Lifetime and novel psychiatric disorders after pediatric traumatic brain injury
Lifetime and novel psychiatric disorders after pediatric traumatic brain injury
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DOI：
10.1097/00004583-200105000-00017
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发表时间：
2001-05-01
影响因子：
13.3
通讯作者：
Kowatch, RA
中科院分区：
文献类型：
--
作者：
Bloom, DR;Levin, HS;Kowatch, RA
目的：评估儿童和青少年创伤性脑损伤（TBI）后至少1年的终生和当前精神障碍。方法：46名6至15岁的青少年在TBI后至少1年进行了评估，以确定终身和/或新的精神疾病的存在。半结构式访谈的父母和孩子和标准化的父母自我报告评级工具。结果：注意缺陷多动障碍和抑郁障碍是最常见的终身和新的诊断。确定了各种各样的高比率的精神疾病; 74%的这些疾病持续存在于48%的受伤儿童中。内化障碍比外化障碍更容易解决;访谈和父母评级都对当前的外化行为敏感;访谈更经常检测到内化障碍，而父母评级也确定了认知困难。结论：研究结果与先前的研究基本一致，表明儿童TBI后新发精神疾病的发生率很高。精神病学访谈在确定终身和新的疾病方面是敏感的。
Objective: To assess lifetime and current psychiatric disorders at least 1 year after traumatic brain injury (TBI) in children and adolescents. Method: Forty-six youths who sustained a TBI between the ages of 6 through 15 years were evaluated at least 1 year post-TBI to identify the presence of lifetime and/or novel psychiatric disorders. Semistructured interviews of the parent and child and standardized parent self report rating instruments were used. Results: Attention-deficit/hyperactivity disorder and depressive disorders were the most common lifetime and novel diagnoses. A wide variety and high rate of never psychiatric disorders were identified; 74% of these disorders persisted in 48% of the injured children. Internalizing disorders were more likely to resolve than externalizing disorders; Both interviews and parent ratings were Sensitive to current externalizing behaviors; interviews more often detected internalizing disorders, whereas parent ratings also identified cognitive difficulties. Conclusions: Findings were generally consistent with previous research demonstrating the high rate of novel psychiatric disorders following pediatric TBI. Psychiatric interviews were Sensitive in identifying both lifetime and novel disorders.