TY  - JOUR
PY  - 2020//
TI  - Impaired self-awareness after pediatric traumatic brain injury: protective factor or liability?
JO  - Journal of neurotrauma
A1  - Lloyd, Owen Thomas
A1  - Ownsworth, Tamara
A1  - Fleming, Jennifer
A1  - Jackson, Megan
A1  - Zimmer-Gembeck, Melanie J.
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - Children and adolescents with traumatic brain injury (TBI) can experience impaired self-awareness, or difficulty in accurately perceiving their personal abilities. This study aimed to identify the neuro-developmental and socio-environmental factors associated with self-awareness impairment and determine how self-awareness is associated with psychosocial functioning. Parents and their children aged 8-16 years with TBI (N=107, 65.4% male, M age = 12.66 years, SD = 2.6 years) were consecutively recruited from an outpatient clinic over a 4-year period. Children completed the Paediatric Awareness Questionnaire (PAQ) to report their functional abilities, and the Beck Youth Inventories to report their self-concept, and anxiety and depression symptoms. Parents completed the PAQ and measures of family functioning, parenting style, and children's emotional and behavioral problems. Self-awareness impairments were defined as more negative parent-child discrepancy scores on the PAQ. Younger age at injury, more severe injury, and more family dysfunction were significantly associated with poorer self-awareness. Poorer self-awareness was associated with worse parent-rated child adaptive functioning and emotional and behavioral problems. However, poorer self-awareness was also significantly associated with more positive self-concept and fewer symptoms of depression and anxiety as rated by children. Overall, impaired self-awareness seems to be both a liability and a benefit depending on the reporter (parent or child) and outcome of interest (adaptive function/behavior or self-concept/mood).<p />  <p>Language: en</p>
LA  - en
SN  - 0897-7151
UR  - http://dx.doi.org/10.1089/neu.2020.7191
ID  - ref1
ER  -