Traumatic brain injury in children and adolescents: psychiatric disorders in the second three months.
Psychiatric disorders may be common after traumatic brain injury (TBI) in children, yet there is a death 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.
Max
J E
JE
Department of Psychiatry, University of Iowa Hospitals and Clinics, Iowa City 52242, USA.
Lindgren
S D
SD
Robin
D A
DA
Smith
W L
WL
Sato
Y
Y
Mattheis
P J
PJ
Castillo
C S
CS
Stierwalt
J A
JA
D000293:Adolescent; D001930:Brain Injuries / Q000145:classification / Q000150:complications* / Q000453:epidemiology; D002648:Child; D005190:Family; D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000175:diagnosis / Q000453:epidemiology* / Q000209:etiology; D019965:Neurocognitive Disorders / Q000175:diagnosis / Q000453:epidemiology* / Q000209:etiology; D011446:Prospective Studies; D011569:Psychiatric Status Rating Scales; D012307:Risk Factors; D015599:Trauma Severity Indices