Abstract
Objective: To describe behavioural and adjustment problems in a group of 57 adolescents with severe traumatic brain injury (TBI) and compare them with a clinical group of peers with brain lesions of other origin (N = 33) and a control group of healthy adolescents (N = 48). Methods: All subjects received an age-appropriate assessment, including the child behaviour checklist (CBCL) 4/18, the strengths and difficulties questionnaire (SDQ) and the vineland adaptive behaviour scales (VABS). Results: Compared with healthy peers, adolescents with TBI presented with more marked behavioural problems on most CBCL scales (Internalization and Externalization domains were both affected) and on the SDQ Hyperactivity and Peer problems scales. They also showed a more impaired functioning in most VABS domains. Compared with adolescents with brain lesions of other aetiology, patients with TBI showed more conduct problems on the SDQ scale, but no significant differences were found on the CBCL scales. Regarding the VABS, patients with other lesions presented with the worst outcome in the Motor and Daily Living Skills domains. Conclusions: Adolescents with TBI are exposed at a very high risk to develop behavioural and psychological disturbances with the potential to severely affect their social re-entry. Further knowledge is needed to plan early and well-timed interventions.
| Original language | English |
|---|---|
| Pages (from-to) | 1011-1020 |
| Number of pages | 10 |
| Journal | Brain Injury |
| Volume | 32 |
| Issue number | 8 |
| DOIs | |
| Publication status | Published - 2018 |
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Keywords
- adolescent
- behavioural symptoms
- Brain injuries
- psychological adjustment
ASJC Scopus subject areas
- Neuroscience (miscellaneous)
- Developmental and Educational Psychology
- Clinical Neurology
Cite this
Psychological and behavioural difficulties following severe TBI in adolescence : a comparison with a sample of peers with brain lesions of other origin and with a control group. / Pastore, Valentina; Galbiati, Susanna; Recla, Monica; Colombo, Katia; Beretta, Elena; Strazzer, Sandra.
In: Brain Injury, Vol. 32, No. 8, 2018, p. 1011-1020.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Psychological and behavioural difficulties following severe TBI in adolescence
T2 - a comparison with a sample of peers with brain lesions of other origin and with a control group
AU - Pastore, Valentina
AU - Galbiati, Susanna
AU - Recla, Monica
AU - Colombo, Katia
AU - Beretta, Elena
AU - Strazzer, Sandra
PY - 2018
Y1 - 2018
N2 - Objective: To describe behavioural and adjustment problems in a group of 57 adolescents with severe traumatic brain injury (TBI) and compare them with a clinical group of peers with brain lesions of other origin (N = 33) and a control group of healthy adolescents (N = 48). Methods: All subjects received an age-appropriate assessment, including the child behaviour checklist (CBCL) 4/18, the strengths and difficulties questionnaire (SDQ) and the vineland adaptive behaviour scales (VABS). Results: Compared with healthy peers, adolescents with TBI presented with more marked behavioural problems on most CBCL scales (Internalization and Externalization domains were both affected) and on the SDQ Hyperactivity and Peer problems scales. They also showed a more impaired functioning in most VABS domains. Compared with adolescents with brain lesions of other aetiology, patients with TBI showed more conduct problems on the SDQ scale, but no significant differences were found on the CBCL scales. Regarding the VABS, patients with other lesions presented with the worst outcome in the Motor and Daily Living Skills domains. Conclusions: Adolescents with TBI are exposed at a very high risk to develop behavioural and psychological disturbances with the potential to severely affect their social re-entry. Further knowledge is needed to plan early and well-timed interventions.
AB - Objective: To describe behavioural and adjustment problems in a group of 57 adolescents with severe traumatic brain injury (TBI) and compare them with a clinical group of peers with brain lesions of other origin (N = 33) and a control group of healthy adolescents (N = 48). Methods: All subjects received an age-appropriate assessment, including the child behaviour checklist (CBCL) 4/18, the strengths and difficulties questionnaire (SDQ) and the vineland adaptive behaviour scales (VABS). Results: Compared with healthy peers, adolescents with TBI presented with more marked behavioural problems on most CBCL scales (Internalization and Externalization domains were both affected) and on the SDQ Hyperactivity and Peer problems scales. They also showed a more impaired functioning in most VABS domains. Compared with adolescents with brain lesions of other aetiology, patients with TBI showed more conduct problems on the SDQ scale, but no significant differences were found on the CBCL scales. Regarding the VABS, patients with other lesions presented with the worst outcome in the Motor and Daily Living Skills domains. Conclusions: Adolescents with TBI are exposed at a very high risk to develop behavioural and psychological disturbances with the potential to severely affect their social re-entry. Further knowledge is needed to plan early and well-timed interventions.
KW - adolescent
KW - behavioural symptoms
KW - Brain injuries
KW - psychological adjustment
UR - http://www.scopus.com/inward/record.url?scp=85046623819&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85046623819&partnerID=8YFLogxK
U2 - 10.1080/02699052.2018.1469041
DO - 10.1080/02699052.2018.1469041
M3 - Article
AN - SCOPUS:85046623819
VL - 32
SP - 1011
EP - 1020
JO - Brain Injury
JF - Brain Injury
SN - 0269-9052
IS - 8
ER -