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Differences in attention, executive functioning, and memory in children with and without ADHD after severe traumatic brain injury

  • BETH S. SLOMINE (a1) (a2), CYNTHIA F. SALORIO (a3) (a4), MARCO A. GRADOS (a2), ROMA A. VASA (a2) (a5), JAMES R. CHRISTENSEN (a3) (a4) (a6) and AND JOAN P. GERRING (a2) (a5)...
Abstract

Although the development of Attention Deficit Hyperactivity Disorder (ADHD) after traumatic brain injury (TBI) has been described, it is unknown whether children with TBI and ADHD have greater neuropsychological impairments than children with TBI alone. This study examines attention, executive functioning, and memory in children with TBI-only and TBI + ADHD. Caregivers of 82 children with severe TBI completed structured psychiatric interviews at enrollment to diagnose premorbid ADHD and one-year after injury to diagnose post-injury ADHD. Children underwent neuropsychological testing one year after injury. One memory measure significantly differentiated children with TBI-only from children with newly developed ADHD [secondary ADHD (S-ADHD)] and those with premorbid ADHD that persisted after injury [persisting ADHD (P-ADHD)]. Compared with the TBI-only group, children with TBI + ADHD had worse performance on measures of attention, executive functioning, and memory. Results reveal that in children with severe TBI, the behavioral diagnosis of ADHD is associated with more difficulty in attention, executive functioning, and memory. Additionally, results suggest greater deficits in memory skills in the S-ADHD group compared with the P-ADHD group. Although findings provide preliminary support for distinguishing P-ADHD from S-ADHD, further research is needed to investigate neuropsychological differences between these subgroups of children with severe TBI. (JINS, 2005, 11, 645–653.)

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Corresponding author
Reprint requests to: Beth S. Slomine, Ph.D., ABPP, Department of Neuropsychology, Kennedy Krieger Institute, 707 North Broadway, Baltimore, MD 21205. E-mail: Slomine@Kennedykrieger.org
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Auerbach, S.H. (1986). Neuroanatomical correlates of attention and memory disorders in traumatic brain injury: An application of neurobehavioral subtypes. Journal of Head Trauma Rehabilitation, 1, 112.

Barkley, R.A. (1997). Attention-deficit/hyperactivity disorder, self-regulation, and time: Toward a more comprehensive theory. Journal of Developmental and Behavioral Pediatrics, 18, 271279.

Brown, G., Chadwick, O., Shaffer, D., Rutter, M., & Traub, M. (1981). A prospective study of children with head injuries, III: Psychiatric sequelae. Psychological Medicine, 11, 6378.

Cahn, D.A. & Marcotte, A.C. (1995). Rates of forgetting in attention deficit hyperactivity disorder. Child Neuropsychology, 1, 158163.

Durston, S. (2003). A review of the biological bases of ADHD: What have we learned from imaging studies?Mental Retardation and Developmental Disabilities Research Reviews, 9, 184195.

Gerring, J.P., Brady, K.D., Chen, A., Vasa, R., Grados, M., Bandeen-Roche, K.J., Bryan, R.N., & Denckla, M.B. (1998). Premorbid prevalence of ADHD and development of secondary ADHD after closed head injury. Journal of the American Academy of Child and Adolescent Psychiatry, 37, 647654.

Grant, D.A. & Berg, E.A. (1948). A behavioral analysis of degree of reinforcement and ease of shifting to new response in a Weigl type card sorting problem. Journal of Experimental Psychology, 38, 404411.

Grodzinsky, G.M. & Barkley, R.A. (1999). Predictive power of frontal lobe tests in the diagnosis of attention deficit hyperactivity disorder. Clinical Neuropsychologist, 13, 1221.

Kaplan, B.J., Dewey, D., Crawford, S.G., & Fisher, G.C. (1998). Deficits in long-term memory are not characteristic of ADHD. Journal of Clinical and Experimental Neuropsychology, 20, 518528.

