Predictors of Long-Term Victimization After Early Pediatric Traumatic Brain Injury.
Anna H Hung, Amy Cassedy, Hanna M Schultz and 5 others
PMID 27984340WHAT IT FOUND
Parents reported more peer victimization nearly 7 years after severe early childhood TBI than after orthopedic injury.
Children's own reports did not differ. Ask both parent and child.
Key findings
01Parent reports showed more peer victimization after severe TBI than after orthopedic injury, while child self-reports did not show significant group differences.
02Parents reported peer victimization for 37% of children with severe TBI, 15% with complicated mild/moderate TBI, and 8.6% with orthopedic injury.
03No tested mediator, including social information processing, sustained attention, or processing speed, significantly explained the association between injury group and victimization.
STILL TO COME
How it was doneWhat they foundWhat it means for SLPs
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What it does not show
The analysis used 130 children from an original cohort of 221, and 146 of 217 eligible participants were enrolled for follow-up, so attrition could bias the results. The severe TBI sample was small, which limited statistical power. The study was observational, so it cannot show that TBI caused victimization. Victimization was measured only by child and parent report; teacher or peer reports were not collected. The social information processing measure may not be sensitive to TBI-related social communication problems. The Passive social information processing style had low internal consistency and was not analysed. Participants were recruited from 3 Ohio children's hospitals and 1 Ohio general hospital, and English had to be the primary language at home, so the results may not apply to other settings.
Declared interests
The authors declared no conflict of interest.
The easy way to misread this
Do not conclude that severe TBI causes peer victimization through attention or processing speed deficits. The study was observational, and none of the tested mediators explained the parent-report association.