dc.contributor.author |
Jones, Kelly M |
en |
dc.contributor.author |
Prah, Philip |
en |
dc.contributor.author |
Starkey, Nicola |
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dc.contributor.author |
Theadom, Alice |
en |
dc.contributor.author |
Barker-Collo, Suzanne |
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dc.contributor.author |
Ameratunga, Shanthi |
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dc.contributor.author |
Feigin, Valery L |
en |
dc.contributor.author |
BIONIC Study Group |
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dc.date.accessioned |
2019-10-01T21:10:10Z |
en |
dc.date.issued |
2019-01 |
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dc.identifier.issn |
0269-9052 |
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dc.identifier.uri |
http://hdl.handle.net/2292/48313 |
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dc.description.abstract |
Background: Research following mild traumatic brain injury (mTBI) during childhood predominantly examines recovery up to 12 months post-injury. Objectives: To determine children's longer-term (4 years) patterns and predictors of recovery. Methods: Parents of 196 children (aged 1-15 years) completed the Behaviour Assessment System for Children and Pediatric Quality of Life Inventory at baseline, 1, 6, 12, and 48 months post-injury. Children aged ≥8 years at each assessment completed a computerized neurocognitive testing battery. At 1 month, parents completed the Hospital Anxiety and Depression Scale. Multilevel modeling accounted for repeated measures. Results: Children had significantly fewer child behavior problems, better adaptability, and improved quality of life after 12 months. Concurrent improvements in overall neurocognitive function were no longer significant once adjusted for age, gender, and socio-economic status. From 12 to 48 months, quality of life reduced significantly while child behavior and neurocognition plateaued. Child behavior problems and worse quality of life were associated with parental anxiety and lower socio-economic status. Conclusions: Children's recovery in the year following mTBI appears to plateau from 12 to 48 months, with a concomitant reduction in quality of life. Identification and treatment of parent mental health issues may reduce the exacerbation of negative child outcomes following mTBI. |
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dc.format.medium |
Print-Electronic |
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dc.language |
eng |
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dc.relation.ispartofseries |
Brain injury |
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dc.rights |
Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. |
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dc.rights.uri |
https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm |
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dc.subject |
BIONIC Study Group |
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dc.subject |
Humans |
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dc.subject |
Brain Concussion |
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dc.subject |
Longitudinal Studies |
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dc.subject |
Child Behavior |
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dc.subject |
Cognition |
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dc.subject |
Neuropsychological Tests |
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dc.subject |
Quality of Life |
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dc.subject |
Adolescent |
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dc.subject |
Child |
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dc.subject |
Child, Preschool |
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dc.subject |
Infant |
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dc.subject |
Female |
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dc.subject |
Male |
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dc.subject |
Young Adult |
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dc.title |
Longitudinal patterns of behavior, cognition, and quality of life after mild traumatic brain injury in children: BIONIC study findings. |
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dc.type |
Journal Article |
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dc.identifier.doi |
10.1080/02699052.2019.1606445 |
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pubs.issue |
7 |
en |
pubs.begin-page |
884 |
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pubs.volume |
33 |
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dc.rights.holder |
Copyright: The author |
en |
pubs.end-page |
893 |
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pubs.publication-status |
Published |
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dc.rights.accessrights |
http://purl.org/eprint/accessRights/RestrictedAccess |
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pubs.subtype |
Research Support, Non-U.S. Gov't |
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pubs.subtype |
Journal Article |
en |
pubs.elements-id |
770480 |
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pubs.org-id |
Medical and Health Sciences |
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pubs.org-id |
Population Health |
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pubs.org-id |
Epidemiology & Biostatistics |
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pubs.org-id |
School of Medicine |
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pubs.org-id |
Medicine Department |
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pubs.org-id |
Science |
en |
pubs.org-id |
Psychology |
en |
dc.identifier.eissn |
1362-301X |
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pubs.record-created-at-source-date |
2019-04-24 |
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pubs.dimensions-id |
31010355 |
en |