Adaptive ability, behavior and quality of life pre and posttraumatic brain injury in childhood

Anderson, Vicki, Le Brocque, Robyne, Iselin, Gregory, Eren, Senem, Dob, Rian, Davern, Timothy J., McKinlay, Lynne and Kenardy, Justin (2012) Adaptive ability, behavior and quality of life pre and posttraumatic brain injury in childhood. Disability and Rehabilitation, 34 19: 1639-1647. doi:10.3109/09638288.2012.656789

Attached Files (Some files may be inaccessible until you login with your UQ eSpace credentials)
Name Description MIMEType Size Downloads

Author Anderson, Vicki
Le Brocque, Robyne
Iselin, Gregory
Eren, Senem
Dob, Rian
Davern, Timothy J.
McKinlay, Lynne
Kenardy, Justin
Title Adaptive ability, behavior and quality of life pre and posttraumatic brain injury in childhood
Journal name Disability and Rehabilitation   Check publisher's open access policy
ISSN 0963-8288
Publication date 2012
Sub-type Article (original research)
DOI 10.3109/09638288.2012.656789
Volume 34
Issue 19
Start page 1639
End page 1647
Total pages 9
Place of publication London, United Kingdom
Publisher Informa Healthcare
Collection year 2013
Language eng
Formatted abstract
Context: Traumatic brain injury (TBI) is a common, acquired childhood disability, which has been shown to have a significant impact on children’s cognitive and educational function. While behavioral problems are also noted, there is ongoing debate about the contribution of preinjury factors in this domain. Few studies have attempted to measure the impact of these preinjury functions on postinjury behavior. Objective: To compare pre and postinjury adaptive ability, behavior, executive function and quality of life (QOL) and to identify factors that contribute to outcomes in these domains including injury severity, socio-demographic and preinjury characteristics. Design: Consecutive recruitments to a prospective, longitudinal study, utilizing a between factor design, with injury severity as the independent variable. Participants and methods: Children admitted to hospital with a diagnosis of TBI aged between 6 and 14 years (n = 205) were divided according to injury severity (mild, moderate and severe). Adaptive behavior (Vineland Adaptive Behavior Scales), child behavior (Child Behavior Checklist), everyday executive functions (Behavior Rating Inventory of Executive Function) and QOL (Child Health Questionnaire) assessed at 6 months post-TBI. Results and conclusions: Severity by time interactions were identified across a range of outcome domains demonstrating that more severe injury is associated with a decrease in functional ability at 6 months post-TBI. This effect was most pronounced for everyday executive skills, social function and internalizing aspects of child behavior. Preinjury function was a consistent predictor of postinjury status. Injury severity contributed little to the prediction of functional outcomes once preinjury functioning was accounted for in the model. Age at injury and family cohesion were relevant to specific outcome domains only. Socio-economic status did not contribute significantly to outcome at 6 months. Preinjury functioning as reported by parents in the acute phase may be a useful predictive tool for identifying children who may be at risk of functioning difficulties 6 months post-TBI.
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Posted online on March 15, 2012

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2013 Collection
School of Medicine Publications
School of Psychology Publications
Version Filter Type
Citation counts: TR Web of Science Citation Count  Cited 15 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 17 times in Scopus Article | Citations
Google Scholar Search Google Scholar
Created: Mon, 25 Jun 2012, 14:15:31 EST by Chesne McGrath on behalf of Medicine - Royal Brisbane and Women's Hospital