Life after Adolescent and Adult Moderate and Severe Traumatic Brain Injury: Self-Reported Executive, Emotional, and Behavioural Function 2–5 Years after Injury
Survivors of moderate-severe Traumatic Brain Injury (TBI) are at risk for long-term cognitive, emotional, and behavioural problems. This prospective cohort study investigated self-reported executive, emotional, and behavioural problems in the late chronic phase of moderate and severe TBI, if demogra...
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Behavioural Neurology |
| Online Access: | http://dx.doi.org/10.1155/2015/329241 |
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| author | Torun Gangaune Finnanger Alexander Olsen Toril Skandsen Stian Lydersen Anne Vik Kari Anne I. Evensen Cathy Catroppa Asta K. Håberg Stein Andersson Marit S. Indredavik |
| author_facet | Torun Gangaune Finnanger Alexander Olsen Toril Skandsen Stian Lydersen Anne Vik Kari Anne I. Evensen Cathy Catroppa Asta K. Håberg Stein Andersson Marit S. Indredavik |
| author_sort | Torun Gangaune Finnanger |
| collection | DOAJ |
| description | Survivors of moderate-severe Traumatic Brain Injury (TBI) are at risk for long-term cognitive, emotional, and behavioural problems. This prospective cohort study investigated self-reported executive, emotional, and behavioural problems in the late chronic phase of moderate and severe TBI, if demographic characteristics (i.e., age, years of education), injury characteristics (Glasgow Coma Scale score, MRI findings such as traumatic axonal injury (TAI), or duration of posttraumatic amnesia), symptoms of depression, or neuropsychological variables in the first year after injury predicted long-term self-reported function. Self-reported executive, emotional, and behavioural functioning were assessed among individuals with moderate and severe TBI (N=67, age range 15–65 years at time of injury) 2–5 years after TBI, compared to a healthy matched control group (N=72). Results revealed significantly more attentional, emotional regulation, and psychological difficulties in the TBI group than controls. Demographic and early clinical variables were associated with poorer cognitive and emotional outcome. Fewer years of education and depressive symptoms predicted greater executive dysfunction. Younger age at injury predicted more aggressive and rule-breaking behaviour. TAI and depressive symptoms predicted Internalizing problems and greater executive dysfunction. In conclusion, age, education, TAI, and depression appear to elevate risk for poor long-term outcome, emphasising the need for long-term follow-up of patients presenting with risk factors. |
| format | Article |
| id | doaj-art-d2c7fb52e4dc441c9026992f8a42ff7c |
| institution | Kabale University |
| issn | 0953-4180 1875-8584 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Behavioural Neurology |
| spelling | doaj-art-d2c7fb52e4dc441c9026992f8a42ff7c2025-08-20T03:24:06ZengWileyBehavioural Neurology0953-41801875-85842015-01-01201510.1155/2015/329241329241Life after Adolescent and Adult Moderate and Severe Traumatic Brain Injury: Self-Reported Executive, Emotional, and Behavioural Function 2–5 Years after InjuryTorun Gangaune Finnanger0Alexander Olsen1Toril Skandsen2Stian Lydersen3Anne Vik4Kari Anne I. Evensen5Cathy Catroppa6Asta K. Håberg7Stein Andersson8Marit S. Indredavik9Regional Centre for Child and Youth Mental Health and Child Welfare-Central Norway, Faculty of Medicine, Norwegian University of Science and Technology (NTNU), 7491 Trondheim, NorwayMI Lab and Department of Circulation and Medical Imaging, Norwegian University of Science and Technology, 7491 Trondheim, NorwayDepartment of Physical Medicine and Rehabilitation, St. Olavs Hospital Trondheim University Hospital, 7006 Trondheim, NorwayRegional Centre for Child and Youth Mental Health and Child Welfare-Central Norway, Faculty of Medicine, Norwegian University of Science and Technology (NTNU), 7491 Trondheim, NorwayDepartment of Neuroscience, Faculty of Medicine, Norwegian University of Science and Technology, 7491 Trondheim, NorwayDepartment of Public Health and General Practice, Department of Laboratory Medicine, Children and Women’s Health, Norwegian University of Science and Technology, 7491 Trondheim, NorwayChild Neuropsychology, Murdoch Children’s Research Institute, Melbourne, VIC 3052, AustraliaMI Lab and Department of Circulation and Medical Imaging, Norwegian University of Science and Technology, 7491 Trondheim, NorwayDepartment of Psychosomatic Medicine, Oslo University Hospital, 0424 Oslo, NorwayRegional Centre for Child and Youth Mental Health and Child Welfare-Central Norway, Faculty of Medicine, Norwegian University of Science and Technology (NTNU), 7491 Trondheim, NorwaySurvivors of moderate-severe Traumatic Brain Injury (TBI) are at risk for long-term cognitive, emotional, and behavioural problems. This prospective cohort study investigated self-reported executive, emotional, and behavioural problems in the late chronic phase of moderate and severe TBI, if demographic characteristics (i.e., age, years of education), injury characteristics (Glasgow Coma Scale score, MRI findings such as traumatic axonal injury (TAI), or duration of posttraumatic amnesia), symptoms of depression, or neuropsychological variables in the first year after injury predicted long-term self-reported function. Self-reported executive, emotional, and behavioural functioning were assessed among individuals with moderate and severe TBI (N=67, age range 15–65 years at time of injury) 2–5 years after TBI, compared to a healthy matched control group (N=72). Results revealed significantly more attentional, emotional regulation, and psychological difficulties in the TBI group than controls. Demographic and early clinical variables were associated with poorer cognitive and emotional outcome. Fewer years of education and depressive symptoms predicted greater executive dysfunction. Younger age at injury predicted more aggressive and rule-breaking behaviour. TAI and depressive symptoms predicted Internalizing problems and greater executive dysfunction. In conclusion, age, education, TAI, and depression appear to elevate risk for poor long-term outcome, emphasising the need for long-term follow-up of patients presenting with risk factors.http://dx.doi.org/10.1155/2015/329241 |
| spellingShingle | Torun Gangaune Finnanger Alexander Olsen Toril Skandsen Stian Lydersen Anne Vik Kari Anne I. Evensen Cathy Catroppa Asta K. Håberg Stein Andersson Marit S. Indredavik Life after Adolescent and Adult Moderate and Severe Traumatic Brain Injury: Self-Reported Executive, Emotional, and Behavioural Function 2–5 Years after Injury Behavioural Neurology |
| title | Life after Adolescent and Adult Moderate and Severe Traumatic Brain Injury: Self-Reported Executive, Emotional, and Behavioural Function 2–5 Years after Injury |
| title_full | Life after Adolescent and Adult Moderate and Severe Traumatic Brain Injury: Self-Reported Executive, Emotional, and Behavioural Function 2–5 Years after Injury |
| title_fullStr | Life after Adolescent and Adult Moderate and Severe Traumatic Brain Injury: Self-Reported Executive, Emotional, and Behavioural Function 2–5 Years after Injury |
| title_full_unstemmed | Life after Adolescent and Adult Moderate and Severe Traumatic Brain Injury: Self-Reported Executive, Emotional, and Behavioural Function 2–5 Years after Injury |
| title_short | Life after Adolescent and Adult Moderate and Severe Traumatic Brain Injury: Self-Reported Executive, Emotional, and Behavioural Function 2–5 Years after Injury |
| title_sort | life after adolescent and adult moderate and severe traumatic brain injury self reported executive emotional and behavioural function 2 5 years after injury |
| url | http://dx.doi.org/10.1155/2015/329241 |
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