Studies
13 resultsThis study prospectively assessed psychological and cognitive sequelae of traumatic brain injury (TBI) in children. Multiple factors may influence children's functioning following head injury including injury severity, pre-injury child factors, and family factors. Overall study aims were to describe the relationships between these factors and children's recovery in the eighteen months following their injury, to examine the relationship between children's cognitive impairments post injury and psychological distress related to the injury event, and to examine the role of PTSD in children's recovery from TBI.
The study enrolled children age 6 to 15 admitted to hospital after an accident resulting in mild to severe TBI, and one parent per child. Children and parents completed research assessments within 2 months of the accident, and at 3, 6, 12, and 18 months post-accident. Child health and behavior, health-related quality of life, parenting, and parent posttraumatic stress were assessed at all time points, and child posttraumatic stress symptoms were assessed at 3, 6, 12, and 18 months.
Millions of children suffer unintentional injuries annually. While the majority display transient psychological distress, a significant minority develop significant, persistent symptoms of posttraumatic stress disorder (PTSD) that are associated with poorer general health outcomes and impaired quality of life. Understanding variables that contribute to the development of PTSD is an essential step in identifying children at increased risk for PTSD and improving secondary prevention to reduce the incidence of PTSD in children following medical events.
The objective of this study was to examine the interplay of biological, psychological (cognitive appraisals, coping), and environmental (parent influence) factors during the peri-trauma time period as these relate to the development of child PTSD symptoms over time.
Children age 8-13 with a recent injury (within the past 2 weeks) and one parent / caregiver per child were enrolled during an inpatient hospitalization. At the time of enrollment, and again 6 weeks and 12 weeks post-injury, children and parents completed measures of cognitive appraisals, coping, coping assistance, and PTSD symptoms. A brief parent-child interaction task was completed at the time of the baseline assessment - data from this task-based assessment are not included in this dataset.
The overall objective of this study was to examine trajectories and predictors of posttraumatic stress and depression in children and parents after a major hurricane, with a particular focus on hurricane exposure and on parenting variables that might be amenable to intervention.
Three months after the hurricane, the study enrolled students in grades four through eight (age 8 to 16) in local schools and invited parent participation, and conducted assessments at four time points post-hurricane. Children reported on prior violence exposure and hurricane-related trauma exposure, and on posttraumatic stress, coping, social support; and parents reported on child behavior as well as their own posttraumatic stress and other mental health symptoms, coping, and parenting practices. (Note: The current dataset does not include measures of parenting practices.)