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Executive Dysfunction after Moderate and Severe Pediatric Traumatic Brain Injury Predicts Clinical Dysfunction on the Child and Adolescent Functional Assessment Scale

Kurowski, Brad G.

Abstract Details

2012, MS, University of Cincinnati, Medicine: Clinical and Translational Research.
Objective: To identify neurobehavioral and neurocognitive predictors of impaired behavioral functioning after adolescent traumatic brain injury (TBI). Design: Multicenter cross-sectional study. Setting: Outpatient. Participants: 132 primary caregivers and children age 12-17 years who sustained a moderate or severe TBI within the past 1-6 months. Primary Measures: Self and parent ratings of executive function (EF), tests of memory and processing speed (PS), and a structured clinical interview of behavioral functioning. Analysis: Logistic regression was used to examine associations of behavioral functioning with ratings of EF and tests of memory and PS. Results: Caregiver ratings of problems in EF were associated with global behavioral functional impairment (OR 1.11 [95% CI: 1.05, 1.17], p<0.01) as well as impairments in the domains of school (OR 1.09 [95% CI: 1.04, 1.15], p <0.01), home (OR 1.10 [95% CI: 1.04, 1.16], p<0.01), community (OR = 1.13 [95% CI: 1.04, 1.22], p = 0.01), behavior towards others (OR = 1.13 [95% CI: 1.07, 1.20], p<0.01), and moods and emotions (OR =1.06 [95% CI: 1.01, 1.11], p=0.02). Slower PS (OR 0.97 [95% CI: 0.95, 1.00], p = 0.03) and lower memory scores (OR 0.96 [95% CI: 0.93, 1.00], p=0.03) were also associated with global behavioral impairment. Conclusions: Caregiver ratings of EF and measures of PS and memory are associated with behavioral impairment after adolescent TBI. Understanding the ability of neuropsychological measures to predict clinical impairment will potentially help hone assessment batteries and focus treatments where they are needed most.
Kim Dietrich, PhD (Committee Chair)
Amy E. Cassedy, PhD (Committee Member)
Shari Wade, PhD (Committee Member)
29 p.

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Citations

  • Kurowski, B. G. (2012). Executive Dysfunction after Moderate and Severe Pediatric Traumatic Brain Injury Predicts Clinical Dysfunction on the Child and Adolescent Functional Assessment Scale [Master's thesis, University of Cincinnati]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1342543308

    APA Style (7th edition)

  • Kurowski, Brad. Executive Dysfunction after Moderate and Severe Pediatric Traumatic Brain Injury Predicts Clinical Dysfunction on the Child and Adolescent Functional Assessment Scale. 2012. University of Cincinnati, Master's thesis. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=ucin1342543308.

    MLA Style (8th edition)

  • Kurowski, Brad. "Executive Dysfunction after Moderate and Severe Pediatric Traumatic Brain Injury Predicts Clinical Dysfunction on the Child and Adolescent Functional Assessment Scale." Master's thesis, University of Cincinnati, 2012. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1342543308

    Chicago Manual of Style (17th edition)