@article{ref1,
title="Premorbid child and family functioning as predictors of post-concussive symptoms in children with mild traumatic brain injuries",
journal="International journal of developmental neuroscience",
year="2012",
author="Yeates, Keith Owen and Taylor, H. Gerry and Rusin, Jerome and Bangert, Barbara and Dietrich, Ann and Nuss, Kathryn and Wright, Martha",
volume="30",
number="3",
pages="231-237",
abstract="STUDY AIM: This study sought to determine whether premorbid child and family functioning accounts for or moderates group differences in post-concussive symptoms following mild traumatic brain injury (TBI) in childhood. METHODS: This prospective, longitudinal cohort study recruited 8- to 15-year-old children, 186 with mild TBI and 99 with orthopedic injuries (OI), from consecutive emergency department admissions. Parents and children rated post-concussive symptoms within 3 weeks of injury and at 1, 3, and 12 months post injury. Parents also provided retrospective ratings of pre-injury symptoms, as well as of premorbid child behavioral adjustment, overall family functioning, and other stressors and resources in the family environment. RESULTS: Children with mild TBI reported more post-concussive symptoms than those with OI, as did their parents, although premorbid child behavioral adjustment and symptoms also were significant predictors of post-concussive symptoms. Group differences in somatic symptoms as reported by parents were more pronounced among children from families that were higher functioning and had more environmental resources. DISCUSSION: Mild TBI during childhood results in more post-concussive symptoms than OI, even after children's premorbid adjustment is taken into account. Counter to expectations, post-concussive symptoms following mild TBI may actually be more apparent among children from higher-functioning families with greater resources.<p /> <p>Language: en</p>",
language="en",
issn="0736-5748",
doi="10.1016/j.ijdevneu.2011.05.008",
url="http://dx.doi.org/10.1016/j.ijdevneu.2011.05.008"
}