Article

OBJECTIVE: To determine the association of primary caregiver-rated behavioral and
metacognitive aspects of executive function (EF) with impaired functioning after
adolescent traumatic brain injury (TBI). DESIGN: Multicenter cross-sectional
study. SETTING: Outpatient. PARTICIPANTS: Primary caregivers and children (N=132)
aged 12 to 17 years who sustained a moderate or severe TBI within the past 1 to 6
months. INTERVENTIONS: Not applicable. OUTCOME MEASURES: Primary caregiver
ratings of EF, tests of memory and processing speed (PS), and a structured parent
interview to assess clinical impairments in behavioral functioning were used.
Logistic regression was used to examine the relation of ratings of EF with
clinical ratings of impairment in global adolescent functioning and in
functioning in the home, school, and community settings after controlling for
sex, race, socioeconomic status, injury severity, and performance on the tests of
memory and PS. RESULTS: Caregiver ratings of poor EF were associated with
impairment in both global behavioral functioning (odds ratio [OR]=4.73; 95%
confidence interval [CI], 1.54-14.52; P<.01) and community functioning (OR=13.28;
95% CI, 1.94-90.87; P<.01). CONCLUSIONS: Caregiver ratings of deficits in EF were
associated with impaired behavioral functioning after adolescent TBI and were
independent of performance on tests of memory and processing speed. Understanding
the relation of EF with clinical impairments as manifested in different settings
will help hone assessment batteries and focus treatments where they are needed
most.
CI - Copyright (c) 2013 American Congress of Rehabilitation Medicine. Published by
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Langue : ANGLAIS