati College of Medicine, Cincinnati, OH, USA. 3. Department of Pediatrics, Case Western Reserve University and Rainbow Babies and Children's Hospital, University Hospitals Cleveland Medical Center, Cleveland, OH, USA. 4. Division of Child & Adolescent Psychiatry & Psychology, Department of Psychiatry, Case Western Reserve University and MetroHealth Medical Center, Cleveland, OH, USA. 5. Department of Psychology, Hotchkiss Brain Institute & Alberta Children's Hospital Research Institute, University of Calgary, Calgary, Canada.
Abstract
Objective: This study sought to determine whether parenting styles predict long-term psychosocial outcomes after traumatic brain injury in young children. Methods: The study involved a concurrent cohort, prospective design, with longitudinal assessments up to early adolescence. Participants included 126 children with moderate to severe traumatic brain injury or orthopedic injury, ages 3 to 6 years 11 months, recruited between 2003 and 2006. Parents rated children's pre-injury behavioral adjustment, social competence, and executive functioning shortly after injury, and again 6.8 years post injury. Parents also rated their parenting styles (permissive, authoritarian, authoritative) at both occasions. Results: After controlling for pre-injury functioning, the groups differed significantly on all three outcomes (ΔR2 0.07 to 0.13). Late but not early parenting styles predicted outcomes in all groups (ΔR2 0.06 to 0.17): more permissive parenting predicted worse outcomes in all domains (β= -0.18, 0.20, 0.27); and more authoritative parenting predicted better social competence and executive functioning (β= -0.17, 0.46). Severe traumatic brain injury interacted with parenting style for several outcomes, with ineffective parenting exacerbating the negative sequelae.Conclusions: Parenting style predicts children's long-term psychosocial functioning after early childhood injury, and may moderate the effects of early traumatic brain injury.Implications for rehabilitationChildren with traumatic brain injury (especially those with severe injuries) are likely to require long-term monitoring and rehabilitation to address their psychosocial functioning.Interventions that focus on parenting may be an important avenue for promoting better psychosocial outcomes among children with severe traumatic brain injury.
Objective: This study sought to determine whether parenting styles predict long-term psychosocial outcomes after traumatic brain injury in young children. Methods: The study involved a concurrent cohort, prospective design, with longitudinal assessments up to early adolescence. Participants included 126 children with moderate to severe traumatic brain injury or orthopedic injury, ages 3 to 6 years 11 months, recruited between 2003 and 2006. Parents rated children's pre-injury behavioral adjustment, social competence, and executive functioning shortly after injury, and again 6.8 years post injury. Parents also rated their parenting styles (permissive, authoritarian, authoritative) at both occasions. Results: After controlling for pre-injury functioning, the groups differed significantly on all three outcomes (ΔR2 0.07 to 0.13). Late but not early parenting styles predicted outcomes in all groups (ΔR2 0.06 to 0.17): more permissive parenting predicted worse outcomes in all domains (β= -0.18, 0.20, 0.27); and more authoritative parenting predicted better social competence and executive functioning (β= -0.17, 0.46). Severe traumatic brain injury interacted with parenting style for several outcomes, with ineffective parenting exacerbating the negative sequelae.Conclusions: Parenting style predicts children's long-term psychosocial functioning after early childhood injury, and may moderate the effects of early traumatic brain injury.Implications for rehabilitationChildren with traumatic brain injury (especially those with severe injuries) are likely to require long-term monitoring and rehabilitation to address their psychosocial functioning.Interventions that focus on parenting may be an important avenue for promoting better psychosocial outcomes among children with severe traumatic brain injury.
Entities:
Keywords:
Behavior; concussion; executive functioning; pediatric; social competence; youth
Authors: Christianne Laliberté Durish; Keith Owen Yeates; Terry Stancin; H Gerry Taylor; Nicolay C Walz; Shari L Wade Journal: J Int Neuropsychol Soc Date: 2017-07-20 Impact factor: 2.892
Authors: Keith Owen Yeates; Erika Swift; H Gerry Taylor; Shari L Wade; Dennis Drotar; Terry Stancin; Nori Minich Journal: J Int Neuropsychol Soc Date: 2004-05 Impact factor: 2.892
Authors: Shanley Mangeot; Kira Armstrong; Andrew N Colvin; Keith Owen Yeates; H Gerry Taylor Journal: Child Neuropsychol Date: 2002-12 Impact factor: 2.500
Authors: Christine L Petranovich; Julia Smith-Paine; Shari L Wade; Keith Owen Yeates; H Gerry Taylor; Terry Stancin; Brad G Kurowski Journal: J Head Trauma Rehabil Date: 2020 May/Jun Impact factor: 3.117
Authors: Julia Smith-Paine; Allison P Fisher; Shari L Wade; Nanhua Zhang; Huaiyu Zang; Lisa J Martin; Keith Owen Yeates; H Gerry Taylor; Brad G Kurowski Journal: J Head Trauma Rehabil Date: 2020 Jul/Aug Impact factor: 3.117