Behavioral consequences of mild traumatic brain injury in preschoolers

Gagner, Charlotte; Landry-Roy, Catherine; Bernier, Annie; Gravel, Jocelyn; Beauchamp, Miriam H.

doi:10.1017/s0033291717003221

Cited by 40 publications

(27 citation statements)

References 47 publications

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“…The complexity and multi‐determinism of social competence (Beauchamp, ) may explain why this domain is vulnerable even to mTBI and why social dysfunction may be present across the range of injury severities. Overall, mTBI may specifically affect the social domain of adaptive functioning because social competence depends on child behavior and family environment which may both be perturbed after mTBI (Gagner et al, ; Ganesalingam et al, ), whereas practical and conceptual adaptive functioning include abilities less likely to be affected after mild brain injury such as motor function (Forsyth & Kirkham, ) and general intelligence (Anderson et al, ; Max et al, ).…”

Section: Discussionmentioning

confidence: 99%

“…Overall, mTBI may specifically affect the social domain of adaptive functioning because social competence depends on child behavior and family environment which may both be perturbed after mTBI (Gagner et al, 2017;Ganesalingam et al, 2008), whereas practical and conceptual adaptive functioning include abilities less likely to be affected after mild brain injury such as motor function (Forsyth & Kirkham, 2012) and general intelligence (Anderson et al, 2001(Anderson et al, , 2004Max et al, 1998).…”

Section: Discussionmentioning

confidence: 99%

“…TBI is particularly prevalent in children younger than 6 years and at such an early age can lead to elevated risk for impairments across the lifespan (Anderson, Catroppa, Morse, Haritou, & Rosenfeld, ; McKinlay et al, ; Verger et al, ). The majority (about 90%) of TBI are of mild severity (Crowe, Babl, Anderson, & Catroppa, ; McKinlay et al, ); however, even these sometimes result in functional alterations that can interfere with child cognitive and social development, particularly in younger children (Anderson, Catroppa, Morse, Haritou, & Rosenfeld, ; Bellerose, Bernier, Beaudoin, Gravel, & Beauchamp, ; Gagner, Landry‐Roy, Bernier, Gravel, & Beauchamp, ; Hessen, Nestvold, & Anderson, ; McInnes, Friesen, MacKenzie, Westwood, & Boe, ). Functionally, pediatric TBI may have an impact on how children adapt to their environment and perform activities of daily living (i.e., adaptive functioning).…”

Section: Introductionmentioning

confidence: 99%

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Developmental trajectories of adaptive functioning following early mild traumatic brain injury

Dégeilh

Bernier

Gravel

et al. 2018

Developmental Psychobiology

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Adaptive behavior impairments have been reported in children with severe traumatic brain injury (TBI) but are not typically found following mild TBI. It is possible that mild TBI induces subtle changes in adaptive functioning that are not captured in conventional group comparisons. This study aimed to explore time course changes in adaptive functioning following early mild TBI. Parents of 63 children with mild TBI and 53 children with orthopedic injuries aged between 1.5 and 5 years at the time of injury completed the Adaptive Behavior Assessment System‐II at three time points: retrospectively to assess pre‐injury functioning, then at 6 and 18 months post‐injury. Developmental trajectories of adaptive functioning domains (practical, conceptual, and social) reported by parents were modeled using linear mixed‐model analyses. Findings suggest that mild TBI may disrupt the expected developmental progression of children's social adaptive behavior, but does not appear to alter practical and conceptual domains.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Developmental trajectories of adaptive functioning following early mild traumatic brain injury

Dégeilh

Bernier

Gravel

et al. 2018

Developmental Psychobiology

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“…This study was approved by the local institutional ethics review board. Participants were a subgroup recruited as part of a larger prospective longitudinal cohort study aiming to investigate cognitive and social outcomes of early TBI (Bellerose, Bernier, Beaudoin, Gravel, & Beauchamp, ; Dégeilh, Bernier, Gravel, & Beauchamp, ; Gagner, Landry‐Roy, Bernier, Gravel, & Beauchamp, ; Lalonde et al ., ; Landry‐Roy, Bernier, Gravel, & Beauchamp, ). Sixty‐eight children (56% males, M age = 41.9, SD = 11.4 months) with accidental, uncomplicated mTBI aged between 18 and 60 months were recruited over a period of 45 months from December 2011 to August 2015.…”

