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

Pastore, Valentina; Colombo, Katia; Maestroni, Deborah; Galbiati, Susanna; Villa, Federica; Recla, Monica; Locatelli, Federica; Strazzer, Sandra

doi:10.3109/02699052.2015.1008045

Cited by 10 publications

(5 citation statements)

References 56 publications

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“…Thus, the lower levels of mood symptoms and poor self-concept may reflect long-term adjustment to their post-injury circumstances. Consistent with Pastore et al (2015), there were no significant differences in mood symptoms or self-concept according to etiology of injury. As such, it may be more meaningful to focus on the variability in children's mental health outcomes within each etiology group, to determine risk factors for poor psychological adjustment (see Bell et al, 2018).…”

Section: Discussionsupporting

confidence: 53%

“…Adolescents with TBI and stroke did not significantly differ in their self-perceptions (Pastore et al, 2015).…”

Section: Introductionmentioning

confidence: 79%

“…To date, relatively few studies have examined the impact of pediatric ABI on self-concept from the child's perspective. Existing studies indicate that children and adolescents with ABI report significantly lower self-esteem than age and sex-matched controls (Andrews, Rose, & Johnson, 1998;Hawley, 2012;Pastore et al, 2015). Andrews et al (1998) found that children aged 6-18 years with TBI (n = 54) reported significantly lower levels of self-esteem than age and sex-matched controls, along with higher levels of loneliness and behavioral problems.…”

Section: Introductionmentioning

confidence: 99%

“…Similarly, Hawley (2012) examined self-esteem in 96 children (5-15 years) with TBI and found that they reported significantly lower self-esteem than their typically developing peers. In one of the few studies to include children with brain injuries arising from differing etiologies, Pastore et al (2015) found that adolescents (12-18 years) with TBI and stroke reported significantly lower self-esteem than age and sex-matched controls. Interestingly, only female adolescents with ABI rated their sexual attractiveness as lower than controls, whereas both females and males with ABI rated their physical appearance as significantly poorer than typically developing peers.…”

Section: Introductionmentioning

confidence: 99%

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Investigation of children and adolescents’ mood and self-concept after acquired brain injury

Hendry

Ownsworth

Waters

et al. 2020

Child Neuropsychology

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Few studies have examined the self-reported mental health of children with an acquired brain injury (ABI). The current study aimed to: 1) identify levels of child-reported depressive and anxiety symptoms and poor self-concept, 2) investigate demographic and injury-related factors associated with children's mood and self-concept, and 3) examine associations between children's self-reported mental health and parents' reports of children's emotional and behavioral functioning in children specifically with traumatic brain injury (TBI). 122 children (66% male) aged 8-16 years with ABI of mixed etiology were consecutively recruited through an outpatient rehabilitation clinic. Children were administered the Beck Youth Inventories -Second Edition, and parents completed the Adaptive Behaviour Assessment System and the Child Behaviour Checklist (CBCL). Relative to the norms, 16.4% of children scored in the clinical range for the depression and anxiety scales, and 24.6% reported clinically low self-concept. Children with lower functional status had greater anxiety symptoms. Older children (13-16 years) reported significantly higher depressive and anxiety symptoms and lower self-concept than younger children (8-12 years). A significant interaction between age and sex indicated that older girls reported greater depressive and anxiety symptoms than younger girls whereas no age-based differences were found for boys.Parent-reported total emotional and behavioral problems were positively associated with children's self-reported depressive and anxiety symptoms and were negatively correlated with self-concept. These findings indicate that adolescents, particularly girls, may be at heightened risk of poor mental health following ABI. Further research investigating the reasons for these demographic differences may inform developmentally sensitive interventions.

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Section: Discussionsupporting

confidence: 53%

“…Adolescents with TBI and stroke did not significantly differ in their self-perceptions (Pastore et al, 2015).…”

Section: Introductionmentioning

confidence: 79%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Investigation of children and adolescents’ mood and self-concept after acquired brain injury

Hendry

Ownsworth

Waters

et al. 2020

Child Neuropsychology

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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.…”

mentioning

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

Sci Rep

Self Cite

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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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Psychological and behavioural difficulties following severe TBI in adolescence: a comparison with a sample of peers with brain lesions of other origin and with a control group

et al. 2018

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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

Cited by 10 publications

References 56 publications

Investigation of children and adolescents’ mood and self-concept after acquired brain injury

Investigation of children and adolescents’ mood and self-concept after acquired brain injury

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

Psychological and behavioural difficulties following severe TBI in adolescence: a comparison with a sample of peers with brain lesions of other origin and with a control group

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