title: Symptoms of Persistent Behavior Problems in Children With Mild Traumatic Brain Injury.
abstract: OBJECTIVE
  To investigate the effects of mild traumatic brain injury (mTBI) in children on symptom ratings of behavior problems across the first-year postinjury.
  
  
  METHODS
  Emergency departments of 2 regional children's hospitals.
  
  
  METHODS
  Parents of 176 children with mTBI and 90 children with orthopedic injury aged 8 to 15 years.
  
  
  METHODS
  Group comparisons of postinjury parent and teacher ratings of child behavior problems controlling for background factors.
  
  
  METHODS
  Child Behavior Checklist and Teacher's Report Form.
  
  
  RESULTS
  For younger but not older children in the sample, children with mTBI compared with children with orthopedic injury had higher postinjury ratings on the Child Behavior Checklist Total Behavior Problem scale (t264 = 3.34, P < .001) and higher rates of T-scores of 60 or more on this scale (odds ratio = 3.00; 95% confidence interval, 1.33-6.77; P = .008). For children with mTBI, hospitalization, motor vehicle accidents, loss of consciousness, and magnetic resonance imaging abnormality were associated with higher parent or teacher ratings.
  
  
  CONCLUSIONS
  School-aged children with mTBI are at risk for persistent symptoms of behavior problems, especially if mTBI is more severe or occurs at a younger age. The findings justify monitoring of behavior long after injury and further research to identify risk factors for these symptoms and their association with clinical disorders.
authors: Departments of Pediatrics (Drs Taylor and Wright and Ms Minich) and Psychological Sciences (Ms Orchinik), Case Western Reserve University, Cleveland, Ohio; Rainbow Babies & Children's Hospital, University Hospitals Case Medical Center, Cleveland, Ohio (Drs Taylor and Wright); Departments of Radiology and Neurosurgery, University Hospitals Health System, Cleveland, Ohio (Dr Bangert); Departments of Emergency Medicine (Drs Dietrich and Nuss) and Radiology (Dr Rusin) and Center for Biobehavioral Health, The Research Institute (Dr Yeates), Nationwide Children's Hospital, Columbus, Ohio; and Department of Pediatrics, The Ohio State University College of Medicine, Columbus (Dr Yeates). Dr Yeates is now with the Department of Psychology, University of Calgary, Calgary, Alberta, Canada.
authors: H Gerry
authors: HG
authors: Taylor
authors: Leah J
authors: LJ
authors: Orchinik
authors: Nori
authors: N
authors: Minich
authors: Ann
authors: A
authors: Dietrich
authors: Kathryn
authors: K
authors: Nuss
authors: Martha
authors: M
authors: Wright
authors: Barbara
authors: B
authors: Bangert
authors: Jerome
authors: J
authors: Rusin
authors: Keith Owen
authors: KO
authors: Yeates
mesh_terms: D000293:Adolescent; D017677:Age Distribution; D001930:Brain Injuries / Q000150:complications / Q000175:diagnosis / Q000523:psychology*; D002170:Canada / Q000453:epidemiology; D002648:Child; D002653:Child Behavior Disorders / Q000209:etiology* / Q000503:physiopathology; D002908:Chronic Disease; D015331:Cohort Studies; D016001:Confidence Intervals; D005260:Female; D006776:Hospitals, Pediatric; D006801:Humans; D015994:Incidence; D015601:Injury Severity Score; D008279:Magnetic Resonance Imaging / Q000379:methods; D008297:Male; D009985:Orthopedics; D038223:Post-Concussion Syndrome / Q000150:complications / Q000175:diagnosis / Q000523:psychology; D000066553:Problem Behavior / Q000523:psychology*; D011379:Prognosis; D012189:Retrospective Studies; D018570:Risk Assessment; D017678:Sex Distribution; D014057:Tomography, X-Ray Computed; D014947:Wounds and Injuries / Q000150:complications / Q000175:diagnosis / Q000523:psychology*
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