Tumor histopathology and the type of postoperative adjuvant therapy seem to have a significant impact on the long-term neuropsychological complications of pediatric posterior fossa CNS tumor survivors. Age at diagnosis and treatment factors are important variables that affect the outcomes of the survivors.
This study examined whether children’s coping strategies are related to post-concussive symptoms following mild traumatic brain injury (TBI) versus orthopedic injury (OI). Participants were 8- to 15-year-old children with mild TBI (n =167) or OI (n =84). They rated their current preferred coping strategies and post-injury symptoms at 2 weeks (baseline) and 1, 3, and 12 months post-injury. Children’s reported use of coping strategies did not vary significantly over time, so their baseline coping ratings were examined as predictors of post-concussive symptoms across time. Self-ratings of symptoms were positively related to emotion-focused strategies and negatively related to problem-focused engagement after both mild TBI and OI. Higher problem-focused disengagement predicted larger group differences in children’s ratings of symptoms, suggesting that problem-focused disengagement moderates the effects of mild TBI. Coping strategies collectively accounted for approximately 10–15% of the variance in children’s post-concussive symptoms over time. The findings suggest that coping may play an important role in accounting for children’s perceptions of post-concussive symptoms after mild TBI.
Two studies were conducted to evaluate the extent to which visual discrimination (VisD) skills play a role in developing letter identification abilities, which are essential in learning to read. Results from a correlational analysis of 73 4-and 5-year-olds revealed a significant association between VisD and letter identification abilities, which was not moderated by estimated nonverbal or verbal abilities or lexical access. Stronger VisD abilities also were positively associated with better phonemic awareness skills, presumably because of the association between letter knowledge and phonemic skills, or letter-sound correspondence. A pilot study explored the benefit of visual discrimination training of letter-like forms to letter learning for a subset of 28 children with below average lowercase letter identification abilities. Only letter-name training significantly impacted lowercase letter identification; visual discrimination training did not further enhance performance. Implications for theory and applications to interventions aimed at children at risk for reading delays are discussed.
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