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Social Competence at 6 Months Following Childhood Traumatic Brain Injury

Published online by Cambridge University Press:  03 April 2013

Vicki Anderson ,
Miriam H. Beauchamp ,
Keith Owen Yeates ,
Louise Crossley ,
Stephen J.C. Hearps  and
Cathy Catroppa
Vicki Anderson*
Affiliation:
Child Neuropsychology, Murdoch Children's Research Institute, Melbourne, Victoria, Australia Psychology, Royal Children's Hospital, Melbourne, Victoria, Australia Psychological Sciences & Paediatrics, University of Melbourne, Victoria, Australia
Miriam H. Beauchamp
Affiliation:
Child Neuropsychology, Murdoch Children's Research Institute, Melbourne, Victoria, Australia Department of Psychology, University of Montreal, Canada Research Center, Ste-Justine Hospital, Montreal, Canada
Keith Owen Yeates
Affiliation:
Department of Pediatrics, The Ohio State University, Ohio Center for Biobehavioral Health, The Research Institute at Nationwide's Children's Hospital, Columbus, Ohio
Louise Crossley
Affiliation:
Child Neuropsychology, Murdoch Children's Research Institute, Melbourne, Victoria, Australia
Stephen J.C. Hearps
Affiliation:
Child Neuropsychology, Murdoch Children's Research Institute, Melbourne, Victoria, Australia
Cathy Catroppa
Affiliation:
Child Neuropsychology, Murdoch Children's Research Institute, Melbourne, Victoria, Australia Psychology, Royal Children's Hospital, Melbourne, Victoria, Australia Psychological Sciences & Paediatrics, University of Melbourne, Victoria, Australia
*
Correspondence and reprint requests to: Vicki Anderson, Child Neuropsychology, 4 West, Murdoch Children's Research Institute, Flemington Road, Parkville. Victoria. 3052. Australia. E-mail: [email protected]
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Abstract

Children with traumatic brain injury (TBI) are at risk for social impairment. This study aimed to examine social function at 6 months post-TBI and to explore the contribution of injury, cognitive, and environmental influences. The sample included 136 children, 93 survivors of TBI, and 43 healthy controls. TBI participants were recruited on admission and underwent magnetic resonance imaging scan within 8 weeks of injury and behavioral assessment at 6 months post-injury. Healthy controls underwent magnetic resonance imaging scans and behavioral assessment on recruitment. Assessment included parent and child questionnaires tapping social outcome and child-direct testing of cognitive abilities important for social competence (communication, attention/executive function, social cognition). Injury characteristics and environmental measures were collected. At 6-months post-injury, social problems were evident, but not global. Social participation appeared most vulnerable, with more severe injuries leading to greater problems. Greater injury severity and poorer communication skills were associated with poorer social adjustment and social participation, with the impact of family function also significant. Processing speed, younger age, and male gender also contributed to social outcomes. Further follow-up is required to track the recovery of social skills and the changing influences of cognition, brain, and environment over time. (JINS, 2013, 19, 1–12)

Keywords

Brain injuryChildrenRecoverySocial skillsBehaviorEnvironment
Type
Special Series
Information
Journal of the International Neuropsychological Society , Volume 19 , Issue 5 , May 2013 , pp. 539 - 550
Copyright
Copyright © The International Neuropsychological Society 2013

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