Adult outcomes of pediatric traumatic brain injury

Beauchamp, Miriam H.; Dooley, Julian; Anderson, Vicki

doi:10.1017/cbo9780511674815.024

Cited by 12 publications

(14 citation statements)

References 86 publications

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“…Recent evidence has suggested that patients with TBI demonstrate impairments in moral reasoning skills (Eslinger et al, 2004) as well as increased aggressive and violent behaviours and social skills problems (Dooley et al, 2008;Muscara et al, 2008). The lifelong nature of these impairments has been well documented (see Beauchamp, Dooley & Anderson, 2010 for a review). However, there has been limited investigation of the nature and extent of moral reasoning impairments after TBI with one study demonstrating that adolescents who had sustained focal frontal lesions had impaired moral reasoning skills (Couper et al, 2002).…”

Section: General Commentsmentioning

confidence: 99%

The Measurement of Sociomoral Reasoning in Adolescents With Traumatic Brain Injury: A Pilot Investigation

Dooley¹,

Beauchamp²,

Anderson³

2010

Brain Impairment

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Moral reasoning skills are crucial for appropriate and adaptive social functioning. Impairments in moral reasoning have been associated with aggressive and violent behaviours. Traditional measures of moral reasoning may provide limited insight into daily behavioural functioning as these measures are dependent on several higher order cognitive skills and, as such, may be limited in their utility with certain clinical populations. In Study 1, new measures of sociomoral reasoning and maturity, the So-Moral and So-Mature, were described. Further, the psychometric properties of the So-Moral and So-Mature were investigated in a sample of 50 adolescents aged 11 to 19 (mean age = 14.5, SD = 2.6 years, 25 male). Preliminary support was found for the validity and reliability of both tasks. In Study 2, the clinical applicability of the So-Moral and So-Mature were examined in a sample 25 adolescents with traumatic brain injury (TBI; mean age = 13.8, SD = 2.3 years, 15 male). Response trends suggested that adolescents with TBI generated less developmentally mature responses to sociomoral dilemmas and those with more severe injuries performed most poorly. The sociomoral reasoning tasks described promote participant\u27s emotional involvement and investment as well as being appropriate for use with clinical populations

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Section: General Commentsmentioning

confidence: 99%

The Measurement of Sociomoral Reasoning in Adolescents With Traumatic Brain Injury: A Pilot Investigation

Dooley¹,

Beauchamp²,

Anderson³

2010

Brain Impairment

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“…Pediatric TBI represents a particular risk for long‐term impairments and interruption of normal development given the vulnerability of the developing brain to structural and functional disruption (Anderson, Spencer‐Smith, & Wood, ; Crowe, Catroppa, Babl, & Anderson, ). Behavioral and social problems may be particularly debilitating for everyday functioning and interpersonal relations (Anderson et al, ; Beauchamp, Dooley, & Anderson, ; Beauchamp & Anderson, ). The extent of such difficulties has been shown to correlate with injury severity (Anderson et al, ; McDonald, ).…”

Section: Introductionmentioning

confidence: 99%

“…. Behavioral and social problems may be particularly debilitating for everyday functioning and interpersonal relations Beauchamp, Dooley, & Anderson, 2010;. The extent of such difficulties has been shown to correlate with injury severity McDonald, 2013).…”

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confidence: 99%

“…Indeed, adolescents who sustain moderate to severe TBI may present elevated rates of clinically significant behavioral and social dysfunction, including aggressive (Dooley, Anderson, Hemphill, & Ohan, 2008) and socially inappropriate behaviors (Cole et al, 2008;Hicks et al, 2017), as well as sociocognitive impairments such as affect recognition deficits (e.g., impaired facial affect recognition) and reduced empathy (Tousignant et al, 2018). These problems can appear both in the acute and chronic stages post-injury, and may aggravate with time resulting in adverse adult outcomes, such as reduced social participation, social isolation and maladaptive behaviors (Beauchamp, Dooley, & Anderson, 2010;Catroppa et al, 2017).…”

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confidence: 99%

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Altered resting‐state functional connectivity within the developing social brain after pediatric traumatic brain injury

Tuerk

Dégeilh

Catroppa

et al. 2019

Human Brain Mapping

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Traumatic brain injury (TBI) in childhood and adolescence can interrupt expected development, compromise the integrity of the social brain network (SBN) and impact social skills. Yet, no study has investigated functional alterations of the SBN following pediatric TBI. This study explored functional connectivity within the SBN following TBI in two independent adolescent samples. First, 14 adolescents with mild complex, moderate or severe TBI and 16 typically developing controls (TDC) underwent resting-state functional magnetic resonance imaging 12-24 months post-injury.Region of interest analyses were conducted to compare the groups' functional connectivity using selected SBN seeds. Then, replicative analysis was performed in an independent sample of adolescents with similar characteristics (9 TBI, 9 TDC). Results were adjusted for age, sex, socioeconomic status and total gray matter volume, and corrected for multiple comparisons. Significant between-group differences were detected for functional connectivity in the dorsomedial prefrontal cortex and left fusiform gyrus, and between the left fusiform gyrus and left superior frontal gyrus, indicating positive functional connectivity for the TBI group (negative for TDC). The replication study revealed group differences in the same direction between the left superior frontal gyrus and right fusiform gyrus. This study indicates that pediatric TBI may alter functional connectivity of the social brain. Frontal-fusiform connectivity has previously been shown to support affect recognition and changes in the function of this network could relate to more effortful processing and broad social impairments.

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“…Beauchamp et al [2] reported that factors related to recovery and outcome up to 5 years postinjury include “injury severity, age at injury, premorbid characteristics, psychosocial factors, access to resources, interventions, rehabilitation programs, and postinjury adjustments.” Regarding age at first injury, it has been stated that although motor and sensory abilities are likely to recover, higher levels of cognitive function are more likely to be severely disrupted when brain injury is sustained at a younger age [3]. Anderson and Moore [4] also pointed out that childhood TBI may upset the development and acquisition of skills.…”

Section: Introductionmentioning

confidence: 99%

Do Multiple Concussions Lead to Cumulative Cognitive Deficits? A Literature Review

Yumul

McKinlay

2016

PM&R

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Adult outcomes of pediatric traumatic brain injury

Cited by 12 publications

References 86 publications

The Measurement of Sociomoral Reasoning in Adolescents With Traumatic Brain Injury: A Pilot Investigation

The Measurement of Sociomoral Reasoning in Adolescents With Traumatic Brain Injury: A Pilot Investigation

Altered resting‐state functional connectivity within the developing social brain after pediatric traumatic brain injury

Do Multiple Concussions Lead to Cumulative Cognitive Deficits? A Literature Review

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