Executive Function Profiles in Pediatric Traumatic Brain Injury

Traumatic brain injury (TBI) results in heterogeneous patterns of neuropsychological impairment. This study investigated heterogeneity in executive function (EF) using the Comprehensive Trail Making Test (CTMT) to evaluate 121 children and adolescents with TBI and 121 matched normal controls. The TB...

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Bibliographic Details
Published in:Developmental neuropsychology 2019-03, Vol.44 (2), p.172-188
Main Authors: Ringdahl, Erik N., Becker, Megan L., Hussey, Julia E., Thaler, Nicholas S., Vogel, Sally J., Cross, Chad, Mayfield, Joan, Allen, Daniel N.
Format: Article
Language:English
Subjects:
Adolescent
Adolescents
Adult
Brain
Brain Injuries - complications
Brain Injuries - physiopathology
Brain Injuries, Traumatic - complications
Brain Injuries, Traumatic - physiopathology
Child
Children
Executive function
Executive Function - physiology
Female
Heterogeneity
Humans
Impairment
Male
Neuropsychological Tests - standards
Traumatic brain injury
Young Adult
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Summary:Traumatic brain injury (TBI) results in heterogeneous patterns of neuropsychological impairment. This study investigated heterogeneity in executive function (EF) using the Comprehensive Trail Making Test (CTMT) to evaluate 121 children and adolescents with TBI and 121 matched normal controls. The TBI group performed approximately two standard deviations below controls. Cluster analyses indicated that a three-cluster solution best classified the TBI group and a four-cluster solution best classified controls. Greater impairment in EF was associated with lower intellectual, achievement, and neuropsychological test performance in the TBI group. Results suggest that EF deficits reflected in CTMT performance may be useful for classifying severity of TBI.
ISSN:8756-5641
1532-6942
DOI:10.1080/87565641.2018.1557190