TY  - JOUR
PY  - 2015//
TI  - Pediatric Traumatic Brain Injury and Attention Deficit
JO  - Pediatrics
A1  - Königs, Marsh
A1  - Heij, Hugo A.
A1  - van der Sluijs, Johannes A.
A1  - Vermeulen, R. Jeroen
A1  - Goslings, J. Carel
A1  - Luitse, Jan S. K.
A1  - Poll-Thé, Bwee Tien
A1  - Beelen, Anita
A1  - van der Wees, Marleen
A1  - Kemps, Rachèl J. J. K.
A1  - Catsman-Berrevoets, Coriene E.
A1  - Oosterlaan, Jaap
SP  - 534
EP  - 541
VL  - 136
IS  - 3
N2  - BACKGROUND: We investigated the impact of pediatric traumatic brain injury (TBI) on attention, a prerequisite for behavioral and neurocognitive functioning. <br><br>METHODS: Children aged 6 to 13 years who were diagnosed with TBI (n = 113; mean 1.7 years postinjury) were compared with children with a trauma control injury (not involving the head) (n = 53). TBI severity was defined as mild TBI with or without risk factors for complicated TBI (mild(RF+) TBI, n = 52; mild(RF-) TBI, n = 24) or moderate/severe TBI (n = 37). Behavioral functioning was assessed by using parent and teacher questionnaires, and the Attention Network Test assessed alerting, orienting, and executive attention. Ex-Gaussian modeling determined the contribution of extremely slow responses (lapses of attention) to mean reaction time (MRT). <br><br>RESULTS: The TBI group showed higher parent and teacher ratings of attention and internalizing problems, higher parent ratings of externalizing problems, and lower intelligence than the control group (P <.05, d ≥ 0.34). No effect of TBI on alerting, orienting, and executive attention was observed (P ≥.55). MRT was slower in the TBI group (P =.008, d = 0.45), traced back to increased lapses of attention (P =.002, d = 0.52). The mild(RF-) TBI group was unaffected, whereas the mild(RF+) TBI and moderate/severe TBI groups showed elevated parent ratings of behavior problems, lower intelligence, and increased lapses of attention (P ≤.03, d ≥ 0.48). Lapses of attention fully explained the negative relation between intelligence and parent-rated attention problems in the TBI group (P =.02). <br><br>CONCLUSIONS: Lapses of attention represent a core attention deficit in children with mild(RF+) TBI (even in the absence of intracranial pathology) or moderate/severe TBI, and relate to daily life problems after pediatric TBI.<p />  <p>Language: en</p>
LA  - en
SN  - 0031-4005
UR  - http://dx.doi.org/10.1542/peds.2015-0437
ID  - ref1
ER  -