Restricted accessResearch articleFirst published online 2014-04
Attentional Control Ten Years Post-Childhood Traumatic Brain Injury: The Impact of Lesion Presence,Location,and Severity in Adolescence and Early Adulthood
The relationship between brain injury and attentional control (AC) long after a childhood traumatic brain injury (TBI) has received limited investigation. The aim of this article was to investigate the impact that lesion presence, location, and severity has on AC in a group of young persons who had sustained a moderate to severe TBI 10 years earlier during childhood. The participants in this study were a subset of a larger 10-year, follow-up assessment comprised of 31 persons in late adolescence and early adulthood (21 males), with a mean age at testing of 15.4 years (standard error 0.6; range 10.7–21.2 years). Analyses revealed that in regard to AC abilities, the presence of a lesion(s) appears to have a differential effect depending on the testing measure used. When using standardized testing with subtests of the TEA-ch, no differences in performance between those with and those without a lesion at 10 years post-TBI were found. On standardized behavioral measures such as parental reports of perceived AC (Behavior Rating Inventory of Executive Function), however, the presence of a lesion was found to have a detrimental effect on the ability to self-regulate and monitor behavior in late adolescence and the early stages of adulthood. We discuss these results and propose that there is a network of brain regions associated with AC, and generalized lesions have the greatest influence on such abilities.
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References
1.
CroweL., BablF., AndersonV., and CatroppaC. (2009). The epidemiology of paediatric head injuries: data from a referral centre in Victoria, Australia. J. Paediatr. Child Health, 45, 346–350.
2.
AndersonV., CatroppaC., GodfreyC., and RosenfeldJ.V. (2012). Intellectual ability 10 years after traumatic brain injury in infancy and childhood: what predicts outcome?. J. Neurotrauma, 29, 143–153.
3.
DondersJ., and WarschauskyS. (2007). Neurobehavioral outcomes after early versus late childhood traumatic brain injury. J. Head Trauma Rehabil., 22, 296–302.
4.
SlomineB.S., GerringJ.P., GradosM., VasaR., BradyK.D., ChristensenJ.R., and DencklaM.B. (2002). Performance on measures of executive function following pediatric traumatic brain injury. Brain Inj., 16, 759–772.
5.
TaylorH.G., and AldenJ. (1997). Age-related differences in outcomes following childhood brain insults: an introduction and overview. J. Int. Neuropsychol. Soc., 3, 555–567.
6.
JohnsonD.A. (1992). Head injured children and education: a need for greater delineation and understanding. Br. J. Edu. Psychol., 62, 404–409.
7.
WrightsonP., McGinnV., and GronwallD. (1995). Mild head injury in preschool children: evidence that it can be associated with a persisting cognitive defect. J. Neurol. Neurosurg. Psychiatry, 59, 375–380.
8.
AndersonV.A., CatroppaC., DudgeonP., MorseS.A., HaritouF., and RosenfeldJ.V. (2006). Understanding predictors of functional recovery and outcome 30 months following early childhood head injury. Neuropsychology, 20, 42–57.
9.
WadeS.L., TaylorH.G., DrotarD., StancinT., YeatesK.O., and MinichN.M. (2002). A prospective study of long-term caregiver and family adaptation following brain injury in children. J. Head Trauma Rehabil., 17, 96–111.
10.
TaylorH.G., DrotarD., WadeS., YeatesK., StancinT., and KleinS. (1995). Recovery from traumatic brain injury in children: The importance of the family, in Traumatic Brain Injury in Children. BromanS.H. and MichelM.E. (eds), Oxford University Press: New York, pps. 188–218.
11.
AndersonV., GodfreyC., RosenfeldJ.V., and CatroppaC. (2012). Predictors of cognitive function and recovery 10 years after traumatic brain injury in young children. Pediatrics, 129, e254–e261.
12.
MaxJ.E., RobinD.A., LindgrenS.D., SmithW.L.Jr., SatoY., MattheisP.J., StierwaltJ.A., and CastilloC.S. (1997). Traumatic brain injury in children and adolescents: psychiatric disorders at two years. J. Am. Acad. Child Adolesc. Psychiatry, 36, 1278–1285.
13.
MaxJ.E., CastilloC.S., RobinD.A., LindgrenS.D., SmithW.L.Jr., SatoY., MattheisP.J., and StierwaltJ.A. (1998). Predictors of family functioning after traumatic brain injury in children and adolescents. J. Am. Acad. Child Adolesc. Psychiatry, 37, 83–90.
14.