Kaufmann, P.M., Fletcher, J.M., Levin, H.S., Miner, M.E., & Ewing-Cobbs, L. (1993). Attention disturbance after closed head injury. Journal of Child Neurology, 8, 348353.

Levin, H.S., Culhane, K.A., Hartmann, J., Evankovich, K., Mattson, A.J., Haward, H., Ringholz, G., Ewings-Cobbs, L., & Fletcher, J.M. (1991). Developmental changes in performance on tests of purported frontal lobe functioning. Developmental Neuropsychology, 7, 377395.

Levin, H.S., Culhane, K.A., Mendelsohn, D., Lilly, M.A., Bruce, D., Flethcher, J.M., Chapman, S.B., Harward, H., & Eisenberg, H.M. (1993). Cognition in relation to magnetic resonance imaging in head-injured children and adolescents. Archives of Neurology, 50, 897905.

Massagli, T.L., Michaud, L.J., & Rivara, F.P. (1996). Association between injury indices and outcome after severe traumatic brain injury in children. Archives of Physical Medicine and Rehabilitation, 77, 125132.

Max, J.E., Arndt, S., Castillo, C.S., Bokura, H., Robin, D., Lindgren, S.D., Smith, W.L., Sato, Y., & Philip, M. (1998). Attention-deficit hyperactivity symptomatology after traumatic brain injury: A perspective study. Journal of the American Academy of Child & Adolescent Psychiatry, 37, 841847.

Max, J.E., Lansing, A.E., Koele, S.L., Castillo, C.S., Bokura, H., Schachar, R., Collings, N., & Williams, K.E. (2004). Attention deficit hyperactivity disorder in children and adolescents following traumatic brain injury. Developmental Neuropsychology, 25, 159177.

Roncadin, C., Guger, S., Archibald, J., Barns, M., & Dennis, M. (2004). Working memory after mild, moderate, or severe childhood closed head injury. Developmental Neuropsychology, 25, 2136.

Schachar, R., Levin, H.S., Max, J.E., Purvis, K., & Chen, S. (2004). Attention deficit hyperactivity disorder symptoms and response inhibition after closed head injury in children: Do preinjury behavior and injury severity predict outcome?Developmental Neuropsychology, 25, 179198.

Slomine, B.S., Gerring, J.P., Grados, M.A., Vasa, R., Brady, K.D., Christensen, J.R., and Denckla, M.B. (2002). Performance on measures of ‘executive function’ following pediatric traumatic brain injury. Brain Injury, 16, 759772.

Wassenberg, R., Max, J.E., Lindgren, S.D., & Schatz, A. (2004). Sustained attention in children and adolescents after traumatic brain injury: Relation to severity of injury, adaptive functioning, ADHD and social background. Brain Injury, 18, 751764.

Welner, Z., Reich, W., Herjanic, B., Jung, B., & Amado, H. (1987). Reliability, validity, and parent-child agreement studies of the Diagnostic Interview for Children and Adolescents (DICA). Journal of the American Academy of Child and Adolescent Psychiatry, 26, 649653.

Welsh, M.C., Pennington, B.F., & Groisser, D.B. (1991). A normative-developmental study of executive functioning: A window on prefrontal functioning in children. Developmental Neuropsychology, 7, 131149.

Yeates, K.O., Blumenstein, E., Patterson, C.M., & Delis, D.C. (1995). Verbal learning and memory following pediatric closed-head injury. Journal of the International Neuropsychological Society, 1, 7887.

Zafonte, R.D., Hammond, F.M., & Mann, N.R. (1996). Relationship between Glasgow Coma Scale and functional outcome. American Journal of Physical Medicine and Rehabilitation, 75, 364369.

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Journal of the International Neuropsychological Society
  • ISSN: 1355-6177
  • EISSN: 1469-7661
  • URL: /core/journals/journal-of-the-international-neuropsychological-society
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