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Dev Neurorehabil. 2019 Oct;22(7):437-444. doi: 10.1080/17518423.2018.1518350. Epub 2018 Sep 20.

Parenting Behaviors after Moderate - Severe Traumatic Injury in Early Childhood.

Author information

1
Division of Physical Medicine & Rehabilitation, Cincinnati Children's Hospital Medical Center , Cincinnati , OH , USA.
2
Department of Physical Medicine & Rehabilitation, University of Pittsburgh School of Medicine , Pittsburgh , PA , USA.
3
Division of Biostatistics and Epidemiology, Cincinnati Children's Hospital Medical Center , Cincinnati , OH , USA.
4
Department of Psychology, University of Cincinnati , Cincinnati , OH , USA.
5
Department of Psychology, Alberta Children's Hospital Research Institute Hotchkiss Brain Institute, University of Calgary , Calgary , Alberta , Canada.
6
Biobehavioral Health Center, Nationwide Children's Hospital Research Institute , Columbus , OH , USA.
7
Department of Pediatrics, The Ohio State University , Columbus , OH , USA.
8
Division of Pediatric Psychology, Department of Pediatrics, MetroHealth Medical Center and Case Western Reserve University , Cleveland , OH.
9
Division of Physical Medicine & Rehabilitation, Department of Pediatrics, Cincinnati Children's Hospital Medical Center and The University of Cincinnati College of Medicine , Cincinnati , Ohio , USA.

Abstract

Purpose: Examine the impact of traumatic brain injury (TBI) on parenting behavior over time. Method: Included 206 children (3-7 years old) with moderate to severe TBI or orthopedic injury, using a prospective longitudinal cohort study design. Assessments completed at baseline, 6-months, 12-months, 18-months, 3.5 years, and 6.8 years after injury. Dependent variables included authoritative, permissive, and authoritarian parenting. Results: Injury characteristics had limited impact on parenting behaviors over time. Levels of authoritative parenting remained stable over time; however, levels of warmth and involvement declined over time for those with TBI. Levels of permissive and authoritarian parenting declined for all participants by 3.5 years post injury. SES and stressors impacted parenting behaviors. Conclusions: While there was limited effect of TBI on parenting behavior over time, it remains unclear how individuals respond to these parenting behaviors years after injury. Clinicians should monitor family and parenting behaviors to foster an environment to promote positive recovery.

KEYWORDS:

Parenting behavior; Pediatric traumatic brain injury; parenting behavior over time

PMID:
30235048
PMCID:
PMC6426679
[Available on 2020-10-01]
DOI:
10.1080/17518423.2018.1518350

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