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Childhood Traumatic Brain InjuryInitial Impact on the FamilyShari L. Wade, PhD, is an adjunct assistant professor of pediatrics at Case Western Reserve University School of Medicine. Her research interests involve examining the impact of psychosocial factors on the course of childhood illness and recovery, and developing empirically based interventions to reduce the medical and psychological morbidity arising from chronic illness and injury in children. Address: Shari Wade, 333 W. Sycamore St., Oxford, OH 45056.
H. Gerry Taylor, PhD, is an associate professor of pediatrics at Case Western Reserve University School of Medicine and the director of pediatric psychology at Rainbow Babies and Childrens Hospital. His research interests include the neuropsychological consequences of childhood brain injuries and cognitive and social antecedents of children' learning problems.
Dennis Drotar, PhD, is a professor of psychiatry and pediatrics at Case Western Reserve University School of Medicine and professor and director of research training in pediatric psychology in the Department of Psychology at Case Western Reserve University. His research interests include the psychological adaptation of children with chronic medical conditions and their families.
Terry Stancin, PhD, is an assistant professor of pediatrics at Case Western Reserve School of Medicine and a staff psychologist at Metro-Health Medical Center in Cleveland. Her research interests involve the mental health issues of children in primary care settings.
Keith Owen Yeates, PhD, is an assistant professor of pediatrics at The Ohio State University and the director of pediatric neuropsychology at Columbus Children' Hospital. His research interests involve the neuropsychological outcomes associated with childhood brain disorders. 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.
Journal of Learning Disabilities, Vol. 29, No. 6,
652-661 (1996) This article has been cited by other articles:
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