Article

Childhood mild traumatic brain injury (mTBI) has been associated with
negative adult outcomes. Effective interventions require identification of the
injury event. There is currently little information regarding the accuracy of
adult recall of childhood mTBI. METHOD: Prospectively collected information from
a large birth cohort was used to examine adult recall accuracy at age 25 for 161
childhood mTBI events occurring before age 10. RESULTS: At age 25 cohort members
recalled 11 outpatient injuries and 16 inpatient injuries. Recall accuracy
increased with age. Logistic regression analysis distinguished between
respondents who reported and did not report a childhood mTBI event correctly
classifying 84.5% of cases. Age at injury, injury severity and loss of
consciousness (LoC) made a unique statistically significant contribution to the
model. CONCLUSIONS: Most childhood mTBI events are not recalled in adulthood. Age
at injury, injury severity and LoC significantly increase likelihood of recall
and should be used in measures that evaluate whether injury has occurred.
Implications for rehabilitation Traumatic brain injury occurs frequently and
often results in ongoing deficits in attention, concentration, executive function
and later mental health problems. Identification of a history of traumatic brain
injury is essential to ensure that appropriate rehabilitative input is provided.
Rehabilitation professionals need to be aware that mental health problems may be
secondary to a prior traumatic brain injury. It is important for rehabilitation
professionals elicit an accurate history of traumatic brain injury to ensure that
their treatment plans are tailored to the needs of this group.

Langue : ANGLAIS