Traumatic brain injury in children and adolescents: psychiatric disorders at one year.
Factors predictive of psychiatric outcome in the second 6 months following traumatic brain injury (TBI) in 43 children and adolescents were assessed prospectively. The outcome measure was the presence of a psychiatric disorder not present before the injury ("novel"). Out of six models tested, four were predictive of novel psychiatric disorder: preinjury family function, family psychiatric history, socioeconomic class/intellectual function, and behavior/adaptive function. Post hoc analyses suggested that preinjury family functioning measured by a structured interview was a significant predictive variable. Severity of injury, when reclassified as severe versus mild/moderate TBI, significantly predicted novel psychiatric disorders. These data suggest that some children, identifiable through clinical assessment, are at increased risk for psychiatric disorders following TBI.
Department of Psychiatry, Speech Pathology and Audiology, University of Iowa, Iowa City 52242, USA.
J E
JE
Max
D A
DA
Robin
S D
SD
Lindgren
W L
WL
Smith
Y
Y
Sato
P J
PJ
Mattheis
J A
JA
Stierwalt
C S
CS
Castillo
D000293:Adolescent; D001925:Brain Damage, Chronic / Q000175:diagnosis* / Q000523:psychology; D002648:Child; D005195:Family Relations; D005260:Female; D005500:Follow-Up Studies; D016489:Head Injuries, Closed / Q000175:diagnosis* / Q000523:psychology; D006801:Humans; D008297:Male; D019965:Neurocognitive Disorders / Q000175:diagnosis* / Q000523:psychology; D010552:Personality Assessment; D011446:Prospective Studies; D011569:Psychiatric Status Rating Scales; D012307:Risk Factors