Controversies and outcomes associated with mild traumatic brain injury in childhood and adolescences

McKinlay, Audrey

doi:10.1111/j.1365-2214.2009.01006.x

Cited by 55 publications

(44 citation statements)

References 144 publications

(255 reference statements)

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“…36 This finding has been interpreted as suggesting that the increased behavioural morbidity reported by parents after mild traumatic brain injury may reflect nonspecific emotional reactions to the shock of injury and admission to hospital, or may have been present premorbidly and conferred increased risk of injury. 37 However, a recent prospective national birth cohort study suggests that behavioural morbidity may follow milder traumatic brain injuries in young children, particularly if the injuries are recurrent 38 A recent meta-analysis confirmed 60% prevalence of previous substantial traumatic brain injury among adult offenders. 39 However, issues of causality are complex.…”

Section: Traumatic Brain Injurymentioning

confidence: 99%

Predicting outcome after childhood brain injury: Figure 1:

Forsyth¹,

Kirkham²

2012

CMAJ

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Section: Traumatic Brain Injurymentioning

confidence: 99%

Predicting outcome after childhood brain injury: Figure 1:

Forsyth¹,

Kirkham²

2012

CMAJ

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“…Compared to "mild" TBI, a "moderate", or "severe" brain injury is more likely to result in these types of post-injury behavioural displays (Asarnow et al, 1991;Schwartz et al, 2003;Max et al, 1998). In saying this, a minority of children with mild TBI are equally susceptible to these issues (McKinlay, 2009;McKinlay et al, 2009). predate the injury (Schwartz et al, 2003;Max et al, 1998), while others may show an exacerbation in the intensity, frequency, and duration of premorbid difficulties (Anderson et al, 2006).…”

Section: Introductionmentioning

confidence: 88%

A telehealth intervention for families caring for a child with traumatic brain injury (TBI)

Woods

Catroppa

Godfrey

et al. 2014

Social Care and Neurodisability

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Purpose -The purpose of this paper is to determine the preliminary clinical utility of a telephone-support format of the "Signposts" (Hudson et al., 2003) behavioural intervention programme to be used with a paediatric traumatic brain injury (TBI) population. Design/methodology/approach -Nine families caring for a child with moderate or severe TBI, participated in a pilot study of a TBI adapted "Signposts for Building Better Behaviour" manualised programme. The programme is designed to help parents learn positive parenting skills and strategies that empower them to successfully manage their child's challenging behaviour post-TBI. The programme consists of seven core sessions and two supplemental sessions. Parents work through the sessions with an accompaniment of guiding information booklets, a DVD with scenes modelling positive parenting strategies, and a workbook containing written exercises. At the completion of each session parents receive a telephone-support call from a trained Signposts practitioner who provides assistance and feedback on programme content. Findings -On average parents completed eight sessions (range seven to nine) and every family completed the seven core sessions. Participation in the telephone-support calls was high with 96 per cent of calls having been successfully received by families. All parents agreed that the telephone calls were a useful part of the programme and felt that the materials were helpful for managing challenging behaviour. Pairedsamples t-tests showed significant reductions for challenging behaviour from pre-to post-intervention. Parenting practices also significantly improved over the course of the intervention. In general, parents rated a high level of consumer satisfaction with the Signposts programme and its content. Originality/value -Overall, these preliminary findings support the potential clinical utility of a telephonesupport version of the Signposts programme to improve parenting skills and to reduce challenging child behaviour following TBI. This study has provided the impetus for a larger clinical research trial to be conducted.

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“…A mTBI was defined by an injury with loss of consciousness (LOC) less than 30 min, moderate-severe TBI by a LOC of 30 min to 24 h and severe TBI by a LOC more than 24 h. Participants who solely reported being dazed/having loss of memory resulting from a head injury, irrespective of a period of LOC, were also classified as having mTBI. This is because mTBI can also be present when an individual experiences loss of memory for events occurring near the injury, alongside alterations of mental state (Esselman and Uomoto, 1995;McKinlay, 2010). On the basis of these criteria, the participants were divided into groups depending on whether they had reported a history of TBI or not (control group).…”

Section: Designmentioning

confidence: 99%

“…Prevalence estimates vary between 100 and 1000 per 100 000 individuals (McKinlay et al, 2008), with 70-90% of these injuries being classified as mild (Cassidy et al, 2004;McKinlay et al, 2008). Although most individuals who suffer from mild TBI (mTBI) recover (McKinlay, 2010;Yeates, 2010), a significant group will experience ongoing behavioural, physical and psychological problems (Hawley et al, 2004;McKinlay, 2010).…”

Section: Introductionmentioning

confidence: 98%

Ongoing daytime behavioural problems in university students following childhood mild traumatic brain injury

Albicini

Lee²,

McKinlay

2016

International Journal of Rehabilitation Research

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Sleep is often disrupted in traumatic brain injury (TBI) and may be related to persistent behaviour problems; however, little is known about this relationship in young adults. This study explored associations between TBI, behavioural problems and sleep disturbances in 247 university students (197 non-TBI, 47 mild TBI, two moderate TBI, one severe TBI) aged 18-25 years, who completed validated measures for behaviour, sleep quality and history of TBI. Because of small group numbers, participants reporting moderate to severe TBI were excluded from the analyses. Results indicated that students with mild TBI reported higher levels of daytime dysfunction, somatic complaints, withdrawal, other behavioural complaints and internalizing behaviours compared with students with no TBI history. A correlational analysis indicated a moderate relationship between the above significant variables. Our results suggest that university students with a history of mild TBI are more likely to experience certain ongoing daytime behavioural problems, which are likely to negatively influence their academic functioning in tertiary education. This study highlights the importance of research on long-term problems following mild TBI in young adults aged 18-25 years--an age group often overlooked within the literature.

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Controversies and outcomes associated with mild traumatic brain injury in childhood and adolescences

Cited by 55 publications

References 144 publications

Predicting outcome after childhood brain injury: Figure 1:

Predicting outcome after childhood brain injury: Figure 1:

A telehealth intervention for families caring for a child with traumatic brain injury (TBI)

Ongoing daytime behavioural problems in university students following childhood mild traumatic brain injury

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