YeatesK.O., TaylorH.G., DrotarD., WadeS.L., KleinS., StancinT., and SchatschneiderC. (1997). Preinjury family environment as a determinant of recovery from traumatic brain injuries in school-age children. J. Int. Neuropsychol. Soc., 3, 617–630.
15.
KinsellaG.J., PriorM., SawyerM., OngB., MurtaghD., EisenmajerR., BryanD., AndersonV., and KlugG. (1997). Predictors and indicators of academic outcome in children 2 years following traumatic brain injury. J. Int. Neuropsychol. Soc., 3, 608–616.
16.
KinsellaG, PriorM., SawyerM., MurtaghD., EisenmajerR., AndersonV., BryanD., and KlugG. (1995). Neuropsychological deficit and academic performance in children and adolescents following traaumatic brain injury. J. Pediatr. Psychol., 20, 753–767.
17.
RosemaS., CroweL., and AndersonV. (2012). Social function in children and adolescents after traumatic brain injury: a systematic review 1989–2011. J. Neurotrauma, 29, 1277–1291.
18.
YeatesK.O., BiglerE.D., DennisM., GerhardtC.A., RubinK.H., StancinT., TaylorH.G., and VannattaK. (2007). Social outcomes in childhood brain disorder: a heuristic integration of social neuroscience and developmental psychology. Psychol. Bull., 133, 535–556.
19.
YeatesK.O., and TaylorH.G. (2006). Behaviour problems in school and their educational correlates among children with traumatic brain injury. Exceptionality, 14, 141–154.
20.
YeatesK.O., TaylorH.G., CherrtkoffN., StancinT., and WadeS. (2010). The family environment as a moderator of psycho-social outcomes following traumatic brain injury in young children. Neuropsychology, 24, 345–356.
21.
AndersonV.A., MorseS.A., CatroppaC., HaritouF., and RosenfeldJ.V. (2004). Thirty month outcome from early childhood head injury: a prospective analysis of neurobehavioural recovery. Brain, 127, 2608–2620.
22.
PalD., GuptaR.K., AgarwalS., YadavA., OjhaB.K., AwasthiA., RathoreR.K., PandeyC.M., and NarayanaP.A. (2012). Diffusion tensor tractography indices in patients with frontal lobe injury and its correlation with neuropsychological tests. Clin. Neurol. Neurosurg., 114, 564–571.
23.
BiglerE.D. (2007). Anterior and middle cranial fossa in traumatic brain injury: relevant neuroanatomy and neuropathology in the study of neuropsychological outcome. Neuropsychology, 21, 515–531.
24.
BrookshireB., LevinH.S., SongJ., and ZhangL. (2004). Components of executive function in typically developing and head-injured children. Dev. Neuropsychol., 25, 61–83.
25.
GioiaG.A., IsquithP., and GuyS. (2001). Assessment of executive functions in children with neurological impairment, in: Psychological and Developmental Assessment: Children with Disabilities and Chronic Conditions. SimeonssonS., and RosenthalS.L. (eds.). Guildford Press: New York, pps. 317–356.
26.
SmidtsD.P., JacobsR., and AndersonV. (2004). The Object Classification Task for Children (OCTC): a measure of concept generation and mental flexibility in early childhood. Dev. Neuropsychol., 26, 385–401.
27.
AndersonP. (2002). Assessment and development of executive function (EF) during childhood. Child Neuropsychol., 8, 71–82.
28.
AndersonV.A., AndersonP., NorthamE., JacobsR., and CatroppaC. (2001). Development of executive functions through late childhood and adolescence in an Australian sample. Dev. Neuropsychol., 20, 385–406.
29.
BestJ.R., MillerP.H., and JonesL.L. (2009). Executive functions after age 5: changes and correlates. Dev. Rev., 29, 180–200.
30.
SennT.E., EpsyK.A., and KaufmannP.M. (2004). Using path analysis to understand executive function organization in preschool children. Dev. Neuropsychol., 26, 445–464.
31.
CorbettaM., and ShulmanG.L. (2002) Control of goal directed and stimulus-driven attention in the brain. Nat. Rev. Neurosci., 3, 201–215.
32.
MenonV., and UddinL.Q. (2010) Saliency, switchng, attention and control: a network model of insula function. Brain Struct. Funct., 214, 655–667.
33.
AndersonS.W., DamasioH., TranelD., and DamasioR. (2000). Long-term sequelae of prefrontal cortex damage acquired in early childhood. Dev. Neuropsychol., 18, 281–296.
34.
