@article{ref1,
title="Psychiatric disorders in children and adolescents in the first six months after mild traumatic brain injury",
journal="Journal of neuropsychiatry and clinical neurosciences",
year="2013",
author="Max, Jeffrey E. and Schachar, Russell J. and Landis, Julie and Bigler, Erin D. and Wilde, Elisabeth A. and Saunders, Ann E. and Ewing-Cobbs, Linda and Chapman, Sandra B. and Dennis, Maureen and Hanten, Gerri and Levin, Harvey S.",
volume="25",
number="3",
pages="187-197",
abstract="The objective was to assess the nature, rate, predictive factors, and neurocognitive correlates of novel psychiatric disorders (NPD) after mild traumatic brain injury (MTBI). Children age 5-14 years with MTBI (N=87) from consecutive admissions to five trauma centers were enrolled and studied with semistructured psychiatric interviews soon after injury (baseline), and 70 of these children were assessed again 6 months post-injury. Injury severity; lesion characteristics; pre-injury variables, including psychiatric disorder, family psychiatric history, family functioning, socioeconomic status, psychosocial adversity, and adaptive functioning; and post-injury neurocognitive and adaptive functioning measures were assessed with standardized instruments. NPD occurred in 25 of 70 participants (36%) in the first 6 months after injury. NPD at 6 months was predicted by the presence of frontal white-matter lesions on MRI at 3 months post-injury, and was associated with concurrent decrements on neurocognitive indices of processing speed, expressive language, and intellectual functioning. NPD was not predicted by other indices of severity, pre-injury psychosocial variables, estimated pre-injury academic functioning, or adaptive and executive function decrements 6 months post-injury. These findings suggest that short-term psychiatric morbidity associated with MTBI in children and adolescents may be more common than previously thought and may have readily identifiable neuroimaging and neurocognitive correlates.<p /> <p>Language: en</p>",
language="en",
issn="0895-0172",
doi="10.1176/appi.neuropsych.12010011",
url="http://dx.doi.org/10.1176/appi.neuropsych.12010011"
}