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RESEARCH ARTICLE
Contents Vol 25(1)

Parent–child interaction after mild traumatic injury in preschoolers

Joy Noelle Yumul https://orcid.org/0000-0002-8439-0020 A B * , Vicki Anderson https://orcid.org/0000-0001-5233-3147 A B C D , Cathy Catroppa https://orcid.org/0000-0002-9750-0436 A B C D and Audrey McKinlay https://orcid.org/0000-0001-9846-8514 A B E
+ Author Affiliations
- Author Affiliations

A Murdoch Children’s Research Institute, Melbourne, Vic. Australia.

B Melbourne School of Psychological Sciences, University of Melbourne, Melbourne, Vic., Australia.

C Department of Paediatrics, University of Melbourne, Melbourne, Vic., Australia.

D The Royal Children’s Hospital, Melbourne, Vic., Australia.

E Department of Psychology, University of Canterbury, Christchurch, New Zealand.

* Correspondence to: joynoelle.yumul@mcri.edu.au

Handling Editor: Jenny Fleming

Brain Impairment 25, IB23089 https://doi.org/10.1071/IB23089
Submitted: 19 July 2023  Accepted: 31 July 2023  Published: 16 January 2024

© 2024 The Author(s) (or their employer(s)). Published by CSIRO Publishing on behalf of the Australasian Society for the Study of Brain Impairment.

Abstract

Background

This exploratory study sought to describe parent–child interaction after a mild traumatic brain injury (mTBI) or mild limb injury (LI), and to examine the relationship between the quality of interactions and child/parent characteristics (e.g. developmental status, pre-injury behaviour, parental stress), post-concussive symptoms (PCS), and post-injury behaviour.

Methods

Children aged 2–5 years and their parents were recruited from the emergency department (ED). Nine child–parent dyads (mTBI n = 6, LI n = 3) agreed to participate in the direct observation of parent–child interaction at 1 week post-injury. PCS were assessed during ED presentation, at 1 month, and 3 months post-injury, and post-injury behaviour was assessed at the 3-month follow-up.

Results

Parent–child interaction was suboptimal for most of the dyads at 1 week following a mild traumatic injury in preschoolers. The quality of interaction was positively related to the child’s developmental status, and negatively related to parental stress, acute PCS, and pre- and post-injury behaviour.

Conclusions

Further research is needed to expound on parent–child interactions post-mTBI and to determine their predictive utility for parent-rated child outcomes. Both parent and child aspects of the interaction may provide useful information regarding potential avenues for clinical intervention post-injury.

Keywords: behaviour problems, concussion, emotional availability, mild TBI, parent–child interaction, parental stress, post-concussive symptoms, preschool.

References

Abidin RR (2012) ‘Parenting Stress Index’, 4th edn. (PAR)

Achenbach T, Rescorla L (2000) ‘Manual for the ASEBA preschool forms and profiles.’ (University of Vermont, Research Center for Children, Youth and Families)

Arndt S, Turvey C, Andreasen NC (1999) Correlating and predicting psychiatric symptom ratings: Spearmans r versus Kendalls tau correlation. Journal of Psychiatric Research 33(2), 97-104.
| Crossref | Google Scholar | PubMed |

Aspland H, Gardner F (2003) Observational measures of parent-child interaction: an introductory review. Child and Adolescent Mental Health 8(3), 136-143.
| Crossref | Google Scholar | PubMed |

Barfoot J, Meredith P, Ziviani J, Whittingham K (2017) Parent‐child interactions and children with cerebral palsy: An exploratory study investigating emotional availability, functional ability, and parent distress. Child: Care, Health and Development 43(6), 812-822.
| Crossref | Google Scholar | PubMed |

Beauchamp MH, Séguin M, Gagner C, Lalonde G, Bernier A (2021) The PARENT model: a pathway approach for understanding parents’ role after early childhood mild traumatic brain injury. The Clinical Neuropsychologist 35(5), 846-867.
| Crossref | Google Scholar | PubMed |

Biringen Z (2008) The Emotional Availability (EA)® Scales, 4th edn: Infancy/Early Childhood Version. Available at http://emotionalavailabilty.com

Biringen Z, Easterbrooks MA (2012) Emotional availability: Concept, research, and window on developmental psychopathology. Development and Psychopathology 24(1), 1-8.
| Crossref | Google Scholar | PubMed |

Biringen Z, Derscheid D, Vliegen N, Closson L, Easterbrooks MA (2014) Emotional availability (EA): Theoretical background, empirical research using the EA scales, and clinical applications. Developmental Review 34, 114-167.
| Crossref | Google Scholar |

Biringen Z, Sandoval K, Flykt M, Joslin S, Lincoln M (2022) Emotional Availability: Clinical Populations and Clinical Applications. Human Development 66, 192-215.
| Crossref | Google Scholar |

Brown TT, Jernigan TL (2012) Brain development during the preschool years. Neuropsychology Review 22(4), 313-333.
| Crossref | Google Scholar | PubMed |

Catroppa C, Godfrey C, Rosenfeld JV, Hearps SS, Anderson VA (2012) Functional recovery ten years after pediatric traumatic brain injury: outcomes and predictors. Journal of Neurotrauma 29(16), 2539-2547.
| Crossref | Google Scholar | PubMed |

