A Systematic Scoping Review of New Attention Problems Following Traumatic Brain Injury in Children

Objective: To summarize existing knowledge about the characteristics of attention problems secondary to traumatic brain injuries (TBI) of all severities in children.Methods: Computerized databases PubMed and PsychINFO and gray literature sources were used to identify relevant studies. Search terms w...

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Autores principales: Sonja Stojanovski, Shannon E. Scratch, Benjamin T. Dunkley, Russell Schachar, Anne L. Wheeler
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Publicado: Frontiers Media S.A. 2021
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spelling oai:doaj.org-article:5ff8a4439d1b4c7a8e3c08fbd82eee142021-11-10T06:19:56ZA Systematic Scoping Review of New Attention Problems Following Traumatic Brain Injury in Children1664-229510.3389/fneur.2021.751736https://doaj.org/article/5ff8a4439d1b4c7a8e3c08fbd82eee142021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fneur.2021.751736/fullhttps://doaj.org/toc/1664-2295Objective: To summarize existing knowledge about the characteristics of attention problems secondary to traumatic brain injuries (TBI) of all severities in children.Methods: Computerized databases PubMed and PsychINFO and gray literature sources were used to identify relevant studies. Search terms were selected to identify original research examining new ADHD diagnosis or attention problems after TBI in children. Studies were included if they investigated any severity of TBI, assessed attention or ADHD after brain injury, investigated children as a primary or sub-analysis, and controlled for or excluded participants with preinjury ADHD or attention problems.Results: Thirty-nine studies were included in the review. Studies examined the prevalence of and risk factors for new attention problems and ADHD following TBI in children as well as behavioral and neuropsychological factors associated with these attention problems. Studies report a wide range of prevalence rates of new ADHD diagnosis or attention problems after TBI. Evidence indicates that more severe injury, injury in early childhood, or preinjury adaptive functioning problems, increases the risk for new ADHD and attention problems after TBI and both sexes appear to be equally vulnerable. Further, literature suggests that cases of new ADHD often co-occurs with neuropsychiatric impairment in other domains. Identified gaps in our understanding of new attention problems and ADHD include if mild TBI, the most common type of injury, increases risk and what brain abnormalities are associated with the emergence of these problems.Conclusion: This scoping review describes existing studies of new attention problems and ADHD following TBI in children and highlights important risk factors and comorbidities. Important future research directions are identified that will inform the extent of this outcome across TBI severities, its neural basis and points of intervention to minimize its impact.Sonja StojanovskiSonja StojanovskiShannon E. ScratchShannon E. ScratchShannon E. ScratchBenjamin T. DunkleyBenjamin T. DunkleyBenjamin T. DunkleyRussell SchacharRussell SchacharAnne L. WheelerAnne L. WheelerFrontiers Media S.A.articleADHDtraumatic brain injuryattentionsecondary ADHDpediatricNeurology. Diseases of the nervous systemRC346-429ENFrontiers in Neurology, Vol 12 (2021)
institution DOAJ
collection DOAJ
language EN
topic ADHD
traumatic brain injury
attention
secondary ADHD
pediatric
Neurology. Diseases of the nervous system
RC346-429
spellingShingle ADHD
traumatic brain injury
attention
secondary ADHD
pediatric
Neurology. Diseases of the nervous system
RC346-429
Sonja Stojanovski
Sonja Stojanovski
Shannon E. Scratch
Shannon E. Scratch
Shannon E. Scratch
Benjamin T. Dunkley
Benjamin T. Dunkley
Benjamin T. Dunkley
Russell Schachar
Russell Schachar
Anne L. Wheeler
Anne L. Wheeler
A Systematic Scoping Review of New Attention Problems Following Traumatic Brain Injury in Children
description Objective: To summarize existing knowledge about the characteristics of attention problems secondary to traumatic brain injuries (TBI) of all severities in children.Methods: Computerized databases PubMed and PsychINFO and gray literature sources were used to identify relevant studies. Search terms were selected to identify original research examining new ADHD diagnosis or attention problems after TBI in children. Studies were included if they investigated any severity of TBI, assessed attention or ADHD after brain injury, investigated children as a primary or sub-analysis, and controlled for or excluded participants with preinjury ADHD or attention problems.Results: Thirty-nine studies were included in the review. Studies examined the prevalence of and risk factors for new attention problems and ADHD following TBI in children as well as behavioral and neuropsychological factors associated with these attention problems. Studies report a wide range of prevalence rates of new ADHD diagnosis or attention problems after TBI. Evidence indicates that more severe injury, injury in early childhood, or preinjury adaptive functioning problems, increases the risk for new ADHD and attention problems after TBI and both sexes appear to be equally vulnerable. Further, literature suggests that cases of new ADHD often co-occurs with neuropsychiatric impairment in other domains. Identified gaps in our understanding of new attention problems and ADHD include if mild TBI, the most common type of injury, increases risk and what brain abnormalities are associated with the emergence of these problems.Conclusion: This scoping review describes existing studies of new attention problems and ADHD following TBI in children and highlights important risk factors and comorbidities. Important future research directions are identified that will inform the extent of this outcome across TBI severities, its neural basis and points of intervention to minimize its impact.
format article
author Sonja Stojanovski
Sonja Stojanovski
Shannon E. Scratch
Shannon E. Scratch
Shannon E. Scratch
Benjamin T. Dunkley
Benjamin T. Dunkley
Benjamin T. Dunkley
Russell Schachar
Russell Schachar
Anne L. Wheeler
Anne L. Wheeler
author_facet Sonja Stojanovski
Sonja Stojanovski
Shannon E. Scratch
Shannon E. Scratch
Shannon E. Scratch
Benjamin T. Dunkley
Benjamin T. Dunkley
Benjamin T. Dunkley
Russell Schachar
Russell Schachar
Anne L. Wheeler
Anne L. Wheeler
author_sort Sonja Stojanovski
title A Systematic Scoping Review of New Attention Problems Following Traumatic Brain Injury in Children
title_short A Systematic Scoping Review of New Attention Problems Following Traumatic Brain Injury in Children
title_full A Systematic Scoping Review of New Attention Problems Following Traumatic Brain Injury in Children
title_fullStr A Systematic Scoping Review of New Attention Problems Following Traumatic Brain Injury in Children
title_full_unstemmed A Systematic Scoping Review of New Attention Problems Following Traumatic Brain Injury in Children
title_sort systematic scoping review of new attention problems following traumatic brain injury in children
publisher Frontiers Media S.A.
publishDate 2021
url https://doaj.org/article/5ff8a4439d1b4c7a8e3c08fbd82eee14
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