Psychological and adjustment problems due to acquired brain lesions in pre-school-aged patients

Pastore, Valentina; Colombo, Katia; Villa, Federica; Galbiati, Susanna; Adduci, Annarita; Poggi, Geraldina; Massimino, Maura; Recla, Monica; Liscio, Mariarosaria; Strazzer, Sandra

doi:10.3109/02699052.2013.775482

Cited by 22 publications

(16 citation statements)

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“…Based on previous research [5][6][7][8], more marked difficulties in all investigated domains were expected for the clinical sample vs the control group. Because of the visible effects of the diseases and the associated social difficulties, the authors also expected a poorer self-esteem and more marked body dissatisfaction in adolescents with a history of brain lesions as well as specific difficulties and a characteristic profile depending on the aetiology of brain lesions.…”

Section: Introductionmentioning

confidence: 79%

“…The outcomes of ABI in adolescence have a profound impact on the individual [2] and the family system [3,4]. In point of fact, in most subjects, moderate-to-severe TBI and stroke do not only determine motor, sensory and neuropsychological impairments, but they are also often related to relevant psychological and behavioural problems and difficulties in adaptive functioning [5][6][7][8] as well as deficits in academic and cognitive skills [9][10][11][12][13]. As these aspects have the potential to significantly affect the social and school re-entry of teenagers, they should be closely monitored by clinicians.…”

Section: Introductionmentioning

confidence: 99%

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Psychological problems, self-esteem and body dissatisfaction in a sample of adolescents with brain lesions: A comparison with a control group

et al. 2015

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Section: Introductionmentioning

confidence: 79%

Section: Introductionmentioning

confidence: 99%

Psychological problems, self-esteem and body dissatisfaction in a sample of adolescents with brain lesions: A comparison with a control group

et al. 2015

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“…Therefore, for this study, children with non-progressive ABI only (traumatic brain injury (TBI), ischemic or hemorrhagic lesion, anoxia and central nervous system infections) were selected. This choice was motivated by the fact that previous literature reported differences in functional outcomes and treatment effects according to the etiology of the brain damage (i.e., congenital or acquired) 41 and to its development (i.e., progressive, such as brain tumor, or non-progressive, such as TBI, vascular or infectious brain lesions) 42 , more than to the specific diagnosis (i.e., anoxia vs. TBI 43 ; stroke vs. TBI 44 ). This study reports the subgroup analysis of the effects of the CCT on non-progressive ABI, whose recruitment was completed by the 31 st December 2017.…”

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confidence: 99%

Home-based cognitive training in pediatric patients with acquired brain injury: preliminary results on efficacy of a randomized clinical trial

Corti

Urgesi

Poggi

et al. 2020

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Cognitive rehabilitation may compensate for cognitive deficits of children with acquired brain injury (ABI), capitalizing on the use-dependent plasticity of a developing brain. Remote computerized cognitive training (CCT) may be delivered to patients in ecological settings, ensuring rehabilitation continuity. This work evaluated cognitive and psychological adjustment outcomes of an 8-week multidomain, home-based CCT (Lumosity Cognitive Training) in a sample of patients with ABI aged 11-16 years. Two groups of patients were engaged in five CCT sessions per week for eight weeks (40 sessions). According to a stepped-wedge research design, one group (Training-first Group) started the CCT immediately, whereas the other group (Waiting-first Group) started the CCT after a comparable time of waiting list. Changes after the training and after the waiting period were compared in the two groups. Both groups improved in visual-spatial working memory more after the training than after the waitinglist period. The Training-first group improved also in arithmetic calculation speed. Findings indicate that a multi-domain CCT can produce benefits in visual-spatial working memory, probably because, in accordance with previous research, computer games heavily tax visuo-spatial abilities. This suggests that the prolonged stimulation of the same cognitive ability may generate the greatest benefits in children with ABI.Pediatric acquired brain injuries (ABI) are among the main causes of lifelong disabilities in school age children and are often accompanied by cognitive, behavioral and affective problems 1-4 . From a cognitive point of view, impairments in global intelligence or core cognitive domains, such as attention, memory, executive functions, processing speed and visual abilities, have been reported 2,3 . These impairments may be associated with negative academic outcomes and short-and long-term functional problems at home and in general life in community 5-7 . Even those children having an intellectual quotient within the normal range often experience difficulties at school after the injury 8,9 . Tailored rehabilitation on cognitive functions has been recognized to be a key component of medical care following an ABI, as it may lead to improved functioning in everyday life [10][11][12][13][14][15][16] . Indeed, early stimulation of cognitive functions may promote use-dependent brain plasticity 17,18 and enhance the potential for the inherent brain plasticity after damage 19 . However, after hospitalization, a high number of children with ABI do not receive any help or support, experiencing a problematic return to ecological settings 20,21 .Recently, technological devices have been introduced in rehabilitation to provide treatments deliverable in ecological settings with the aim to overcome the limitations of a traditional rehabilitative approach, such as elevated costs, accessibility problems and heterogeneity in treatment practice, and to reach larger numbers of patients [22][23][24] . The majority of these programs have been dev...

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“…Children with traumatic injuries achieved average scores on most behavioral scales for children aged 2 to 3 years, as opposed to the more distinct internalizing problems of children who have survived a brain tumor and higher scores on externalizing scales in children with vascular or infectious damage. The relevance and impact of brain lesions must necessarily be taken into account in the organization and development of psychological treatment, rehabilitation and social re-entry [31].…”

Section: Children and Adolescentsmentioning

confidence: 99%

Traumatic brain injury and adjustment disorders

Milatovic

2017

Med pregl

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Introduction. Traumatic brain injury and reactive psychiatric disorders are universal health problems, both individually and in comorbidity. Traffic accidents are the most common cause of traumatic head injury, followed by falls, violence, and sports injuries. Due to the fact that they are associated with rapid, stressful events, they clearly trigger or generate reactive psychiatric disorders. What makes them special in this area is their organic substrate. Almost all patients with severe head injuries, more than half with moderate, and one tenth with mild head injuries suffer neuropsychiatric sequelae. Discussion and Conclusion. Among the published papers on this topic, prospective epidemiological analytical studies are dominant. Most articles deal with injured soldiers, injured children or adolescents. Recent papers emphasize the need for a timely, multidisciplinary care for the affected people and the primary community. It is very important to initiate early rehabilitation and psychotherapy. Due to non-specific and limited pharmacotherapeutic options, especially evident in organ damage and pediatric population, special attention is given to occupational, psychological rehabilitation, and cognitive-behavioral psychotherapy, as well as psycho-pharmacological drugs in case of clear clinical indications. As potentially the most important for further research, are the results on the genetic predisposition of individuals for clinical outcomes of associated conditions, structural and functional visualization of brain regions associated with specific psychological symptoms, and psycho-protective role of morphine and amnesia. Involvement of the wider community in a range of activities that contribute to poor outcomes is of utmost importance.

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Psychological and adjustment problems due to acquired brain lesions in pre-school-aged patients

Cited by 22 publications

References 37 publications

Psychological problems, self-esteem and body dissatisfaction in a sample of adolescents with brain lesions: A comparison with a control group

Psychological problems, self-esteem and body dissatisfaction in a sample of adolescents with brain lesions: A comparison with a control group

Home-based cognitive training in pediatric patients with acquired brain injury: preliminary results on efficacy of a randomized clinical trial

Traumatic brain injury and adjustment disorders

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