Family function and its relationship to injury severity and psychiatric outcome in children with acquired brain injury: a systematized review

TY - JOUR

T1 - Family function and its relationship to injury severity and psychiatric outcome in children with acquired brain injury

T2 - a systematized review

AU - Lax-Pericall, Teresa

AU - Taylor, Eric

PY - 2014/1

Y1 - 2014/1

N2 - Aim The psychological and psychiatric outcome of children with acquired brain injury is influenced by many variables. A review was undertaken to clarify the contribution of family function, how it relates to injury severity, and what particular aspects of family function influence psychological outcome in this group. Method A systematized review of the literature of studies published between 1970 and 2012 from OvidMedline, PsychoInfo, PsycARTICLES, and Cochrane was undertaken focusing on family function, injury severity, and psychiatric outcome. Results Thirty-six papers met the inclusion criteria. Injury severity was linked to the development of organic personality change. Family function before injury, measured by the Family Assessment Device or the Clinical Rating Scale, had a statistically significant effect on general psychological functioning in six out of eight studies. Family function had a significant effect for oppositional defiant disorder and secondary attention-deficit-hyperactivity disorder. The effects of family function may differ depending on the age of the child and the severity of the injury. Some styles of parenting moderated recovery. After injury, family function was related to the child's contemporaneous psychiatric symptoms. The level of evidence for these papers was 3 or 4 (Oxford Centre for Evidence-based Medicine criteria). Interpretation Screening for some aspects of family functioning before injury and family function during the rehabilitation phase may identify children at risk of psychiatric disorders.

AB - Aim The psychological and psychiatric outcome of children with acquired brain injury is influenced by many variables. A review was undertaken to clarify the contribution of family function, how it relates to injury severity, and what particular aspects of family function influence psychological outcome in this group. Method A systematized review of the literature of studies published between 1970 and 2012 from OvidMedline, PsychoInfo, PsycARTICLES, and Cochrane was undertaken focusing on family function, injury severity, and psychiatric outcome. Results Thirty-six papers met the inclusion criteria. Injury severity was linked to the development of organic personality change. Family function before injury, measured by the Family Assessment Device or the Clinical Rating Scale, had a statistically significant effect on general psychological functioning in six out of eight studies. Family function had a significant effect for oppositional defiant disorder and secondary attention-deficit-hyperactivity disorder. The effects of family function may differ depending on the age of the child and the severity of the injury. Some styles of parenting moderated recovery. After injury, family function was related to the child's contemporaneous psychiatric symptoms. The level of evidence for these papers was 3 or 4 (Oxford Centre for Evidence-based Medicine criteria). Interpretation Screening for some aspects of family functioning before injury and family function during the rehabilitation phase may identify children at risk of psychiatric disorders.

KW - CLOSED-HEAD INJURY

KW - ATTENTION-DEFICIT/HYPERACTIVITY DISORDER

KW - POSTTRAUMATIC-STRESS-DISORDER

KW - 1ST 6 MONTHS

KW - PERSONALITY-CHANGE

KW - BEHAVIOR PROBLEMS

KW - YOUNG-CHILDREN

KW - SHORT-TERM

KW - ADOLESCENTS

KW - PREDICTORS

U2 - 10.1111/dmcn.12237

DO - 10.1111/dmcn.12237

M3 - Literature review

SN - 0012-1622

VL - 56

SP - 19

EP - 30

JO - Developmental Medicine and Child Neurology

JF - Developmental Medicine and Child Neurology

IS - 1

ER -