OBJECTIVE: To study adaptive functioning after severe traumatic brain injury (TBI). DESIGN: Case-control study. SETTING: A university hospital and three regional and four community hospitals. SUBJECTS: A consecutive series (n=24) of children age 5 through 14 years who suffered severe TBI were individually matched to subjects who sustained a mild TBI and to a second group who sustained an orthopedic injury with no evidence of TBI. MAIN OUTCOME MEASURES: Standardized adaptive functioning, intellectual, psychiatric, and neuroimaging assessments were conducted on average 2 years after injury. RESULTS: Severe TBI was associated with significantly (p < .05) lower Vineland Adaptive Behavior composite, communication, and socialization standard scores and lower Child Behavior Checklist parent-rated social competence scores compared with children with orthopedic injury. Severe TBI and mild TBI subjects were significantly (p < .05) more impaired than orthopedic subjects on teacher-rated adaptive function. Family functioning, psychiatric disorder in the child, and IQ were significant variables, explaining between 22% and 47% of the variance in adaptive functioning outcomes. CONCLUSIONS: Severe TBI is associated with significant deficits in child adaptive functioning. This association appears to be mediated by family dysfunction, child psychiatric disorder, and intellectual deficits.
OBJECTIVE: To study adaptive functioning after severe traumatic brain injury (TBI). DESIGN: Case-control study. SETTING: A university hospital and three regional and four community hospitals. SUBJECTS: A consecutive series (n=24) of children age 5 through 14 years who suffered severe TBI were individually matched to subjects who sustained a mild TBI and to a second group who sustained an orthopedic injury with no evidence of TBI. MAIN OUTCOME MEASURES: Standardized adaptive functioning, intellectual, psychiatric, and neuroimaging assessments were conducted on average 2 years after injury. RESULTS: Severe TBI was associated with significantly (p < .05) lower Vineland Adaptive Behavior composite, communication, and socialization standard scores and lower Child Behavior Checklist parent-rated social competence scores compared with children with orthopedic injury. Severe TBI and mild TBI subjects were significantly (p < .05) more impaired than orthopedic subjects on teacher-rated adaptive function. Family functioning, psychiatric disorder in the child, and IQ were significant variables, explaining between 22% and 47% of the variance in adaptive functioning outcomes. CONCLUSIONS: Severe TBI is associated with significant deficits in child adaptive functioning. This association appears to be mediated by family dysfunction, childpsychiatric disorder, and intellectual deficits.
Authors: Stephen R McCauley; Elisabeth A Wilde; Vicki A Anderson; Gary Bedell; Sue R Beers; Thomas F Campbell; Sandra B Chapman; Linda Ewing-Cobbs; Joan P Gerring; Gerard A Gioia; Harvey S Levin; Linda J Michaud; Mary R Prasad; Bonnie R Swaine; Lyn S Turkstra; Shari L Wade; Keith O Yeates Journal: J Neurotrauma Date: 2011-08-24 Impact factor: 5.269
Authors: Amery Treble-Barna; Huaiyu Zang; Nanhua Zhang; H Gerry Taylor; Terry Stancin; Keith Owen Yeates; Shari L Wade Journal: Dev Psychol Date: 2016-11
Authors: Emily L Shultz; Kristen R Hoskinson; Madelaine C Keim; Maureen Dennis; H Gerry Taylor; Erin D Bigler; Kenneth H Rubin; Kathryn Vannatta; Cynthia A Gerhardt; Terry Stancin; Keith Owen Yeates Journal: Neuropsychology Date: 2016-05-16 Impact factor: 3.295
Authors: Keith Owen Yeates; Erin D Bigler; Maureen Dennis; Cynthia A Gerhardt; Kenneth H Rubin; Terry Stancin; H Gerry Taylor; Kathryn Vannatta Journal: Psychol Bull Date: 2007-05 Impact factor: 17.737