Health-related quality of life and psychosocial consequences after mild traumatic brain injury in children and adolescents

Petersen, Corinna; Scherwath, Angela; Fink, Juliane; Koch, Uwe

doi:10.1080/02699050801935245

Cited by 31 publications

(32 citation statements)

References 17 publications

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“…However, two recent longitudinal investigations conducted in New Zealand and Germany, respectively, concluded that TBI is not likely to cause neurocognitive impairment in children and adolescent (18,19). The discrepancy between our study and these two investigations may be explained by differences in study designs and the environmental characteristics of the target populations.…”

Section: Articlescontrasting

confidence: 54%

“…A longitudinal birth cohort study reported no association between preschool mild TBI and ADHD after adjusting for potential covariates (18). Nevertheless, a prospective cohort study reported that children with mild TBI have a higher risk of hyperactivity in the first year after injury (19). Nevertheless, a prospective cohort study reported children with mild TBI were associated higher risk for hyperactivity in the first year after injury (20).…”

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confidence: 95%

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Association of traumatic brain injury in childhood and attention-deficit/hyperactivity disorder: a population-based study

et al. 2016

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Background:We evaluated the risk of attention-deficit hyperactivity disorder (ADHD) following childhood traumatic brain injury (TBI). Methods: Using Taiwan's National Health Insurance Research Database, we included 10,416 newly diagnosed TBI children (aged ≤12 y) between 2001 and 2002 and 41,664 children without TBI, who were frequency matched by sex, age, and year of the index medical service with each TBI child, as controls. Children who had been diagnosed with ADHD prior to their medical service index were excluded. Each individual was followed for 9 y to identify ADHD diagnosis. We also compared the ADHD risk in children who were treated for fractures but not TBI as sensitivity analysis. results: During the 9-y follow-up period, children with TBI had a higher ADHD risk (adjusted hazard ratio (AHR) = 1.32, 95% confidence interval (CI) = 1.19, 1.45) than did those without TBI. Furthermore, children with mild and severe TBI had higher AHRs for ADHD than did those without TBI (AHR = 1.30; 95% CI = 1.10, 1.53; and AHR = 1.37; 95% CI = 1.22, 1.55). However, no significant association was observed between fractures and ADHD. conclusion: TBI in childhood is associated with a greater likelihood of developing ADHD. t raumatic brain injury (TBI) is the leading cause of death and disability in children and often results in persistent behavioral disturbances and neurocognitive deficits in attention, learning, and memory (1-3). Children with cognitive impairment following TBI impose a great economic and social burden on their families and communities. In addition, these children are more likely to have slower psychosocial development and exhibit poor academic achievement. Therefore, the relationship between TBI and neuropsychiatric consequences has become a crucial research topic.Attention-deficit-hyperactivity disorder (ADHD), a neurodevelopmental disorder, is associated with impulsivity, excessive talking, difficulty in sustaining attention, being easily distracted, and injuries (4-6). Studies have reported a relationship between ADHD and childhood TBI (7-10). Unlike other diseases resulting from various pathogenic mechanisms, TBI is caused by a complex interplay among damages occurring in the neuroanatomy, neurochemistry, and neurophysiology because of primary and secondary processes (11). A meta-analytic review showed that neurocognitive outcomes after pediatric TBI have a dose-response relationship with injury severity. Babikian and colleagues found that patients with severe TBI exhibited poorer performance in intelligence quotient tests, executive functioning, processing speed, attention maintenance, verbal immediate memory, and delayed memory, whereas patients with mild TBI exhibited no change (12). In addition, several studies have suggested that children with moderate to severe TBI are significantly more likely to develop ADHD symptoms than are those with mild TBI (8,(13)(14)(15)(16)(17). A longitudinal birth cohort study reported no association between preschool mild TBI and ADHD after adjusting for potential co...

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confidence: 54%

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confidence: 95%

Association of traumatic brain injury in childhood and attention-deficit/hyperactivity disorder: a population-based study

et al. 2016

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“…First results of one setting have already been reported [22]. This study reports cognitive impairment in different patient groups and a healthy control group.…”

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confidence: 62%

Identifying children and adolescents with cognitive dysfunction following mild traumatic brain injury—Preliminary findings on abbreviated neuropsychological testing

et al. 2011

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“…As suggested by several studies on older post-TBI children and adolescents [4,5,[9][10][11], these subjects showed more marked Externalizing problems (in particular, destructive behaviour). The prevalence of this group of disorders is related to the neuroradiological picture and in particular to the presence of frontal damage.…”

Section: Discussionmentioning

confidence: 89%

“…In most cases, acquired brain lesions do not only determine motor, sensory and neuropsychological impairments but also psychological and behavioural disorders [1][2][3][4][5]. The latter should be closely monitored because they can significantly affect the overall outcome.…”

Section: Introductionmentioning

confidence: 96%

Psychological and adjustment problems due to acquired brain lesions in pre-school-aged patients

et al. 2013

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Health-related quality of life and psychosocial consequences after mild traumatic brain injury in children and adolescents

Abstract: Mild TBI resulted in no decline in the children's health outcome after injury. The cognitive screening approach proved itself to be a useful instrument for routine clinical care.

Cited by 31 publications

References 17 publications

Association of traumatic brain injury in childhood and attention-deficit/hyperactivity disorder: a population-based study

Association of traumatic brain injury in childhood and attention-deficit/hyperactivity disorder: a population-based study

Identifying children and adolescents with cognitive dysfunction following mild traumatic brain injury—Preliminary findings on abbreviated neuropsychological testing

Psychological and adjustment problems due to acquired brain lesions in pre-school-aged patients

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