GoldbergE., and BougakovD. (2005). Neuropsychologic assessment of frontal lobe dysfunction. Psychiatr. Clin. North Am., 28, 567–580.
35.
JacobsR., HarveyA.S., and AndersonV. (2007). Executive function following focal frontal lesions: impact of timing on lesion outcome. Cortex, 43, 792–805.
36.
BeauchampM., CatroppaC., GodfreyC., MorseS., RosenfeldJ.V., and AndersonV. (2011). Selective changes in executive functioning ten years after severe childhood traumatic brain injury. Dev. Neuropsychol., 36, 578–595.
37.
LevinH.S., CulhaneK.A., MendelsohnD., LillyM.A., BruceD., FletcherJ.M., ChapmanS.B., HarwardH., and EisenbergH.M. (1993). Cognition in relation to magnetic resonance imaging in head-injured children and adolescents. Arch. Neurol., 50, 897–905.
38.
LevinH.S., MendelsohnD., LillyM.A., FletcherJ.M., CulhaneK.A., ChapmanS.B., HarwardH., KusnerikL., BruceD., and EisenbergH.M. (1994). Tower of London performance in relation to magnetic resonance imaging following closed head injury in children. Neuropsychology, 8, 171–179.
39.
LevinH.S., FletcherJ., KuferaJ., HarwardH., LillyM., MendelsohnD., BruceD., and EisenbergH. M. (1996). Dimensions of cognition measured by the Tower of London and other cognitive tasks in head injured children and adolescents. Dev Neuropsychology, 12(1), 17–34.
40.
LevinH.S., MendelsohnD., LillyM.A., YeakleyJ., SongJ., ScheibelR.S., HarwardH., FletcherJ.M., KuferaJ.A., DavidsonK.C., and BruceD. (1997). Magnetic resonance imaging in relation to functional outcome of pediatric closed head injury: a test of the Ommaya-Gennarelli model. Neurosurgery, 40, 432–441.
41.
PowerT., CatroppaC., ColemanL., DitchfieldM., and AndersonV. (2007). Do lesion site and severity predict deficits in attentional control after preschool traumatic brain injury (TBI)?. Brain Inj., 21, 279–292.
42.
TeasdaleG., and JennettB. (1974). Assessment of coma and impaired consciousness. A practical scale. Lancet, 2, 81–84.
43.
DanielA. (1983). Power, Privilege, and Prestige: Occupations in Australia. Longman-Cheshire: Melbourne.
44.
SparrowS., BallaD.A., and CicchettiD.V. (1984). Vineland Adaptive Behavior Scales. Interview Edition. Survey Form Manual. American Guidance Services: Circle Pines, MN.
45.
WechslerD. (1992). Manual for the Wechsler Intelligence Scale for Children. Version III (Australian Adaptation). The Psychological Corporation: New York.
ManlyT., RobertsonI.H., AndersonV.A., and Nimmo-SmithI. (1999). Test of Everyday Attention for Children. Thames Valley Test Company Limited: Bury St. Edmunds.
48.
GioiaG.A., IsquithP.K., GuyS.C., and KenworthyL. (2000). Behavior Rating Inventory of Executive Function. Psychological Assessment Resources: Odessa, FL.
49.
HarrisonP.L., and OaklandT. (2003). Adaptive Behavior Assessment System, 2nd ed. The Psychological Corporation: San Antonio.
50.
CoffeyC.E., and FigielG.S. (1991). Neuropsychiatric significance of subcortical encephalomalacia., in: CarrolB.J. and BarrettJ.E. (eds.), Psychopathology and the Brain. Raven Press: New York, pps. 243–264.
51.
TabachnickB.G., and FidellL.S. (2000). Using Multivariate Statistics, 4th ed. Allyn and Bacon: Boston.
52.
KramerM.E., ChiuC.Y., WalzN.C., HollandS.K., YuanW., KaunanayakaP., and WadeS.L. (2008). Long-term neural processing of attention following early childhood traumatic brain injury: fMRI and neurobehavioral outcomes. J. Int. Neuropsychol. Soc., 14, 424–435.
53.
Ewing-CobbsL., PrasadM.R., LandryS.H., KramerL., and DeLeonR. (2004). Executive functions following traumatic brain injury in young children: a preliminary analysis. Dev. Neuropsychol., 26, 487–512.
54.
AndersonV.A., BrownS., NewittH., and HoileH. (2011). Long-term outcome from childhood traumatic brain injury: intellectual ability, personality, and quality of life. Neuropsychology, 25, 176–184.
