Prevalence and predictors of externalizing behavior in young adult survivors of pediatric traumatic brain injury

The Journal of Head Trauma Rehabilitation
Nicholas P RyanVicki A Anderson

Abstract

To investigate rates of clinically significant externalizing behavior (EB) in young adult survivors of pediatric traumatic brain injury (TBI) and evaluate the contribution of pre- and postinjury risk and resilience factors to EB outcomes 16 years after injury. Melbourne, Australia. Fifty-five young adults (mean age = 23.85 years; injury age: 1.0-12 years) admitted to an emergency department following TBI between 1993 and 1997. Longitudinal prospective study with data collected at the acute, 10-year, and 16-year postinjury time points. Severity of TBI, adaptive functioning, family functioning, full-scale IQ, executive functioning, social communication, and symptoms of EB. One of every 4 young people with a history of pediatric TBI demonstrated clinical or subthreshold levels of EB in young adulthood. More frequent EB was associated with poorer preinjury adaptive functioning, lower full-scale IQ, and more frequent pragmatic communication difficulty. Pediatric TBI is associated with an elevated risk for externalizing disorders in the transition to adulthood. Results underscore the need for screening and assessment of TBI among young offenders and suggest that early and long-term targeted interventions may be required to address ri...Continue Reading

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Citations

Mar 4, 2015·The Journal of Head Trauma Rehabilitation·W Huw WilliamsUNKNOWN General The Lord David
Aug 27, 2013·PM & R : the Journal of Injury, Function, and Rehabilitation·Brad G KurowskiH Gerry Taylor
Mar 23, 2017·Substance Use & Misuse·Lisa A Kort-Butler
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Dec 22, 2020·Frontiers in Neurology·Dana LengelRamesh Raghupathi
Jan 18, 2019·Experimental Neurology·Akram ZamaniBridgette D Semple
May 1, 2021·British Journal of Sports Medicine·Alice GornallVicki Anderson

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brain injury after impact to the head is due to both immediate mechanical effects and delayed responses of neural tissues.