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Predicting Fatigue 12 Months after Child Traumatic Brain Injury: Child Factors and Postinjury Symptoms

Published online by Cambridge University Press:  04 October 2017

Alison Crichton*
Affiliation:
Murdoch Childrens Research Institute, Melbourne, Australia Victorian Pediatric Rehabilitation Service, Monash Children’s, Melbourne, VIC, Australia School of Psychological Sciences, University of Melbourne, VIC Australia
Ed Oakley
Affiliation:
Murdoch Childrens Research Institute, Melbourne, Australia Department of Pediatrics, University of Melbourne, Melbourne, VIC Australia Royal Children’s Hospital, Melbourne, VIC, Australia
Franz E Babl
Affiliation:
Murdoch Childrens Research Institute, Melbourne, Australia Department of Pediatrics, University of Melbourne, Melbourne, VIC Australia Royal Children’s Hospital, Melbourne, VIC, Australia
Mardee Greenham
Affiliation:
Murdoch Childrens Research Institute, Melbourne, Australia School of Psychological Sciences, University of Melbourne, VIC Australia
Stephen Hearps
Affiliation:
Murdoch Childrens Research Institute, Melbourne, Australia
Carmel Delzoppo
Affiliation:
Murdoch Childrens Research Institute, Melbourne, Australia Royal Children’s Hospital, Melbourne, VIC, Australia
Miriam H. Beauchamp
Affiliation:
Department of Psychology, University of Montreal, Montreal, Canada Research Center, Ste-Justine Hospital, Montreal, Canada
James S. Hutchison
Affiliation:
The Hospital for Sick Children (SickKids), Toronto, Ontario, Canada Neuroscience and Mental Health Research Program, SickKids Research Institute, Toronto, Ontario, Canada University of Toronto, Toronto, Ontario, Canada
Anne-Marie Guerguerian
Affiliation:
The Hospital for Sick Children (SickKids), Toronto, Ontario, Canada
Kathy Boutis
Affiliation:
The Hospital for Sick Children (SickKids), Toronto, Ontario, Canada University of Toronto, Toronto, Ontario, Canada
Vicki Anderson
Affiliation:
Murdoch Childrens Research Institute, Melbourne, Australia School of Psychological Sciences, University of Melbourne, VIC Australia Royal Children’s Hospital, Melbourne, VIC, Australia
*Corresponding
Correspondence and reprint requests to: Alison Crichton, Murdoch Childrens Research Institute, 50 Flemington Road, Parkville, Victoria, 3052, Australia. E-mail: ali.crichton@mcri.edu.au

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. 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. 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. 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, 2018, 24, 224–236)

Type
Research Articles
Copyright
Copyright © The International Neuropsychological Society 2017 

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