Cooke JE, Kochendorfer LB, Stuart-Parrigon KL, Koehn AJ, Kerns KA (2019) Parent–child attachment and children’s experience and regulation of emotion: A meta-analytic review. Emotion 19(6), 1103-1126.
| Crossref | Google Scholar | PubMed |

Dittrich K, Fuchs A, Führer D, Bermpohl F, Kluczniok D, Attar CH, Jaite C, Zietlow A-L, Licata M, Reck C, Herpertz SC, Brunner R, Möhler E, Resch F, Winter SM, Lehmkuhl U, Bödeker K (2017) Observational context of mother-child interaction: Impact of a stress context on emotional availability. Journal of Child and Family Studies 26(6), 1583-1591.
| Crossref | Google Scholar |

Fairbanks JM, Brown TM, Cassedy A, Taylor HG, Yeates KO, Wade SL (2013) Maternal warm responsiveness and negativity following traumatic brain injury in young children. Rehabilitation Psychology 58(3), 223-232.
| Crossref | Google Scholar | PubMed |

Field A (2013) ‘Discovering statistics SPSS statistics.’ (Los Angeles: Sage)

Gagner C, Landry-Roy C, Bernier A, Gravel J, Beauchamp MH (2018) Behavioral consequences of mild traumatic brain injury in preschoolers. Psychological Medicine 48(9), 1551-1559.
| Crossref | Google Scholar | PubMed |

Gioia GA, Schneider JC, Vaughan CG, Isquith PK (2009) Which symptom assessments and approaches are uniquely appropriate for paediatric concussion? British Journal of Sports Medicine 43(Suppl 1), i13-i22.
| Crossref | Google Scholar | PubMed |

Graves JM, Rivara FP, Vavilala MS (2015) Health Care Costs 1 Year After Pediatric Traumatic Brain Injury. American Journal of Public Health 105(10), e35-e41.
| Crossref | Google Scholar | PubMed |

Haukoos JS, Lewis RJ (2005) Advanced statistics: bootstrapping confidence intervals for statistics with “difficult” distributions. Academic Emergency Medicine 12(4), 360-365.
| Crossref | Google Scholar | PubMed |

Kaldoja M-L, Kolk A (2012) Social-emotional behaviour in infants and toddlers with mild traumatic brain injury. Brain Injury 26(7-8), 1005-1013.
| Crossref | Google Scholar | PubMed |

Kang MJ (2011) Mother-child emotional availability mediating the effects of maternal psychological well-being and child’s cognitive competence on child behavior problems. International Journal of Human Ecology 12(2), 95-107.
| Crossref | Google Scholar |

Kolb B, Fantie BD (2009) Development of the child’s brain and behavior. In ‘Handbook of clinical child neuropsychology’. (Eds CR Reynolds, E Fletcher-Janzen) pp. 19–46. (Springer) 10.1007/978-0-387-78867-8_2

Laing S, McMahon C, Ungerer J, Taylor A, Badawi N, Spence K (2010) Mother–child interaction and child developmental capacities in toddlers with major birth defects requiring newborn surgery. Early Human Development 86(12), 793-800.
| Crossref | Google Scholar | PubMed |

Lalonde G, Bernier A, Beaudoin C, Gravel J, Beauchamp MH (2018) Investigating Social Functioning After Early Mild TBI: The Quality of Parent-Child Interactions. Journal of Neuropsychology 12(1), 1-22.
| Crossref | Google Scholar | PubMed |

Lalonde G, Bernier A, Beaudoin C, Gravel J, Beauchamp MH (2020) Factors contributing to parent–child interaction quality following mild traumatic brain injury in early childhood. Journal of Neuropsychology 14(1), 98-120.
| Crossref | Google Scholar | PubMed |

Landry SH, Smith KE, Swank PR (2003) The importance of parenting during early childhood for school-age development. Developmental Neuropsychology 24(2-3), 559-591.
| Crossref | Google Scholar | PubMed |

McCauley SR, Wilde EA, Anderson VA, Bedell G, Beers SR, Campbell TF, Chapman SB, Ewing-Cobbs L, Gerring JP, Gioia GA, Levin HS, Michaud LJ, Prasad MR, Swaine BR, Turkstra LS, Wade SL, Yeates KO, Pediatric TBI Outcomes W (2012) Recommendations for the Use of Common Outcome Measures in Pediatric Traumatic Brain Injury Research. Journal of Neurotrauma 29(4), 678-705.
| Crossref | Google Scholar | PubMed |

McKinlay A, Grace RC, Horwood LJ, Fergusson DM, Ridder EM, MacFarlane MR (2008) Prevalence of traumatic brain injury among children, adolescents and young adults: Prospective evidence from a birth cohort. Brain Injury 22(2), 175-181.
| Crossref | Google Scholar | PubMed |

McKinlay A, Grace R, Horwood L, Fergusson D, MacFarlane M (2010a) Long‐term behavioural outcomes of pre‐school mild traumatic brain injury. Child: Care, Health and Development 36(1), 22-30.
| Crossref | Google Scholar |

