Neurobehavioral symptoms in childhood closed-head injuries: changes in prevalence and correlates during the first year postinjury.
Neurobehavioral symptoms in childhood closed-head injuries: changes in prevalence and correlates during the first year postinjury.
复制标题
儿童闭合性头部损伤的神经行为症状：受伤后第一年的患病率变化及其相关性。
DOI：
10.1093/jpepsy/26.2.79
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发表时间：
2001
影响因子：
3.6
通讯作者：
Stancin,T
中科院分区：
文献类型：
--
作者：
Yeates,K;Taylor,H;Barry,C;Drotar,D;Wade,S;Stancin,T
目的：探讨儿童闭合性脑损伤(CHIS)后1年内神经行为症状的变化及其相关性。方法：研究对象包括31例重度CHIS、38例中度CHI和53例骨科损伤(OIS)患儿。在受伤后不久以及在6个月和12个月的随访中对儿童及其家人进行评估。父母将15种症状分为认知/躯体症状(C/S)和情绪/行为症状(E/B)。结果：认知/躯体症状和情绪/行为症状在CHI组比OI组更常见。C/S症状在CHI组随着时间的推移而减少，而E/B症状则相对更常见。损伤严重程度、儿童病前行为调整和同时认知功能的测量可预测C/S症状。E/B症状通过损伤严重程度、受伤后不久的认知功能同步以及稍后父母和家庭的同步功能来预测。结论：儿童神经行为症状的患病率和相关性随症状类型和受伤时间的不同而不同。
Objective:To examine changes in the prevalence and correlates of neurobehavioral symptoms during the first year following childhood closed-head injuries (CHIs).Methods:Participants included 31 children with severe CHIs, 38 with moderate CHIs, and 53 with orthopedic injuries (OIs). Children and their families were assessed shortly after injury and at 6- and 12-month follow-ups. Parents rated 15 symptoms classified as either cognitive/somatic (C/S) or emotional/behavioral (E/B).Results:Both kinds of symptoms were more common in the CHI groups than in the OI group. C/S symptoms declined in the CHI groups over time, whereas E/B symptoms became relatively more common. Measures of injury severity, children's premorbid behavioral adjustment, and concurrent cognitive functioning predicted C/S symptoms. E/B symptoms were predicted by injury severity, concurrent cognitive functioning soon after the injury, and concurrent parent and family functioning later in time. Both types of symptoms contributed to the prediction of perceived family burden, with the relationships strengthening over time.Conclusions:The findings indicate that the prevalence and correlates of neurobehavioral symptoms in childhood CHIs vary as a function of symptom type and time since injury.