title: Traumatic brain injury in children and adolescents: psychiatric disorders in the second three months.
abstract: 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.
authors.affiliation: Department of Psychiatry, University of Iowa Hospitals and Clinics, Iowa City 52242, USA.
authors.forename: J E
authors.initials: JE
authors.lastname: Max
authors.forename: S D
authors.initials: SD
authors.lastname: Lindgren
authors.forename: D A
authors.initials: DA
authors.lastname: Robin
authors.forename: W L
authors.initials: WL
authors.lastname: Smith
authors.forename: Y
authors.initials: Y
authors.lastname: Sato
authors.forename: P J
authors.initials: PJ
authors.lastname: Mattheis
authors.forename: C S
authors.initials: CS
authors.lastname: Castillo
authors.forename: J A
authors.initials: JA
authors.lastname: Stierwalt
mesh_terms: 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