title: Childhood traumatic brain injury: initial impact on the family.
abstract: Traumatic brain injury (TBI) is a significant source of morbidity and mortality in children, resulting in a wide range of cognitive and behavioral sequelae. However, little is known about the effects of pediatric TBI and its aftermath on families. The current investigation examined the impact of TBI on families during the first month following injury. Children with orthopedic injuries requiring hospitalization served as a control group. The sample consisted of 44 families of children of severe TBI, 52 families of children with moderate TBI, and 69 families of children with orthopedic injuries not involving the central nervous system (CNS). Families of children with severe TBI experienced significantly more injury-related stress than the other two groups of families. Parents of children with TBI also reported higher levels of psychological symptoms than parents of children with orthopedic injuries. Findings from regression analyses suggested that families facing multiple stressors in addition to the injury and those who cope poorly may be at greatest risk for adverse consequences. Future interventions could provide anticipatory guidance and support to at-risk families.
authors.affiliation: Case Western Reserve University School of Medicine, Cleveland, OH, USA.
authors.forename: S L
authors.initials: SL
authors.lastname: Wade
authors.forename: H G
authors.initials: HG
authors.lastname: Taylor
authors.forename: D
authors.initials: D
authors.lastname: Drotar
authors.forename: T
authors.initials: T
authors.lastname: Stancin
authors.forename: K O
authors.initials: KO
authors.lastname: Yeates
mesh_terms: D000223:Adaptation, Psychological; D001930:Brain Injuries / Q000523:psychology*; D002648:Child; D002653:Child Behavior Disorders / Q000523:psychology; D003072:Cognition Disorders; D005192:Family Health; D006801:Humans; D010290:Parents / Q000523:psychology; D013315:Stress, Psychological / Q000523:psychology