Self-regulation as a mediator of the effects of childhood traumatic brain injury on social and behavioral functioning.

Full Abstract

This study builds on our earlier investigation (see Ganesalingam et al., 2006). We showed previously that children with moderate to severe traumatic brain injuries (TBI) had poorer self-regulation and social and behavioral functioning than their uninjured peers and that self-regulation predicted significant variance in parent- and teacher-rated social and behavioral outcomes, regardless of the presence or absence of TBI. In this study, we examine self-regulation as a mediator of the relationship between TBI and the outcomes. Participants included 65 children with moderate to severe TBI and 65 children without TBI matched for age and gender. Participants were between 6 and 11 years of age. Children completed an assessment of cognitive, emotional, and behavioral self-regulation, and social and behavioral functioning. Mediation was assessed using a bootstrapping approach (a relatively novel statistical method for assessing specific indirect effects in models with multiple mediators). Analyses indicated that, after controlling for socioeconomic status (SES), aspects of self-regulation accounted for individual variation in the outcomes, and acted as a significant mediator of the effects of TBI on the outcomes. Self-regulatory deficits may reflect the relative vulnerability of the prefrontal cortex to TBI and may help account for post-injury difficulties in social and behavioral functioning.

Learn Faster Today Improve your study skills

Author information

Author/s: Ganesalingam, Kalaichelvi (K); Sanson, Ann (A); Anderson, Vicki (V); Yeates, Keith Owen (KO);

Affiliation: Department of Psychology, The University of Melbourne, Victoria, Australia. GanesaKa(-atsign-)chi.osu.edu

Journal and publication information

Publication Type: Clinical Trial; Comparative Study; Journal Article

Journal: Journal of the International Neuropsychological Society : JINS (J Int Neuropsychol Soc), published in England. (Language: eng)

Reference: 2007-Mar; vol 13 (issue 2) : pp 298-311

Dates: Created 2007/02/08; Completed 2007/05/01;

PMID: 17286887, status: MEDLINE (last retrieval date: 12/26/2008)

Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.

External Links for this article (including full text providers, if available):

Click Electronic Full-text Provider Links to see options for finding the electronic full text links to this article. Note there may be a subscription or fee required for access to the full text. See our FAQ for information on finding FREE full text articles.

This article may also be located in paper journal collections available in many libraries. Use the Journal and Publication Information above to find the full article.

MeSH headings (categories)

This article was linked to the MESH Headings shown below.

Brain Injuries - physiopathology; psychology; therapy
Case-Control Studies
Child
Child Behavior - physiology
Cognition - physiology
Cross-Sectional Studies
Emotions - physiology
Female

Female
Humans
Male
Neuropsychological Tests - statistics & numerical data
Retrospective Studies
Social Behavior
Social Control, Informal - methods
Socioeconomic Factors

These are the highest related articles currently in the database:

See 100+ related articles.