Abstract:
PURPOSE/OBJECTIVE:To understand how traumatic brain injury (TBI) affects maternal warm responsiveness and negativity over the first 12 months following injury. METHOD/DESIGN:We used a concurrent cohort research design to examine dyadic interactions in young children with a TBI (n = 78) and a comparison group of young children with orthopedic injuries (OI; n = 112) and their families during the initial weeks following injury (i.e., baseline) and at two follow-up periods (approximately 6 and 12 months later). Trained raters coded videotaped interactions during a free play and structured teaching task for maternal warm responsiveness and negativity. RESULTS:Mothers in the complicated mild/moderate TBI group, but not those in the severe TBI group, exhibited significantly lower levels of maternal warm responsiveness than mothers in the OI group. However, these differences were observed only at baseline during free play and only at baseline and 6 months postinjury during the structured teaching task, suggesting diminishing adverse effects of complicated mild/moderate TBI on parenting over time postinjury. Analysis failed to reveal group differences in maternal negativity at any of the assessments. Across groups, lower socioeconomic status (SES) was associated with lower levels of warm responsiveness and higher levels of negativity. CONCLUSIONS/IMPLICATIONS:These findings, though preliminary, indicate possible alterations in mother-child interactions in the months following a TBI.
journal_name
Rehabil Psycholjournal_title
Rehabilitation psychologyauthors
Fairbanks JM,Brown TM,Cassedy A,Taylor HG,Yeates KO,Wade SLdoi
10.1037/a0033119subject
Has Abstractpub_date
2013-08-01 00:00:00pages
223-232issue
3eissn
0090-5550issn
1939-1544pii
2013-29350-001journal_volume
58pub_type
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