Symptoms of Persistent Behavior Problems in Children With Mild Traumatic Brain Injury.
Symptoms of Persistent Behavior Problems in Children With Mild Traumatic Brain Injury.
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DOI：
10.1097/htr.0000000000000106
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发表时间：
2015-09
期刊：
影响因子：
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通讯作者：
Yeates KO
中科院分区：
文献类型：
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作者：
Taylor HG;Orchinik LJ;Minich N;Dietrich A;Nuss K;Wright M;Bangert B;Rusin J;Yeates KO
探讨轻度创伤性脑损伤（mTBI）儿童在伤后第一年内对行为问题症状评分的影响。两个地区儿童医院的急诊室。176名mTBI儿童和90名8 - 15岁骨科损伤（OI）儿童的父母。控制背景因素后，受伤后父母和教师对儿童行为问题的评定的组间比较。儿童行为检查表（CBCL）和教师报告表（TRF）。对于样本中年龄较小但年龄较大的儿童，与OI儿童相比，mTBI儿童在CBCL总体行为问题量表上的损伤后评分较高，t（264）= 3.34，p <0.001，在该量表上T评分≥ 60的比率较高，OR（CI）= 3.00（1.33，6.77），p = 0.008。对于mTBI儿童，住院治疗、机动车事故、意识丧失和MRI异常与父母或教师的评分较高相关。患有mTBI的学龄儿童有持续性行为问题症状的风险，特别是如果mTBI更严重或发生在更年轻的时候。这些发现证明了在受伤后长时间监测行为和进一步研究以确定这些症状的风险因素及其与临床疾病的关联是合理的。
To investigate the effects of mild traumatic brain injury (mTBI) in children on symptom ratings of behavior problems across the first year post injury. Emergency departments of two regional children’s hospitals. Parents of 176 children with mTBI and 90 with orthopedic injury (OI) ages 8–15 years. Group comparisons of post-injury parent and teacher ratings of child behavior problems controlling for background factors. Child Behavior Checklist (CBCL) and Teacher’s Report Form (TRF). For younger but not older children in the sample, children with mTBI compared to those with OI had higher post-injury ratings on the CBCL Total Behavior Problem scale, t (264) = 3.34, p<.001, and higher rates of T-scores ≥ 60 on this scale, OR (CI) = 3.00 (1.33, 6.77), p=.008. For children with mTBI, hospitalization, motor vehicle accidents, loss of consciousness, and MRI abnormality were associated with higher parent or teacher ratings. School-age children with mTBI are at risk for persistent symptoms of behavior problems, especially if mTBI is more severe or occurs at a younger age. The findings justify monitoring of behavior long after injury and further research to identify risk factors for these symptoms and their association with clinical disorders.