Emerging narrative discourse skills 18 months after traumatic brain injury in early childhood

Authors

  • Nicolay Chertkoff Walz,

    Corresponding author
    1. Division of Behavioral Medicine and Clinical Psychology, Department of Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA
    2. University of Cincinnati College of Medicine, Cincinnati, Ohio, USA
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  • Keith Owen Yeates,

    1. Division of Pediatric Psychology, Department of Pediatrics, Columbus Children's Hospital, The Ohio State University & Children's Research Institute, Columbus, Ohio, USA
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  • H. Gerry Taylor,

    1. Division of Developmental and Behavioral Pediatrics and Pediatric Psychology, Department of Pediatrics, Case Western Reserve University and Rainbow Babies & Children's Hospital, University Hospitals Case Medical Center, Cleveland, Ohio, USA
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  • Terry Stancin,

    1. Division of Pediatric Psychology, Department of Pediatrics, MetroHealth Medical Center and Case Western Reserve University School of Medicine, Cleveland, Ohio, USA
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  • Shari L. Wade

    1. University of Cincinnati College of Medicine, Cincinnati, Ohio, USA
    2. Divison of Pediatric Rehabilitation, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA
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Nicolay Chertkoff Walz, Cincinnati Children's Hospital Medical Center, Division of Behavioral Medicine and Clinical Psychology, MLC 10006, 2800 Winslow Avenue, Cincinnati, OH 45229–3039, USA (e-mail: nicolay.walz@cchmc.org).

Abstract

This study examined the longer term effect of traumatic brain injury (TBI), approximately 18 months post-injury, on emerging narrative discourse skills of 85 children with orthopaedic injury (OI), 43 children with moderate TBI, and 19 children with severe TBI who were between 3 years and 6 years 11 months at injury. Children with TBI performed worse than children with OI on most discourse indices. Children with severe TBI were less proficient than children with moderate TBI at identifying unimportant story information. Age and pragmatic skills were predictors of discourse performance.

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