Parental ratings of daily behavior and child cognitive test performance after pediatric mild traumatic brain injury

Abstract

This study aimed to evaluate the degree to which the Behavior Rating Inventory of Executive Function (BRIEF) and Child Behavior Checklist (CBCL) measure overlapping vs. distinct constructs in pediatric patients with mild traumatic brain injury (TBI), and to examine the demographic and injury correlates of such constructs as well as those of cognitive test performance. A total of 100 parents completed the BRIEF and the CBCL within 1 to 12 months after the injury of their child. Groups were contrasted based on the presence vs. absence of impairment on, respectively, the BRIEF and the CBCL. Exploratory maximum likelihood factor analysis was used to evaluate latent constructs. Correlates of the various factor scores were evaluated through regression analysis and contrasted with those of a test of verbal learning and memory.The results revealed that the BRIEF and the CBCL disagree about the presence vs. absence of impairment in about one quarter of cases. A prior history of attention deficit/hyperactivity disorder (ADHD) was associated with an increased likelihood of impairment on both the BRIEF and the CBCL, whereas prior outpatient psychiatric treatment was associated with the increased likelihood of selective impairment on the CBCL. Latent constructs manifested themselves along cognitive regulation, emotional adjustment and behavioral regulation factors. Whereas premorbid characteristics were the exclusive correlates of these factors, performance on a test of verbal learning and memory was negatively affected by intracranial lesions on neuroimaging.It is concluded that the BRIEF and the CBCL offer complementary and non-redundant information about daily functioning after pediatric mild TBI. The correlates of cognitive test performance and parental behavior ratings after such injuries are different and reflect a divergence between premorbid and injury-related influences.

Younger Age at Onset Is Associated With Worse Long-term Behavioral Outcomes in Anti-NMDA Receptor Encephalitis

“…Such phenomena have been reported in studies of pediatric traumatic brain injury. 24,25 Even subtle alterations of these developmental trajectories may lead to reductions in daily function and quality of life, which can have critical consequences in social and educational settings.…”

Revisión Sistemática de Literatura sobre Evaluación Neuropsicológica Infantil en Ecuador

“…24 Hamberger 37 contribuye con pruebas de denominación verbal y discriminación auditiva para niños, y estas fueron utilizadas como elementos de recuperación de información, observándose puntajes altos en nivel de léxico y pruebas que consideraban el tiempo de atención mejoraron con la edad. Donders 38 sostiene que las alteraciones en niños con antecedentes de accidente cerebrovascular tuvieron mayor incidencia en alteraciones de la memoria incluida la epilepsia, lesión cerebral traumática e hidrocefalia, sosteniendo, que el menor rendimiento en memoria se relaciona con una velocidad de procesamiento más lenta.…”

“…39 Igualmente, por cuestionarios de funcionamiento aplicado a cuidadores, con buen nivel de significancia estadística. 38 MacAllister 40 opina que la aplicación de una única prueba, no debe ser criterio suficiente para ubicar trastornos en dichas funciones. 40,41 De acuerdo con Krivitzky 42 estas funciones se ven afectadas en lesión cerebral, trastorno generalizado del desarrollo, epilepsias, trastorno por déficit de atención y trastorno de aprendizaje.…”

Structural-covariance networks identify topology-based cortical-thickness changes in children with persistent executive function impairments after traumatic brain injury

“…(2015) . This rule has previously been shown to be sensitive to TBI with an increase in identification of impaired individuals ( Beauchamp et al., 2015 ), and has been used to detect behavioural impairment ( Donders and DeWit, 2017 ), and cognitive inefficiency ( Beauchamp et al., 2018 ) following paediatric TBI and concussion respectively.…”