Contextual Considerations for the Increased Risk of Mental Health Problems Following Concussion in Youth

Babikian, Talin

doi:10.1001/jamanetworkopen.2022.1242

Cited by 6 publications

(3 citation statements)

References 5 publications

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“…Previous studies have suggested that the association between symptom duration and TBI severity may be stronger than it is with the time since the TBI or the age of the child [88]. This issue should be explored further in future studies by additionally controlling potential confounders [89] (e.g., other health conditions, comorbidities, or also considering developmental stages leading to depressive symptoms) that may affect adolescents between the time of injury and the assessment of post-concussion, depression symptoms, and HRQoL beyond the acute phase of injury.…”

Section: Discussionmentioning

confidence: 94%

Final Validation of the Quality of Life after Brain Injury for Children and Adolescents (QOLIBRI-KID/ADO) Questionnaire

von Steinbuechel,

Zeldovich,

Timmermann

et al. 2024

Children

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Until recently, no disease-specific health-related quality of life (HRQoL) questionnaire existed for pediatric traumatic brain injuries (TBIs). In this revalidation study, the psychometric properties and the validity of the 35-item QOLIBRI-KID/ADO questionnaire in its final German version were examined in 300 children and adolescents. It is the first self-reported TBI-specific tool for measuring pediatric HRQoL in individuals aged between 8 and 17 years. The six-factor model fits the data adequately. The questionnaire’s internal consistency was excellent for the total score and satisfactory to excellent for the scale scores. Intraclass correlations indicated good test–retest reliability, and the measure’s construct validity was supported by the overlap between the QOLBRI-KID/ADO and the PedsQL, which measures generic HRQoL. The discriminant validity tests showed that older children and girls reported a significantly lower HRQoL than comparison groups, and this was also true of children who were anxious or depressed, or who suffered from post-concussion symptoms, replicating the results of the questionnaire’s first developmental study. Our results suggest that the QOLIBRI-KID/ADO is a reliable and valid multidimensional tool that can be used together with the adult version in clinical contexts and research to measure disease-specific HRQoL after pediatric TBI throughout a person’s life. This may help improve care, treatment, daily functioning, and HRQoL after TBI.

show abstract

Section: Discussionmentioning

confidence: 94%

Final Validation of the Quality of Life after Brain Injury for Children and Adolescents (QOLIBRI-KID/ADO) Questionnaire

von Steinbuechel,

Zeldovich,

Timmermann

et al. 2024

Children

View full text Add to dashboard Cite

show abstract

“…Existing studies have suggested that the persistence of symptoms may be more closely related to TBI severity than to time since TBI or the age of the child [88]. This issue should be further explored in future studies by additionally controlling for potential confounders [89] (e.g., other health conditions, comorbidities, or also considering developmental stages leading to depressive symptoms) that may affect adolescents between the time of injury and the assessment of post-concussion, depression symptoms, and HRQoL in the post-acute injury phase.…”

Section: Discussionmentioning

confidence: 96%

“…Satisfactory reliability was reported for both the total score (Cronbach's α = . 89) and for the scales (Cronbach's α = 0.70-0.80) in groups of children and adolescents with and without multiple symptom burden [12]. Its test-retest reliability was acceptable (intraclass correlation coefficients: 0.42-0.64).…”

Section: Introductionmentioning

confidence: 94%

Final Validation of the Quality of Life after Brain Injury for Children and Adolescents after Traumatic Brain Injury (QOLIBRI-KID/ADO) Questionnaire

Steinbuechel,

Zeldovich,

Timmermann

et al. 2024

Preprint

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Until recently, no disease-specific health-related quality of life (HRQoL) instrument existed for pediatric traumatic brain injury (TBI). In this revalidation study, the psychometric properties and the validity of the final German version of the 35-item QOLIBRI-KID/ADO questionnaire were examined in 300 children and adolescents. It is the first self-reported TBI-specific instrument for measuring pediatric HRQoL in individuals aged 8–17 years. The six-factor model fits the data adequately. Internal consistencies were excellent for the total score and satisfactory to excellent for the scale scores. Intraclass correlations indicated good test-retest reliability. Construct validity was supported by overlaps between the QOLBRI-KID/ADO and the PedsQL, which measures generic HRQoL. Discriminant validity indicated that HRQoL was significantly lower in older children and girls, and in those with anxiety, depression, and post-concussion symptoms than in comparison groups, replicating the results of the questionnaire’s first development study. Our results suggest that the QOLIBRI-KID/ADO is a valid and reliable multidimensional instrument for assessing disease-specific HRQoL after pediatric TBI in clinical and research settings, which can additionally be used across the lifespan in combination with the adult version. This may help to improve care, treatment, daily functioning and HRQoL after TBI.

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Contextual Considerations for the Neuropsychological Assessment of Pediatric mTBI

Ignacio,

Babikian

2024

J Pediatr Neuropsychol

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Mild traumatic brain injury (mTBI), also known as concussion, is a common injury in the pediatric population. In 2014, children aged 0 to 19 made up 32% (812,000) of the 2.5 million TBI-related emergency department visits in the United States, which does not reflect the much higher number of children with a brain injury who do not present to medical centers (Black & Zablotsky, 2021). Similar to psychiatric diagnoses, a diagnosis of mTBI/concussion is made using clinical features and symptoms that are classified under cognitive, affective, and somatic domains, with none of the symptoms pathognomonic for TBI. Symptoms secondary to a mTBI are time limited and show a typical trajectory, and in a majority of cases, lead to full resolution. When this expected pattern is not observed, contributing comorbid and premorbid factors need to be considered for a thorough understanding of etiology. Accurate psychoeducation and prompt intervention, which begin with early screening (e.g., vulnerabilities, comorbidities, risk factors), are needed to empower the systems that support a child. Although comorbid factors are many and a thorough review is outside the scope of this case series, the three cases presented represent a common constellation of factors (e.g., neurodevelopmental, environmental, and adverse/traumatic experiences) that interplay with contextual factors in a diagnostic workup and treatment planning. This case series will also present relevant literature to briefly introduce various social and cognitive outcomes following mTBI relative to more severe injuries, define aspects that differentiate mTBI from more severe injuries, and discuss the influence of environment and other contextual factors across the severity spectrum.

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Contextual Considerations for the Increased Risk of Mental Health Problems Following Concussion in Youth

Cited by 6 publications

References 5 publications

Final Validation of the Quality of Life after Brain Injury for Children and Adolescents (QOLIBRI-KID/ADO) Questionnaire

Final Validation of the Quality of Life after Brain Injury for Children and Adolescents (QOLIBRI-KID/ADO) Questionnaire

Final Validation of the Quality of Life after Brain Injury for Children and Adolescents after Traumatic Brain Injury (QOLIBRI-KID/ADO) Questionnaire

Contextual Considerations for the Neuropsychological Assessment of Pediatric mTBI

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