Neuropsychiatric interventions with head injured children and adolescents

Parmelee, Dean X.; O'Shanick, Gregory J.

doi:10.3109/02699058709034443

Cited by 21 publications

(8 citation statements)

References 16 publications

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“…Following a serious TBI a child is at risk of ongoing neuropsychological, behavioural and intellectual problems [11][12][13]. These problems are likely to place additional strain upon his or her parents.…”

Section: Introductionmentioning

confidence: 99%

Parental stress and burden following traumatic brain injury amongst children and adolescents

Ward²,

et al. 2003

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Section: Introductionmentioning

confidence: 99%

Parental stress and burden following traumatic brain injury amongst children and adolescents

Ward²,

et al. 2003

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“…Approximately 81% of these brain injuries will be mild, 5% fatal, 6% severe and 8% moderate [6]. For survivors it is likely that there will be intellectual, academic and personality adjustment problems [7]. In a review of the literature, Taylor and Alden [8] concluded that the sequelae of childhood brain injury either remains relatively constant over time post-injury or worsens.…”

Section: Introductionmentioning

confidence: 99%

Reported problems and their resolution following mild, moderate and severe traumatic brain injury amongst children and adolescents in the UK

2003

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The families of 97 children with mild (49), moderate (19) and severe (29) traumatic brain injury (TBI), aged 5-15 at injury, were interviewed and assessed at a mean of 2.29 years postinjury and compared with 31 healthy controls. Following the TBI, 83 (85.6%) had no therapeutic input, 74 families (76.3%) had unmet information needs, particularly regarding long-term consequences. At first interview 1097 problems were reported by the TBI group. Behavioural and school problems were frequently reported by all TBI groups, significantly more than controls (p  0.001). On the Vineland Adaptive Behaviour Scales 63% of mild and 70% of severe TBI groups demonstrated significant maladaptive behaviour. Children in the mild and moderate/severe groups were significantly more anxious than controls on the HADS (p  0.05). At 12 month follow-up there were no significant differences in problem resolution between the TBI groups, 498 (53.9%) problems remained unchanged and 75 (8.1%) had worsened.3

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“…[4] Following a serious TBI it is likely that there will be intellectual, academic and personality adjustment problems. [5][6][7][8] Furthermore, even mild brain injuries can lead to cognitive and behavioural deficits. [9,10] In North Staffordshire a unique register of all children admitted with TBI has been maintained continuously since 1992 presenting an opportunity to accurately establish the incidence of TBI leading to hospital admission within a region with a relatively stable population.…”

Section: Introductionmentioning

confidence: 99%

Prevalence of traumatic brain injury amongst children admitted to hospital in one health district: a population-based study

Hawley¹,

Ward²,

Long³

et al. 2003

Injury

137

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Article Title: Prevalence of traumatic brain injury amongst children admitted to hospital in one health district: a population-based study AbstractThere is a dearth of information regarding the prevalence of brain injury, serious enough to require hospital admission, amongst children in the United Kingdom. In North Staffordshire a register of all children admitted with traumatic brain injury (TBI) has been maintained since 1992 presenting an opportunity to investigate the incidence of TBI within the region in terms of age, cause of injury, injury severity and social deprivation. The register contains details of 1553 children with TBI, two thirds of whom are male.This population-based study shows that TBI is most prevalent amongst children from families living in more deprived areas, however, social deprivation was not related to the cause of injury. Each year, 280 per 100,000 children are admitted for ≥24 hours with a TBI, of these 232 will have a mild brain injury, 25 moderate, 17 severe, and 2 will die. The incidence of moderate and severe injuries is higher than previous estimates. Children under 2 years old account for 18.5% of all TBIs, usually due to falls, being dropped or non-accidental injuries. Falls account for 60% of TBIs in the under 5s. In the 10-15 age group road traffic accidents were the most common cause (185, 36.7%). These findings will help to plan health services and target accident prevention initiatives more accurately.

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Neuropsychiatric interventions with head injured children and adolescents

Cited by 21 publications

References 16 publications

Parental stress and burden following traumatic brain injury amongst children and adolescents

Parental stress and burden following traumatic brain injury amongst children and adolescents

Reported problems and their resolution following mild, moderate and severe traumatic brain injury amongst children and adolescents in the UK

Prevalence of traumatic brain injury amongst children admitted to hospital in one health district: a population-based study

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