Abstract
Traumatic brain injury (TBI) occurs frequently and may result in deficits in concentration, fatigue, attention, aggression and emotion regulation; significantly impacting an individual’s ability to function. This study examined reports of TBI among mothers identified as having high risk for child abuse/maltreatment. Participants were 206 Mothers referred to a child abuse prevention programme (The Family Help Trust, Christchurch, New Zealand) between 2003 and 2010 (n = 206); TBI prevalence of 36.4 % (n = 75). One-third had experienced multiple TBI (n = 24), and 58.7 % (n = 44) of those reporting TBI had experienced their first injury prior to age 16. TBI in at-risk mothers was more than three times the TBI found in community samples, with many injuries occurring in childhood. Given the increased prevalence of TBI among mothers at high risk of child abuse, there is a need for greater information regarding the long-term outcomes of TBI, particularly for vulnerable groups requiring assistance to manage life roles.
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References
Anderson, V., & Moore, C. (1995). Age at injury as a predictor of outcome following pediatric head injury: a longitudinal perspective. Child Neuropsychology, 1(3), 187–202.
Anderson, V., Catroppa, C., Morse, S., Haritou, F., & Rosenfeld, J. (2006). Functional plasticity or vulnerability after early brain injury? Pediatrics, 116(6), 1374–1382.
Annegers, J. F., Grabow, J. D., Kurland, L. T., & Laws, E. R. (1980). The incidence, causes, and secular trends of head trauma in Olmsted Country, Minnesota, 1935–1974. Neurology, 30, 912–919.
Bowen, A. M., Chamberlain, A., Tennant, A., Neumann, V., & Conner, M. (1999). The persistence of mood disorders following traumatic brain injury: a 1 year follow-up. Brain Injury, 13(7), 547–553.
Hawley, C. A., Ward, A. B., Magnay, A. R., & Mychalkiw, W. (2004). Return to school after brain injury. Archives of Disease in Childhood, 89(2), 136–142.
Kraus, J. F., Rock, A., & Hemyari, P. (1990). Brain Injuries among infants, children, adolescents, and young adults. American Journal of Diseases of Children, 144, 684–691.
Max, J. E., & Dunisch, D. L. (1997). Traumatic brain injury in a child psychiatry outpatient clinic: a controlled study. Journal of the American Academy of Child and Adolescent Psychiatry, 36, 404–411.
Max, J. E., Arndt, S., Castillo, C. S., Bokura, H., Robin, D. A., Lindgren, S. D., et al. (1998). Attention-deficit hyperactivity symptomatology after traumatic brain injury: a prospective study. Journal of the American Academy of Child and Adolescent Psychiatry, 37(8), 841–847.
Max, J. E., Schachar, R. J., Levin, H. S., Ewing-Cobbs, L., Chapman, S. B., Dennis, M., et al. (2005a). Predictors of attention-deficit/hyperactivity disorder within 6 months after pediatric traumatic brain injury. Journal of the American Academy of Child and Adolescent Psychiatry, 44(10), 1032–1040.
Max, J. E., Schachar, R. J., Levin, H. S., Ewing-Cobbs, L., Chapman, S. B., Dennis, M., et al. (2005b). Predictors of secondary attention-deficit/hyperactivity disorder in children and adolescents 6 to 24 months after traumatic brain injury. Journal of the American Academy of Child and Adolescent Psychiatry, 44(10), 1041–1049.
McKinlay, A., Dalrymple-Alford, J. C., Horwood, J. L., & Fergusson, D. M. (2002). Long term psychosocial outcomes after mild head injury in early childhood. Journal of Neurology, Neurosurgery & Psychiatry, 73(3), 281–288.
McKinlay, A., Grace, R. C., Horwood, L. J., Fergusson, D. M., Ridder, E. M., & MacFarlane, M. R. (2008). Prevalence of traumatic brain injury among children, adolescents and young adults: prospective evidence from a birth cohort. Brain Injury, 22(2), 175–181.
McKinlay, A., Grace, R. C., Horwood, L. J., Fergusson, D. M., & MacFarlane, M. R. (2009). Adolescent psychiatric symptoms following preschool childhood mild traumatic brain injury: evidence from a birth cohort. Journal of Head Trauma Rehabilitation, 24(3), 221–227.
Perkes, I., Schofield, P. W., Butler, T., & Hollis, S. J. (2011). Traumatic brain injury rates and sequelae: a comparison of prisoners with a matched community sample in Australia. Brain Injury, 25(2), 131–141.
Rodriguez, C. M., & Green, A. J. (1997). Parenting stress and anger expression as predictors of child abuse potential. Child Abuse and Neglect, 21, 367–377.
Turner, M. (2009). Monitoring vulnerable families. Christchurch: Clarity Research Limited.
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Appendix 1
Appendix 1
Questions used by the interviewer to elicit information regarding history of traumatic brain injury, mode of injury and treatment.
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1.
Up to (enter month of initial assessment) last year/earlier this year, have you had, or been told that you’ve had a head injury, and/or concussion?
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a.
If Yes: Please describe the cause of the head injury, – for example, from a car accident, a fight etc.
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a.
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2.
If the mother has received one or more head injury/concussion over their lifetime, enter cause of EACH injury age received the injury.
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3.
Have you experienced any symptoms or difficulties since receiving the head injury that you think or know are related to receiving the head injury?
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a.
If Yes: what symptoms have you experienced?
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a.
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4.
Up to (enter month of initial assessment) last year/earlier this year, has your head injury been assessed, diagnosed or treated by a doctor or any other health professional?
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a.
If Yes: What assessment, diagnosis and/or treatment did you receive?
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a.
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McKinlay, A., van Vliet-Ruissen, C. & Taylor, A. Traumatic Brain Injury Among Mothers Identified as Having a High Risk of Child Maltreatment: A Pilot Study. J Fam Viol 29, 391–395 (2014). https://doi.org/10.1007/s10896-014-9591-8
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DOI: https://doi.org/10.1007/s10896-014-9591-8