The role of psychosocial factors on recovery following early brain insult.

Funding Activity

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Funded Activity Summary

Early brain insult (EBI) is a major cause of developmental delay and long-term disability. However, outcome following EBI is variable and dependent on multiple injury-related and non-injury-related factors. To date, most research has focussed on injury-related variables such as age at insult, nature of brain pathology, and size and site of brain lesion. These injury-related factors predict short-term recovery following EBI, however they have been found to account for a surprisingly modest portion of variance in long-term outcome. Thus, non-injury-related factors must also contribute to outcome following EBI. Research now suggests that psychosocial characteristics (social status, environmental conditions, parenting characteristics, family dynamics) influence long-term outcome following EBI, however these studies have focussed on bivariate relationships, relied on specific patient groups limiting the generalisability of findings, and utilised small to moderate samples that are inadequate when investigating complex interactive relationships. As a consequence, the role of psychosocial factors on recovery following EBI is still unclear. The objective of this project is to undertake a large-scale investigation of the independent and interactive contribution of social status, environmental conditions, parenting characteristics and family dynamics on outcome following EBI. The aim is to identify the psychosocial characteristics that predict outcome, mediate recovery, and buffer the impact of injury-related factors in children with EBI. Understanding these complex inter-relationships is crucial for rehabilitation purposes, as many psychosocial characteristics are fluid and at least partially modifiable. Based on this project's findings we intend to devise and trial appropriately focussed intervention programs that aid recovery and minimise long-term disabilities.

Funded Activity Details

Start Date: 01-01-2004

End Date: 01-01-2006

Funding Scheme: NHMRC Project Grants

Funding Amount: $255,475.00

Funder: National Health and Medical Research Council

Research Topics

ANZSRC Field of Research (FoR)

Economic history

ANZSRC Socio-Economic Objective (SEO)

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Other Keywords

brain injury | cerebral infection | cerebral ischemia | developmental outcomes | environmental influences | family dynamics | head injury | hypoxia | prematurity | socio-economic status