Section: Methodsmentioning

confidence: 99%

Factors contributing to parent–child interaction quality following mild traumatic brain injury in early childhood

Lalonde

Bernier

Beaudoin

et al. 2019

Journal of Neuropsychology

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There is emerging evidence that parent–child interactions are affected by early childhood traumatic brain injury (TBI). These findings are of functional importance when considering the high prevalence of TBI in early childhood alongside evidence that young children exposed to positive relationships with their parents early in life exhibit better social functioning concurrently and longitudinally. Given that the overall quality of parent–child interactions is the result of both parent and child emotional and behavioural dispositions, it remains unclear which parental or child‐related factors contribute to the quality of interactions post‐TBI. The aim of this study was to investigate the factors that contribute to the quality of parent–child interactions following early childhood TBI. The sample included 68 children (18–60 months at recruitment) with accidental, uncomplicated mild TBI (mTBI). The quality of parent–child interactions was assessed 6 months post‐injury using the Mutually Responsive Orientation scale, an observational measure of the dyadic quality of parent–child exchanges. Potential contributing factors were assessed among parental factors (e.g., age, socioeconomic status, family burden, parental stress, marital satisfaction) and child‐related factors (e.g., age, sex, symptoms, fatigue, adaptive/behavioural skills). Socioeconomic status, child post‐concussive symptoms, and child sleep problems were found to be significant independent contributing factors to parent–child interactions six months post‐injury. This study provides the first evidence that both parental and child factors relate to the quality of parent–child interactions following mTBI, thus contributing to a better understanding of the scope and complexity of factors that play a role in childrens' recovery.

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“…14 Eighteen studies reported on psychosocial and behavioral outcomes. 14,16,30,34,37,39,43,[45][46][47][48][49][50][51][52][53][54][55] Generally, social functioning was negatively impacted following early childhood TBI, independent of severity. Acutely, children who experienced a TBI before 6 years of age demonstrated decreased play engagement, including gaze initiation and joint attention.…”

Section: Outcomes Of Early Childhood Tbi and Areas Of Needmentioning

confidence: 97%

Traumatic Brain Injury in Young Children: A Scoping Review

et al. 2020

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To review the evidence available on early childhood (i.e., 0–5 years 11 months) traumatic brain injury (TBI) and identify clinical implications and future directions for speech-language pathology (SLP) practice and research, a scoping review of the literature was conducted following the 2018 Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRSIMA-ScR) guidelines. A total of 44 peer-reviewed articles were included for review. Included studies were assigned one or more of the following thematic labels related to early childhood TBI: etiology, assessment, treatment, outcomes, contributing factors. Most of the studies were nonexperimental studies and addressed outcomes following early childhood TBI. We conclude, based on this scoping review, that children who experience a TBI before 6 years of age are at risk for persistent long-term difficulties in academic and social functioning. SLPs are among the group of clinicians most appropriate to assess and treat these children; yet, the evidence for assessment, treatment, and identification of factors contributing to the recovery of young children with TBI is particularly lacking. Rigorous research is needed to improve the evidence base for SLPs.

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Behavioral consequences of mild traumatic brain injury in preschoolers

Abstract: Our results show that even in its mildest form, preschool TBI may cause disruption to the immature brain serious enough to result in behavioral changes, which persist for several months post-injury.

Cited by 40 publications

References 47 publications

Developmental trajectories of adaptive functioning following early mild traumatic brain injury

Developmental trajectories of adaptive functioning following early mild traumatic brain injury

Factors contributing to parent–child interaction quality following mild traumatic brain injury in early childhood

Traumatic Brain Injury in Young Children: A Scoping Review

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