Psychiatric disorders in children and adolescents six-to-twelve months after mild traumatic brain injury.

Psychiatric disorders in children and adolescents six-to-twelve months after mild traumatic brain injury.
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轻度创伤性脑损伤后六至十二个月的儿童和青少年的精神疾病。

DOI:
10.1176/appi.neuropsych.12040078
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发表时间:
2013
期刊:
The Journal of neuropsychiatry and clinical neurosciences
影响因子:
--
通讯作者:
Levin,HarveyS
Levin,HarveyS
中科院分区:
--
文献类型:
--
作者:
Max,JeffreyE;Pardo,David;Hanten,Gerri;Schachar,RussellJ;Saunders,AnnE;Ewing-Cobbs,Linda;Chapman,SandraB;Dennis,Maureen;Wilde,ElisabethA;Bigler,ErinD;Thompson,WesleyK;Yang,TonyT;Levin,HarveyS

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The objective of this study was to understand how novel psychiatric disorders (NPD) in children with mild traumatic brain injury (MTBI) are related to pre-injury variables, injury-related variables, and concurrent neurocognitive outcome. A group of 79 children, ages 5 to 14 years, who had experienced MTBI, were studied from consecutive hospital admissions with semistructured psychiatric interviews soon after injury (baseline); 60 children were reassessed 12 months post-injury. Standardized instruments were used to assess injury severity; lesion characteristics; pre-injury variables, including psychiatric disorder, family psychiatric history, family functioning, socioeconomic status, psychosocial adversity, adaptive functioning, and post-injury neurocognitive and adaptive functioning. NPD occurred in 17 of 60 participants (28%) in the 6–12-month interval after injury, with disorders that were significantly associated with socioeconomic status, psychosocial adversity, estimated pre-injury academic functioning, and concurrent deficits in adaptive functioning, academic performance, processing speed, memory, and expressive language. NPD was not significantly associated with pre-injury adaptive functioning, injury severity, family psychiatric history, pre-injury psychiatric disorder, lesion location, gender, or age at injury. These findings suggest that the short-term psychiatric morbidity associated with MTBI in children occurs more commonly than previously reported and is related to both pre-injury social factors and concurrent neurocognitive functioning.
家庭功能和伤害严重程度是创伤性脑损伤一年后儿童功能的预测因素。
DOI: --
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影响因子: 4.3
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