TY  - JOUR
PY  - 2018//
TI  - Predicting fatigue 12 months after child traumatic brain injury: child factors and postinjury symptoms
JO  - Journal of the International Neuropsychological Society
A1  - Crichton, Alison
A1  - Oakley, Ed
A1  - Babl, Franz E.
A1  - Greenham, Mardee
A1  - Hearps, Stephen
A1  - Delzoppo, Carmel
A1  - Beauchamp, Miriam H.
A1  - Hutchison, James S.
A1  - Guerguerian, Anne-Marie
A1  - Boutis, Kathy
A1  - Anderson, Vicki
SP  - 224
EP  - 236
VL  - 24
IS  - 3
N2  - 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>
LA  - en
SN  - 1355-6177
UR  - http://dx.doi.org/10.1017/S1355617717000893
ID  - ref1
ER  -