TY - JOUR
T1 - Traumatic brain injury in children and adolescents
T2 - Psychiatric disorders in the second three months
AU - Max, Jeffrey E.
AU - Lindgren, Scott D.
AU - Robin, Donald A.
AU - Smith, Wilbur L.
AU - Sato, Yutaka
AU - Mattheis, Philip J.
AU - Castillo, Carlos S.
AU - Stierwalt, Julie A.G.
PY - 1997/6
Y1 - 1997/6
N2 - 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.
AB - 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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U2 - 10.1097/00005053-199706000-00006
DO - 10.1097/00005053-199706000-00006
M3 - Article
C2 - 9205426
AN - SCOPUS:0030790530
SN - 0022-3018
VL - 185
SP - 394
EP - 401
JO - Journal of Nervous and Mental Disease
JF - Journal of Nervous and Mental Disease
IS - 6
ER -