Article

It is now generally accepted that paediatric acquired brain injury (ABI) can
have an impact on a child's cognitive, social, and behavioural functioning.
However, the lack of guidelines on effective interventions for the affected
children and their families, particularly beyond the acute recovery phase, can
limit access to effective support. We provide a systematic review of the
literature on the effectiveness of psychological interventions aimed at
alleviating cognitive and psychosocial outcomes after paediatric ABI. METHOD: The
search used the Ovid MEDLINE, Embase, Web of Knowledge, and EBSCO databases and
hand searches of key journals. Nine studies met inclusion criteria: five
intervention studies of cognitive outcome and four of psychosocial outcome.
Effect sizes and methodological quality ratings were calculated using specific
criteria. RESULTS: Only two of the nine studies were rated as high quality. There
was limited evidence for effective interventions for cognitive outcomes
(attention, memory, and learning difficulties). For psychosocial outcomes, there
was evidence that interventions can alleviate internalizing symptoms.
INTERPRETATION: Although there are some encouraging findings, there is a need for
further, more rigorously designed, and better controlled research in this
important area. We discuss how future research may consider issues such as
age-appropriate interventions, the delivery format, and optimum post-injury
timing of interventions, as well as multicentre collaborations.
CI - (c) The Authors. Developmental Medicine & Child Neurology (c) 2011 Mac Keith
Press.

Langue : ANGLAIS