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Published Online: 8 January 2013

Cognitive Recovery and Development after Traumatic Brain Injury in Childhood: A Person-Oriented, Longitudinal Study

Publication: Journal of Neurotrauma
Volume 30, Issue Number 2

Abstract

Influence of childhood traumatic brain injury (TBI) on cognitive recovery and subsequent development is poorly understood. In this longitudinal study we used cluster analysis to explore acute stage individual profiles of injury age and cognition in 118 children with traumatic brain injury. Repeated measures of cognitive function were conducted at 30 months, indicating recovery, and 10 years post-injury, indicating development. Nine clusters were identified. Recovery was evident in three clusters, two of them with low functioning profiles. Developmental gains occurred for three clusters and an acute profile of higher freedom from distractibility (FFD) and lower processing speed (PS) was related to positive differences. One cluster, average low functioning and especially low verbal comprehension, demonstrated a slower development than peers. This suggests that developmental change after TBI in childhood takes place on a continuum, with both chance of long-term catching up, and risk of poor development. An acute profile of higher FFD and lower PS seemed to reflect injury consequences and were followed by developmental gains. These results challenge previous findings, and warrant further investigation.

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cover image Journal of Neurotrauma
Journal of Neurotrauma
Volume 30Issue Number 2January 15, 2013
Pages: 76 - 83
PubMed: 23025803

History

Published in print: January 15, 2013
Published online: 8 January 2013
Published ahead of production: 1 October 2012

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Catherine Aaro Jonsson
Murdoch Childrens Research Institute, Melbourne, Australia.
Cathy Catroppa
Murdoch Childrens Research Institute, Melbourne, Australia.
Royal Children's Hospital, Melbourne, Australia
Melbourne School of Psychological Sciences, University of Melbourne, Australia.
Celia Godfrey
Murdoch Childrens Research Institute, Melbourne, Australia.
Ann-Charlotte Smedler
Department of Psychology, Stockholm University, Stockholm, Sweden.
Vicki Anderson
Murdoch Childrens Research Institute, Melbourne, Australia.
Royal Children's Hospital, Melbourne, Australia
Melbourne School of Psychological Sciences, University of Melbourne, Australia.

Notes

Address correspondence to:Catherine Aaro Jonsson, PhDMurdoch Childrens Research InstituteMelbourneAustralia
E-mail: [email protected]

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No competing financial interest exists.

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