McKinlay A, Kyonka EGE, Grace R, Horwood J, Fergusson D, MacFarlane M (2010b) An investigation of the pre-injury risk factors associated with children who experience traumatic brain injury. Injury Prevention 16(1), 31-35.
| Crossref | Google Scholar |

Puth MT, Neuhäuser M, Ruxton GD (2015) On the variety of methods for calculating confidence intervals by bootstrapping. Journal of Animal Ecology 84(4), 892-897.
| Crossref | Google Scholar | PubMed |

Raj SP, Wade SL, Cassedy A, Taylor HG, Stancin T, Brown TM, Kirkwood MW (2014) Parent psychological functioning and communication predict externalizing behavior problems after pediatric traumatic brain injury. Journal of Pediatric Psychology 39(1), 84-95.
| Crossref | Google Scholar | PubMed |

Richter L (2004) ‘The importance of caregiver-child interactions for the survival and healthy development of young children: A review.’ (Department of Child and Adolescent Health and Development, World Health Organization)

Schorr E, Wade SL, Taylor HG, Stancin T, Yeates KO (2020) Parenting styles as a predictor of long-term psychosocial outcomes after traumatic brain injury (TBI) in early childhood. Disability and Rehabilitation 42(17), 2437-2443.
| Crossref | Google Scholar | PubMed |

Séguin M, Gagner C, Tuerk C, Lacombe Barrios J, MacKay P, Beauchamp MH (2022) What about the little ones? Systematic review of cognitive and behavioral outcomes following early TBI. Neuropsychology Review 32, 906-936.
| Crossref | Google Scholar | PubMed |

Shilo Y, Serdtse Y (2022) The relationship between emotional availability of the mother and behavior problems in the child. Hybrid Journal of Psychology 3(1), 17-29.
| Google Scholar |

Singh S, Babl FE, Huang L, Hearps S, Cheek JA, Hoch JS, Anderson V, Dalziel K (2022) Paediatric traumatic brain injury severity and acute care costs. Archives of Disease in Childhood 107(5), 497-499.
| Crossref | Google Scholar | PubMed |

Squires J, Bricker D (2009) ‘Ages & Stages Questionnaires®, 3rd edn (ASQ®-3): A Parent-Completed Child Monitoring System.’ (Paul H. Brookes Publishing Co., Inc.)

Tabachnick BG, Fidell LS (2014) ‘Using Multivariate Statistics’, 6th edn. (Pearson Education Limited)

Teasdale G, Jennett B (1974) Assessment of Coma and Impaired Consciousness: A Practical Scale. The Lancet 2(7872), 81-84.
| Crossref | Google Scholar | PubMed |

Thurman DJ (2016) The epidemiology of traumatic brain injury in children and youths: A review of research since 1990. Journal of Child Neurology 31(1), 20-27.
| Crossref | Google Scholar | PubMed |

Treyvaud K, Anderson VA, Howard K, Bear M, Hunt RW, Doyle LW, Inder TE, Woodward L, Anderson PJ (2009) Parenting behavior is associated with the early neurobehavioral development of very preterm children. Pediatrics 123(2), 555-561.
| Crossref | Google Scholar | PubMed |

Valcan DS, Davis H, Pino-Pasternak D (2018) Parental behaviours predicting early childhood executive functions: A meta-analysis. Educational Psychology Review 30(3), 607-649.
| Crossref | Google Scholar |

Wade SL, Taylor HG, Walz NC, Salisbury S, Stancin T, Bernard LA, Oberjohn K, Yeates KO (2008) Parent-child interactions during the initial weeks following brain injury in young children. Rehabilitation Psychology 53(2), 180-190.
| Crossref | Google Scholar | PubMed |

Wade SL, Cassedy A, Walz NC, Taylor HG, Stancin T, Yeates KO (2011) The relationship of parental warm responsiveness and negativity to emerging behavior problems following traumatic brain injury in young children. Developmental Psychology 47(1), 119-133.
| Crossref | Google Scholar | PubMed |

Walker DA (2015) ‘Confidence intervals for Kendall’s tau with small samples. In [Computer program].’ (DeKalb, IL: Author)

Walker DA (2016) JMASM38: Confidence Intervals for Kendall’s Tau with Small Samples (SPSS). Journal of Modern Applied Statistical Methods 15(1), 868-883.
| Crossref | Google Scholar |

Woods DT, Catroppa C, Barnett P, Anderson VA (2011) Parental disciplinary practices following acquired brain injury in children. Developmental Neurorehabilitation 14(5), 274-282.
| Crossref | Google Scholar | PubMed |

Youngblut JM, Brooten D (2006) Pediatric head trauma: Parent, parent–child, and family functioning 2 weeks after hospital discharge. Journal of Pediatric Psychology 31(6), 608-618.
| Crossref | Google Scholar | PubMed |

Youngblut JM, Brooten D (2008) Mother’s mental health, mother-child relationship, and family functioning 3 months after a preschooler’s head injury. The Journal of Head Trauma Rehabilitation 23(2), 92-102.
| Crossref | Google Scholar | PubMed |