
@article{ref1,
title="Predicting fatigue 12 months after child traumatic brain injury: child factors and postinjury symptoms",
journal="Journal of the International Neuropsychological Society",
year="2018",
author="Crichton, Alison and Oakley, Ed and Babl, Franz E. and Greenham, Mardee and Hearps, Stephen and Delzoppo, Carmel and Beauchamp, Miriam H. and Hutchison, James S. and Guerguerian, Anne-Marie and Boutis, Kathy and Anderson, Vicki",
volume="24",
number="3",
pages="224-236",
abstract="OBJECTIVES: Fatigue is a common and persisting symptom after childhood brain injury. This study examined whether child characteristics and symptomatology preinjury or 6 months postinjury (pain, sleep, and mood, inattention) predicted fatigue at 12months postinjury. <br><br>METHODS: Parents of 79 children (0-18 years) rated fatigue at 12 months after injury on a multidimensional scale (general, sleep/rest, and cognitive). Demographic and clinical data were collected at injury. Parents rated child sleep, pain, physical/motor function, mood, and inattention at injury (preinjury description), and 6 months postinjury. Children were divided into two traumatic brain injury severity groups: mild TBI (n=57) and moderate/severe TBI (n=27). Hierarchical regression models were used to examine (i) preinjury factors and (ii) symptoms 6 months postinjury predictive of fatigue (general, sleep/rest, and cognitive) at 12 months postinjury. <br><br>RESULTS: Sleep/rest fatigue was predicted by preinjury fatigue (7% of variance) and psychological symptoms preinjury (10% of variance). General fatigue was predicted by physical/motor symptoms (27%), sleep (10%) and mood symptoms (9%) 6 months postinjury. Sleep/rest fatigue was predicted by physical/motor symptoms (10%), sleep symptoms (13%) and mood symptoms (9%) 6 months postinjury. Cognitive fatigue was predicted by physical/motor symptoms (17%) 6 months postinjury. <br><br>CONCLUSIONS: Preinjury fatigue and psychological functioning identified those at greatest risk of fatigue 12 months post-TBI. Predictors of specific fatigue domains at 12 months differed across each of the domains, although consistently included physical/motor function as well as sleep and mood symptoms postinjury. (JINS, 2017, 23, 1-13).<p /> <p>Language: en</p>",
language="en",
issn="1355-6177",
doi="10.1017/S1355617717000893",
url="http://dx.doi.org/10.1017/S1355617717000893"
}