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Long term effects of early childhood traumatic brain injury on narrative discourse gist and psychosocial functioning.
- Source :
- Disability & Rehabilitation; Aug2020, Vol. 42 Issue 17, p2383-2392, 10p, 10 Charts
- Publication Year :
- 2020
-
Abstract
- Purpose: To examine the long-term consequences of early childhood traumatic brain injury (TBI), approximately 6.8 years post-injury, on cognitive communication competency within a complex interplay of individual, contextual, and psychosocial factors. Additionally, we were interested in looking at the association of communication competence with social competence and overall functioning. Methods: 64 children with orthopedic injury, 40 children with moderate traumatic brain injury, and 14 children with severe traumatic brain injury who were between 3 years and 6 years 11 months at injury completed a narrative discourse task and clinical measures in a single visit at a longer term follow up in early adolescence, an average of 6.8 years post injury. Analyses of covariance were conducted to compare groups on the discourse task, and hierarchical linear regressions were conducted to examine the association of discourse measures with clinical measures of cognitive and psychosocial functioning. Results: Children with severe traumatic brain injury performed worse than children with moderate traumatic brain injury and orthopedic injury on all discourse indices and clinical measures. Injury severity, pragmatic skills, and socioeconomic status were associated with discourse gist. Discourse gist was the most sensitive measure of communication competence, and it was significantly associated with psychosocial outcomes independent of group. Conclusion: Children who sustain a severe traumatic brain injury in early childhood are at risk for long-term cognitive communication impairments that may be related to a complex interplay of injury, individual, and social factors. The assessment and treatment of cognitive communication impairments after traumatic brain injury are complex and require consideration of individual, contextual, and psychosocial factors. Discourse, in general, and gist reasoning specifically, is a sensitive measure for detecting cognitive communication competence several years after pediatric traumatic brain injury. Treatments to address gist reasoning deficits may support improvements in global and social functioning. [ABSTRACT FROM AUTHOR]
- Subjects :
- COGNITION disorder risk factors
ANALYSIS of covariance
ANALYSIS of variance
BRAIN injuries
CAREGIVERS
COGNITION
COMMUNICATIVE competence
LIFE skills
LONGITUDINAL method
REGRESSION analysis
RESEARCH funding
RISK assessment
SCALE analysis (Psychology)
SELF-evaluation
SOCIAL skills
STATISTICS
STORYTELLING
DATA analysis
SOCIOECONOMIC factors
THEMATIC analysis
SEVERITY of illness index
DATA analysis software
DESCRIPTIVE statistics
INTRACLASS correlation
DISEASE complications
CHILDREN
Subjects
Details
- Language :
- English
- ISSN :
- 09638288
- Volume :
- 42
- Issue :
- 17
- Database :
- Complementary Index
- Journal :
- Disability & Rehabilitation
- Publication Type :
- Academic Journal
- Accession number :
- 145335850
- Full Text :
- https://doi.org/10.1080/09638288.2019.1594397