Research Reports - Social and behavioral outcomes: Pre-injury to six months following childhood traumatic brain injury

J Neurotrauma. 2015 Jan 15;32(2):109-15

Catroppa C(1), Crossley L, Hearps SJ, Yeates KO, Beauchamp M, Rogers K, Anderson

This study aimed to extend the limited research investigating social and
behavioral outcomes following childhood traumatic brain injury (TBI). The study
compared pre-and post-injury measures of these skills and investigated the role
of pre-injury child status and pre-injury family functioning in the prediction of
outcome at six months post-injury. A secondary aim was to compare rates of
impairment at six months post-injury between children post-TBI and a typically
developing (TD) control group. This study comprised 140 children, 97 survivors of
TBI (67 males) and 43 TD children (24 males), matched for age, sex, and
socio-economic status. All participants were ascertained between 2007 and 2010,
and were between ages 5.5 and 15.0 years. Children with TBI represented
consecutive hospital admissions and were recruited at time of injury into a
longitudinal study. TD children were recruited from the community, through local
schools chosen to provide a range of socio-economic backgrounds. Findings
indicated a deterioration of social participation skills post-injury,
particularly for those sustaining a more severe injury, and a consistently higher
rate of impairment in social and behavioral outcomes in the TBI group. Pre-injury
function, injury severity and restrictions to social participation (e.g., reduced
sport activities) as recommended by clinicians contributed significantly to
outcome. Difficulties are evident in the short-term post-childhood TBI in social
and behavioral domains. It is essential to monitor children long-term,
particularly as societal expectations and demands increase.

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