Traumatic Brain Injury in Children and Adolescents: Psychiatric Disorders in the Second Three Months
作者:
MAX1 JEFFREY,
LINDGREN1 SCOTT,
ROBIN1 DONALD,
SMITH1 WILBUR,
SATO1 YUTAKA,
MATTHEIS1 PHILIP,
CASTILLO2 CARLOS,
STIERWALT1 JULIE,
期刊:
The Journal of Nervous and Mental Disease
(OVID Available online 1997)
卷期:
Volume 185,
issue 6
页码: 394-401
ISSN:0022-3018
年代: 1997
出版商: OVID
数据来源: OVID
摘要:
Psychiatric disorders may be common after traumatic brain injury (TBI) in children, yet there is a dearth of prospective studies examining this problem. Fifty children aged 6 to 14, hospitalized after TBI, were assessed soon after TBI regarding preinjury psychiatric, behavioral, adaptive, and family functioning, family psychiatric history status and injury severity. The outcome measure was the presence of a “novel” psychiatric disorder (not present before the injury) during the second 3 months after the injury. Forty-two subjects were reassessed at 6 months. Severity of injury, family psychiatric history, and family function predicted a novel psychiatric disorder. Among children suffering a mild/moderate injury, those with preinjury lifetime psychiatric disorders were no longer (as they had been in the first 3 months) at higher risk than those without such a lifetime history. Thus, there appeared to be children, identifiable through clinical assessment, at increased risk for novel psychiatric disorders after TBI.
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