TY - JOUR
T1 - Traumatic brain injury in children and adolescents
T2 - Psychiatric disorders at two years
AU - Max, Jeffrey E.
AU - Robin, Donald A.
AU - Lindgren, Scott D.
AU - Smith, Wilbur L.
AU - Sato, Yutaka
AU - Mattheis, Philip J.
AU - Stierwalt, Julie A.G.
AU - Castillo, Carlos S.
PY - 1997/9
Y1 - 1997/9
N2 - Objective: To extend findings regarding predictive factors of psychiatric outcome from the first to the second year after traumatic brain injury (TBI) in children and adolescents. Method: Subjects were children aged 6 to 14 years at the time they were hospitalized after TBI. The study used a prospective follow-up design. Assessments of preinjury psychiatric, behavioral, adaptive functioning, family functioning and family psychiatric history status were conducted. Severity of injury was assessed by standard clinical scales and neuroimaging was analyzed. The outcome measure was the presence of a psychiatric disorder, not present before the injury ('novel'), during the second year after TBI. Results: Fifty subjects enrolled, and the analyses focused on 42 subjects followed at 24 months. Severity of injury, preinjury family function, and preinjury lifetime psychiatric history predicted the development of a 'novel' psychiatric disorder present in the second year. Conclusion: These data suggest that there are children, identifiable through clinical assessment, at increased risk for 'novel' psychiatric disorders in the second year after TBI.
AB - Objective: To extend findings regarding predictive factors of psychiatric outcome from the first to the second year after traumatic brain injury (TBI) in children and adolescents. Method: Subjects were children aged 6 to 14 years at the time they were hospitalized after TBI. The study used a prospective follow-up design. Assessments of preinjury psychiatric, behavioral, adaptive functioning, family functioning and family psychiatric history status were conducted. Severity of injury was assessed by standard clinical scales and neuroimaging was analyzed. The outcome measure was the presence of a psychiatric disorder, not present before the injury ('novel'), during the second year after TBI. Results: Fifty subjects enrolled, and the analyses focused on 42 subjects followed at 24 months. Severity of injury, preinjury family function, and preinjury lifetime psychiatric history predicted the development of a 'novel' psychiatric disorder present in the second year. Conclusion: These data suggest that there are children, identifiable through clinical assessment, at increased risk for 'novel' psychiatric disorders in the second year after TBI.
KW - Adolescents
KW - Children
KW - Psychiatric disorder
KW - Traumatic brain injury
UR - http://www.scopus.com/inward/record.url?scp=0030866134&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0030866134&partnerID=8YFLogxK
U2 - 10.1097/00004583-199709000-00021
DO - 10.1097/00004583-199709000-00021
M3 - Article
C2 - 9291730
AN - SCOPUS:0030866134
SN - 0890-8567
VL - 36
SP - 1278
EP - 1285
JO - Journal of the American Academy of Child and Adolescent Psychiatry
JF - Journal of the American Academy of Child and Adolescent Psychiatry
IS - 9
ER -