Does gender matter? Differences in social-emotional behavior among infants and toddlers before and after mild traumatic brain injury: a preliminary study

J Child Neurol. 2015 Jun;30(7):860-7. doi: 10.1177/0883073814544705. Epub 2014 Aug 20.

Abstract

Traumatic brain injury is a common cause of acquired disability in childhood. While much is known about cognitive sequelae of brain trauma, gender-specific social-emotional problems in children with mild traumatic brain injury is far less understood. The aims of the study were to investigate gender differences in social-emotional behavior before and after mild traumatic brain injury. Thirty-five 3- to 65-month-old children with mild traumatic brain injury and 70 controls were assessed with Ages and Stages Questionnaires: Social-Emotional. Nine months later, 27 of 35 patients and 54 of 70 controls were reassessed. We found that before injury, boys had more self-regulation and autonomy difficulties and girls had problems with adaptive functioning. Nine months after injury, boys continued to struggle with self-regulation and autonomy and new difficulties with interaction had emerged, whereas in girls, problems in interaction had evolved. Even mild traumatic brain injury in early childhood disrupts normal social-emotional development having especially devastating influence on interaction skills.

Keywords: childhood mild traumatic brain injury; gender differences; interaction skills.; risk factors; social-emotional behavior.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Brain Injuries / psychology*
  • Case-Control Studies
  • Child, Preschool
  • Emotions*
  • Female
  • Follow-Up Studies
  • Humans
  • Infant
  • Male
  • Prospective Studies
  • Sex Characteristics*
  • Social Behavior*
  • Surveys and Questionnaires