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Psychiatric Disorders After Pediatric Traumatic Brain Injury: A Prospective, Longitudinal, Controlled Study
Psychiatric Disorders After Pediatric Traumatic Brain Injury: A Prospective, Longitudinal, Controlled Study
- Source :
- The Journal of Neuropsychiatry and Clinical Neurosciences. 24:427-436
- Publication Year :
- 2012
- Publisher :
- American Psychiatric Association Publishing, 2012.
-
Abstract
- The objective was to examine the effects of traumatic brain injury (TBI), as compared with orthopedic injury (OI), relative to the risk for psychiatric disorder. There has only been one previous prospective study of this nature. Participants were age 7-17 years at the time of hospitalization for either TBI (complicated mild-to-severe) or OI. The study used a prospective, longitudinal, controlled design, with standardized psychiatric assessments conducted at baseline (reflecting pre-injury functioning) and 3 months post-injury. Assessments of pre-injury psychiatric, adaptive functioning, family adversity, and family psychiatric history status were conducted. Severity of injury was assessed by standard clinical scales. The outcome measure was the presence of a psychiatric disorder not present before the injury ("novel"), during the first 3 months after TBI. Enrolled participants (N=141) included children with TBI (N=75) and with OI (N=66). The analyses focused on 118 children (84%) (TBI: N=65; OI: N=53) who returned for follow-up assessment at 3 months. Novel psychiatric disorder (NPD) occurred significantly more frequently in the TBI (32/65; 49%) than the OI (7/53; 13%) group. This difference was not accounted for by pre-injury lifetime psychiatric status; pre-injury adaptive functioning; pre-injury family adversity, family psychiatric history, socioeconomic status, injury severity, or age at injury. Furthermore, none of these variables significantly discriminated between children with TBI who developed, versus those who did not develop, NPD. These findings suggest that children with complicated mild-to-severe TBI are at significantly higher risk than OI-controls for the development of NPD in the first 3 months after injury.
- Subjects :
- Male
medicine.medical_specialty
Adolescent
Traumatic brain injury
Severity of injury
Adaptive functioning
Psychiatric history
Risk Factors
Adaptation, Psychological
Humans
Medicine
Family
Longitudinal Studies
Prospective Studies
Child
Prospective cohort study
Psychiatry
Socioeconomic status
Psychiatric Status Rating Scales
Trauma Severity Indices
business.industry
Mental Disorders
Case-control study
medicine.disease
Psychiatry and Mental health
Brain Injuries
Case-Control Studies
Orthopedic surgery
Female
Neurology (clinical)
business
Follow-Up Studies
Subjects
Details
- ISSN :
- 15457222 and 08950172
- Volume :
- 24
- Database :
- OpenAIRE
- Journal :
- The Journal of Neuropsychiatry and Clinical Neurosciences
- Accession number :
- edsair.doi.dedup.....d8944b858e1c7699b02f58d27d4c9ae2
- Full Text :
- https://doi.org/10.1176/appi.neuropsych.12060149