1. Social-emotional behaviour in infants and toddlers with mild traumatic brain injury.
- Author
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Kaldoja, Mari-Liis and Kolk, Anneli
- Subjects
ADAPTABILITY (Personality) ,AFFECT (Psychology) ,AUTONOMY (Psychology) ,BEHAVIOR disorders in children ,BRAIN injuries ,CHILD development ,CHILD behavior ,CHILDREN'S hospitals ,COMA ,COMMUNICATION ,COMPARATIVE studies ,STATISTICAL correlation ,LONGITUDINAL method ,PARENTS ,PROBABILITY theory ,QUESTIONNAIRES ,RESEARCH evaluation ,RESEARCH funding ,SCALE analysis (Psychology) ,SCALES (Weighing instruments) ,SELF-management (Psychology) ,SOCIAL skills ,STATISTICS ,U-statistics ,DATA analysis ,RETROSPECTIVE studies ,SEVERITY of illness index ,CASE-control method ,RESEARCH methodology evaluation ,DATA analysis software ,DESCRIPTIVE statistics ,SYMPTOMS ,CHILDREN ,INJURY risk factors - Abstract
Background: Paediatric head trauma is a serious health concern often leading to neurological, behavioural and cognitive impairments. In Estonia head trauma incidence is especially high in children up to 4 years. Objective: The aim was to investigate young children's pre-injury social-emotional behaviour to discover potential risk signs for brain trauma and to study social-emotional outcome 9 months post-injury. Methods: Thirty-five 3-65 month old children with mild traumatic brain injury (MTBI) and 70 matched controls were retrospectively assessed with child monitoring system Ages and Stages Questionnaires: Social-Emotional. During follow-up 27 patients and 54 controls were re-assessed after 9 months. Results: Children with MTBI showed altered social-emotional development already before the injury. Deficits were evident in self-regulation and autonomy. Age-specific social-emotional risk signs for MTBI were found. Compared to controls more pre-injury affective problems were seen in 12-month olds, self-regulation, and communication difficulties in 30-month olds and autonomy disturbances in 60-month old children. 9 months post-injury impairments in autonomy and self-regulation were still present and new difficulties in interaction had developed. Conclusions: Childhood MTBI has a serious negative effect on further development of interaction skills. To prevent possible traumas, parents should be informed of different age-specific pre-injury social-emotional risk signs. [ABSTRACT FROM AUTHOR]
- Published
- 2012
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