Emily L Moscato1, James Peugh2, H Gerry Taylor3, Terry Stancin4, Michael W Kirkwood5, Shari L Wade6. 1. Department of Psychology, University of Cincinnati. 2. Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center. 3. Department of Pediatrics, Case Western Reserve University. 4. Department of Psychiatry, The MetroHealth System. 5. Department of Physical Medicine and Rehabilitation, University of Colorado School of Medicine. 6. Division of Pediatric Rehabilitation Medicine, Cincinnati Children's Hospital Medical Center.
Abstract
Purpose/Objective: Existing evidence suggests that the relationship between adolescent behavior problems following traumatic brain injury (TBI) and injury-related family burden may be bidirectional, with increased child behavior problems contributing to greater family burden over the first year postinjury and vice versa. We extended existing evidence by prospectively examining reciprocal influences between parent-adolescent interactions and adolescent behavior problems over the initial 2 years postinjury. Research Method/Design: Participants included 117 adolescents ages 12-17 with moderate-to-severe TBIs and their parents who participated in a randomized controlled trial. At baseline, adolescent-parent dyads completed a videotaped problem-solving task that yielded composites of negativity, effective communication, and warmth. Parents also completed a structured interview and problem checklists. Families repeated assessments at 6, 12, and 18 months postbaseline. Bidirectional associations between observed parenting behavior and adolescent behavior were examined with autoregressive cross-lagged panel analyses collapsed across the trial arms. Results: One cross-lagged model was significant, with higher observed effective communication predicting fewer externalizing behavior problems at subsequent time points, and fewer externalizing behavior problems predicting more effective communication. Other models indicated that effects were unidirectional, with observed parenting behaviors predicting externalizing behavior and everyday functioning. Conclusions/Implications: The bidirectional relationship between effective communication and adolescent externalizing behavior suggests a transactional model in pediatric TBI in which effective communication leads to reduced adolescent behavior problems and reduced behavior problems lead to improved communication over time. Findings yielded stronger evidence for parenting effects as compared to adolescent behavior effects, providing further support for clinical interventions targeting parent-adolescent interactions following TBI. (PsycInfo Database Record (c) 2021 APA, all rights reserved).
Purpose/Objective: Existing evidence suggests that the relationship between adolescent behavior problems following traumatic brain injury (TBI) and injury-related family burden may be bidirectional, with increased child behavior problems contributing to greater family burden over the first year postinjury and vice versa. We extended existing evidence by prospectively examining reciprocal influences between parent-adolescent interactions and adolescent behavior problems over the initial 2 years postinjury. Research Method/Design: Participants included 117 adolescents ages 12-17 with moderate-to-severe TBIs and their parents who participated in a randomized controlled trial. At baseline, adolescent-parent dyads completed a videotaped problem-solving task that yielded composites of negativity, effective communication, and warmth. Parents also completed a structured interview and problem checklists. Families repeated assessments at 6, 12, and 18 months postbaseline. Bidirectional associations between observed parenting behavior and adolescent behavior were examined with autoregressive cross-lagged panel analyses collapsed across the trial arms. Results: One cross-lagged model was significant, with higher observed effective communication predicting fewer externalizing behavior problems at subsequent time points, and fewer externalizing behavior problems predicting more effective communication. Other models indicated that effects were unidirectional, with observed parenting behaviors predicting externalizing behavior and everyday functioning. Conclusions/Implications: The bidirectional relationship between effective communication and adolescent externalizing behavior suggests a transactional model in pediatric TBI in which effective communication leads to reduced adolescent behavior problems and reduced behavior problems lead to improved communication over time. Findings yielded stronger evidence for parenting effects as compared to adolescent behavior effects, providing further support for clinical interventions targeting parent-adolescent interactions following TBI. (PsycInfo Database Record (c) 2021 APA, all rights reserved).
Authors: Shari L Wade; Brad G Kurowski; Michael W Kirkwood; Nanhua Zhang; Amy Cassedy; Tanya M Brown; Britt Nielsen; Terry Stancin; H Gerry Taylor Journal: Pediatrics Date: 2015-01-12 Impact factor: 7.124
Authors: Megan E Narad; Stacey Raj; Keith O Yeates; H Gerry Taylor; Michael W Kirkwood; Terry Stancin; Shari L Wade Journal: Arch Phys Med Rehabil Date: 2019-02-06 Impact factor: 3.966
Authors: Shari L Wade; Terry Stancin; Michael Kirkwood; Tanya Maines Brown; Kendra M McMullen; H Gerry Taylor Journal: J Head Trauma Rehabil Date: 2014 May-Jun Impact factor: 2.710
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