Post-concussive symptoms and neuropsychological performance in the post-acute period following pediatric mild traumatic brain injury

Studer, M.; Goeggel, Barbara; Joeris, Alexander; Margelisch, Katja; Steinlin, Maja; Roebers, Claudia M.; Heinks, T. (2014). Post-concussive symptoms and neuropsychological performance in the post-acute period following pediatric mild traumatic brain injury. Journal of the International Neuropsychological Society, 20(10), pp. 982-993. Cambridge University Press 10.1017/S1355617714000927

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Objective: There is evidence that children after mild traumatic brain injuries (mTBI) suffer ongoing post-concussive symptoms (PCS). However, results concerning neuropsychological outcome after mTBI are controversial. Thus, our aim was to examine group differences regarding neuropsychological outcome and PCS. Additionally, we explored the influence of current and pre-injury everyday attention problems on neuropsychological outcome in children after mTBI. Method: In a prospective short-term longitudinal study, 40 children (aged 6-16 years) after mTBI and 38 children after orthopedic injury (OI) underwent neuropsychological, socio-behavioral and PCS assessments in the acute stage and at 1 week, at 4 weeks, and 4 months after the injury. Results: Parents of children after mTBI observed significantly more PCS compared to parents of children after OI, especially in the acute stage. Our results revealed no neuropsychological or socio-behavioral differences over time between both groups. However, in children after mTBI, we found negative correlations between elevated levels of everyday attention problems and reduced neuropsychological performance. Furthermore, there was a negative influence of pre-injury everyday attention problems on neuropsychological performance in children after mTBI. Conclusion: In accordance with earlier studies, parents of children after mTBI initially observed significantly more PCS compared to parents of children after OI. There were no neuropsychological or socio-behavioral group differences between children after mTBI and OI in the post-acute period. However, our exploratory findings concerning the influence of everyday attention problems on neuropsychological outcome indicate that current and pre-injury everyday attention problems were negatively associated with neuropsychological performance in children after mTBI.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Gynaecology, Paediatrics and Endocrinology (DFKE) > Clinic of Paediatric Surgery
04 Faculty of Medicine > Department of Gynaecology, Paediatrics and Endocrinology (DFKE) > Clinic of Paediatric Medicine
04 Faculty of Medicine > Department of Head Organs and Neurology (DKNS) > Clinic of Neurology
07 Faculty of Human Sciences > Institute of Psychology
07 Faculty of Human Sciences > Institute of Psychology > Developmental Psychology
10 Strategic Research Centers > Center for Cognition, Learning and Memory (CCLM)

UniBE Contributor:

Goeggel, Barbara; Joeris, Alexander; Margelisch, Katja; Steinlin, Maja and Roebers, Claudia

Subjects:

600 Technology > 610 Medicine & health
100 Philosophy > 150 Psychology

ISSN:

1355-6177

Publisher:

Cambridge University Press

Language:

English

Submitter:

Anna Maria Ruprecht Künzli

Date Deposited:

21 Nov 2014 15:42

Last Modified:

27 Apr 2018 08:50

Publisher DOI:

10.1017/S1355617714000927

PubMed ID:

25382292

BORIS DOI:

10.7892/boris.60112

URI:

https://boris.unibe.ch/id/eprint/60112

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