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February 26, 2020Journal of Head Trauma RehabilitationOpen Access

Behavior Problems Following Childhood TBI: The Role of Sex, Age, and Time Since Injury

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Authors

SWShari L. WadeCincinnati Children's Hospital Medical CenterEKEloise KaizarThe Ohio State UniversityMNMegan E. NaradCincinnati Children's Hospital Medical Center

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Implication

Cohort analysis uncovers high rates of behavioral problems after pediatric traumatic brain injury, highlighting the need for long-term monitoring.

Key Points

  • To examine the frequency of behavioral problems following pediatric traumatic brain injury and assess their associations with injury severity, sex, age, and social environmental factors.
  • Secondary data analysis of a multistudy cohort across children's hospitals in the Midwestern and Western United States.
  • Included 591 children (381 boys, 210 girls) with moderate (n = 359) and severe (n = 227) traumatic brain injury sustained ≤3 years prior at a mean age of 11.7 years.
  • Behavioral outcomes were assessed using the Child Behavior Checklist (CBCL) administered pretreatment.
  • Thirty-seven percent of children exhibited borderline or clinical elevations on the CBCL Total Problem Scale, with rates of 33% for internalizing problems and 31% for externalizing problems.
  • Lower parental education was significantly linked to higher rates of internalizing, externalizing, and total behavioral problems.
  • Internalizing symptoms increased linearly with greater time since injury, while younger boys displayed more oppositional defiant symptoms and older girls had higher attention-deficit hyperactivity disorder symptoms.

Cite This Study

Wade et al. (2020) studied this question.

synapsesocial.com/papers/6a71b44ae36a167817e3702dhttps://doi.org/10.1097/htr.0000000000000567
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