Article

OBJECTIVES: To investigate rates of clinically significant externalizing behavior
(EB) in young adult survivors of pediatric traumatic brain injury (TBI) and
evaluate the contribution of pre- and postinjury risk and resilience factors to
EB outcomes 16 years after injury. SETTING: Melbourne, Australia. PARTICIPANTS:
Fifty-five young adults (mean age = 23.85 years; injury age: 1.0-12 years)
admitted to an emergency department following TBI between 1993 and 1997. DESIGN:
Longitudinal prospective study with data collected at the acute, 10-year, and
16-year postinjury time points. MAIN MEASURES: Severity of TBI, adaptive
functioning, family functioning, full-scale IQ, executive functioning, social
communication, and symptoms of EB. RESULTS: One of every 4 young people with a
history of pediatric TBI demonstrated clinical or subthreshold levels of EB in
young adulthood. More frequent EB was associated with poorer preinjury adaptive
functioning, lower full-scale IQ, and more frequent pragmatic communication
difficulty. CONCLUSION: Pediatric TBI is associated with an elevated risk for
externalizing disorders in the transition to adulthood. Results underscore the
need for screening and assessment of TBI among young offenders and suggest that
early and long-term targeted interventions may be required to address risk
factors for EB in children and young people with TBI.

Langue : ANGLAIS