Executive function's influence on problem behaviors in children with mild traumatic brain injury.

Background: Previous research has consistently demonstrated an increased prevalence of behavioral problems among children with mild traumatic brain injury (mTBI). However, the underlying mechanisms and contributing factors, particularly the role of executive function, remain insufficiently understoo...

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Published in:Brain Injury Vol. 40; no. 11; pp. 945 - 957
Main Authors: Yu, Mei, Long, Yanman, Xu, Honghui
Format: pictorial research tables/charts Journal Article
Published: Taylor & Francis Ltd Aug2026
Online Access:View this record in EBSCOhost
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      dt: Aug2026
      vid: 40
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        10.1080/02699052.2026.2677638
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        atl: Executive function's influence on problem behaviors in children with mild traumatic brain injury.
      aug:
        au:
          Yu, Mei
          Long, Yanman
          Xu, Honghui
        affil: Hebei Key Laboratory of Children's Cognition and Digital Education, School of Education, Langfang Normal University, Langfang, China
      sug:
        subj:
          Brain Concussion Psychosocial Factors
          Brain Concussion Complications
          Executive Function Evaluation
          Child Behavior Evaluation
          Human
          Funding Source
          Female
          Male
          Child
          Descriptive Statistics
          Sex Factors
          Comparative Studies
          Cognitive Flexibility
          Memory, Short Term
          Neuropsychological Tests
          Task Performance and Analysis
          Behavioral Symptoms
          Child: 6-12 years
          Female
          Male
      ab: Background: Previous research has consistently demonstrated an increased prevalence of behavioral problems among children with mild traumatic brain injury (mTBI). However, the underlying mechanisms and contributing factors, particularly the role of executive function, remain insufficiently understood and require further investigation. Methods: We conducted moderation analyses using data on executive function and the Child Behavior Checklist (CBCL) from a sample of 10,805 children aged 9–11 years old participating in the Adolescent Brain Cognitive Development (ABCD) Study to examine the impact of executive function on problem behaviors. The executive function tasks included the 2-back task, flanker task, and dimensional change card sort (DCCS) task, which assessed working memory, inhibition, and cognitive flexibility, respectively. Results: Our findings revealed that for children with low levels of working memory (especially female children) and inhibition (especially male children), those with mTBI demonstrated significantly more behavioral problems compared to their counterparts. Importantly, this association was substantially attenuated in children with high levels of working memory and inhibition. Conclusion: Our results revealed that executive function (specifically working memory and inhibition) serves as a significant protective factor moderating the association between mTBI and problem behaviors in children.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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