Parental Perspectives on Recovery and Social Reintegration After Pediatric Traumatic Brain Injury

Prigatano, George P.

doi:10.1097/01.htr.0000341433.67251.01

Cited by 21 publications

(7 citation statements)

References 31 publications

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“…In this brief time, families are also exposed to decision making regarding their child’s reintegration into their family and community while watching for, or treating, symptoms associated with mild TBI, such as headaches, sleep disturbance, depression, and behavior change (McCabe et al, 2007; Prigatano & Gray, 2008). …”

Section: Discussionmentioning

confidence: 99%

Pediatric Traumatic Brain Injury: Families and Healthcare Team Interaction Trajectories During Acute Hospitalization

Reuter‐Rice

Doser

Eads

et al. 2017

Journal of Pediatric Nursing

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Section: Discussionmentioning

confidence: 99%

Pediatric Traumatic Brain Injury: Families and Healthcare Team Interaction Trajectories During Acute Hospitalization

Reuter‐Rice

Doser

Eads

et al. 2017

Journal of Pediatric Nursing

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“…The model has three main components-brain development and integrity, internal/ external factors, and current cognitive functions-with each having a role to play in the development of social skills. This model is relevant to research investigating the predictors of social outcomes, where a number of cognitive, 21-30 psychological, 31 developmental, 32,33 pre-injury, [34][35][36] and injury factors 7,37 have been investigated, even though few studies have looked across these domains simultaneously. A handful of recent studies have extended this area by exploring the role of environment for social and behavioral outcomes, with findings identifying a role for both distal (e.g., socio-economic status, parent education, and income) and proximal factors (e.g., family functioning and family mental health).…”

Section: Predictors Of Social and Behavioral Outcomesmentioning

confidence: 98%

Social and Behavioral Outcomes: Pre-Injury to Six Months following Childhood Traumatic Brain Injury

Catroppa

Crossley

Hearps

et al. 2015

Journal of Neurotrauma

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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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“…Previous studies have observed novel psychiatric disorders (NPDs) occurring in 10%-100% of children and adolescents with TBI of various severities, including personality changes, attention-deficit hyperactivity disorder (ADHD), behavioral disorders, depression, and anxiety disorders. 4,21,22,[26][27][28]30,31,[33][34][35][36]49 Children and adolescents with psychiatric disorders are at risk for additional long-term comorbidities such as impaired school performance, 9 social isolation, 48 family dysfunction, 55 substance abuse, 45 and suicidal behavior. 19 Successful management of isolated pediatric mood disorders requires a multidisciplinary approach that includes behavioral and pharmacological treatment options.…”

mentioning

confidence: 99%

Psychiatric outcomes after pediatric sports-related concussion

Ellis

Ritchie

Koltek

et al. 2015

PED

169

142

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J neurosurg Pediatr 16:709-718, 2015 abbreviations ADHD = attention-deficit hyperactivity disorder; ICD-10 = International Classification of Diseases, 10th Revision; IQR = interquartile range; NOS = not otherwise specified; NPD = novel psychiatric disorder; OCD = obsessive-compulsive disorder; PCS = postconcussion syndrome; PCSS = Post-Concussion Symptom Scale; SRC = sports-related concussion; TBI = traumatic brain injury. obJect The objectives of this study were twofold: 1) to examine the prevalence of emotional symptoms among children and adolescents with a sports-related concussion (SRC) who were referred to a multidisciplinary pediatric concussion program and 2) to examine the prevalence, clinical features, risk factors, and management of postinjury psychiatric outcomes among those in this clinical population. methods The authors conducted a retrospective chart review of all patients with SRC referred to a multidisciplinary pediatric concussion program between September 2013 and October 2014. Clinical assessments carried out by a single neurosurgeon included clinical history, physical examination, and Post-Concussion Symptom Scale (PCSS) scoring. Postinjury psychiatric outcomes were defined as a subjective worsening of symptoms of a preinjury psychiatric disorder or new and isolated suicidal ideation or diagnosis of a novel psychiatric disorder (NPD). An NPD was defined as a newly diagnosed psychiatric disorder that occurred in a patient with or without a lifetime preinjury psychiatric disorder after a concussion. Clinical resources, therapeutic interventions, and clinical and return-to-play outcomes are summarized. results One hundred seventy-four patients (mean age 14.2 years, 61.5% male) were included in the study. At least 1 emotional symptom was reported in 49.4% of the patients, and the median emotional PCSS subscore was 4 (interquartile range 1-8) among those who reported at least 1 emotional symptom. Overall, 20 (11.5%) of the patients met the study criteria for a postinjury psychiatric outcome, including 14 patients with an NPD, 2 patients with isolated suicidal ideation, and 4 patients with worsening symptoms of a preinjury psychiatric disorder. Female sex, a higher initial PCSS score, a higher emotional PCSS subscore, presence of a preinjury psychiatric history, and presence of a family history of psychiatric illness were significantly associated with postinjury psychiatric outcomes. Interventions for patients with postinjury psychiatric outcomes included pharmacological therapy alone in 2 patients (10%), cognitive behavioral therapy alone in 4 (20%), multimodal therapy in 9 (45%), and no treatment in 5 (25%). Overall, 5 (25%) of the patients with postinjury psychiatric disorders were medically cleared to return to full sports participation, whereas 5 (25%) were lost to follow-up and 9 (45%) remained in treatment by the multidisciplinary concussion program at the end of the study period. One patient who was asymptomatic at the time of initial consultation committed suicide. conclusions Emotiona...

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Parental Perspectives on Recovery and Social Reintegration After Pediatric Traumatic Brain Injury

Cited by 21 publications

References 31 publications

Pediatric Traumatic Brain Injury: Families and Healthcare Team Interaction Trajectories During Acute Hospitalization

Pediatric Traumatic Brain Injury: Families and Healthcare Team Interaction Trajectories During Acute Hospitalization

Social and Behavioral Outcomes: Pre-Injury to Six Months following Childhood Traumatic Brain Injury

Psychiatric outcomes after pediatric sports-related concussion

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