TY  - JOUR
PY  - 2012//
TI  - Premorbid child and family functioning as predictors of post-concussive symptoms in children with mild traumatic brain injuries
JO  - International journal of developmental neuroscience
A1  - Yeates, Keith Owen
A1  - Taylor, H. Gerry
A1  - Rusin, Jerome
A1  - Bangert, Barbara
A1  - Dietrich, Ann
A1  - Nuss, Kathryn
A1  - Wright, Martha
SP  - 231
EP  - 237
VL  - 30
IS  - 3
N2  - 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>
LA  - en
SN  - 0736-5748
UR  - http://dx.doi.org/10.1016/j.ijdevneu.2011.05.008
ID  - ref1
ER  -