Research Reports - Childhood traumatic brain injury and the associations with risk behavior in adolescence and young adulthood
J Head Trauma Rehabil. 2017 Jan 13. doi: 10.1097/HTR.0000000000000289. [Epub
ahead of print]
Kennedy E(1), Cohen M, Munafò M.
OBJECTIVE: To systematically review the evidence that childhood traumatic brain
injury (TBI) is associated with risk behavior in adolescence and young adulthood.
Risk behavior included one or more of the following: use of substances, including
alcohol, tobacco, and illicit substances; involvement in criminal behavior; and
behavioral issues with conduct.
METHODS: A literature search was conducted using these terms: child, pediatric,
traumatic brain injury, head injury, adolescent, psychosocial, antisocial,
conduct, substance use. Studies describing original research were included if
they reported outcomes over the age of 13 years in participants who sustained a
TBI between birth and age 13 years.
RESULTS: Six journal articles were reviewed based on 4 separate studies. Three
articles indicated a relationship between childhood TBI and increased problematic
substance use in adolescence and young adulthood. Three articles supported an
association between childhood TBI and later externalizing behavior; however, 2
articles did not support this link.
CONCLUSION: More research is warranted to explore the association between
childhood TBI and later risk behavior as the relationship is not currently
understood. Future research should build on existing longitudinal research with
continued use of medical records for identifying TBI and inclusion of a
non-brain-related trauma group to control for general injury effects.This is an
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