@article{ref1,
title="Investigating the connection between traumatic brain injury and posttraumatic stress symptoms in adolescents",
journal="Journal of head trauma rehabilitation",
year="2018",
author="Rhine, Tara and Cassedy, Amy and Yeates, Keith Owen and Taylor, Hudson Gerry and Kirkwood, Michael W. and Wade, Shari L.",
volume="33",
number="3",
pages="210-218",
abstract="OBJECTIVE: To identify potentially modifiable individual and social-environmental correlates of posttraumatic stress symptoms (PTSS) among adolescents hospitalized for traumatic brain injury (TBI). SETTING: Four pediatric hospitals and 1 general hospital in the United States. PARTICIPANTS: Children ages 11 to 18 years, hospitalized for moderate-severe TBI within the past 18 months. <br><br>DESIGN: Retrospective cross-sectional analysis. MAIN MEASURES: The University of California at Los Angeles (UCLA) Post-traumatic Stress Disorder (PTSD) Reaction Index and the Youth Self-Report (YSR) PTSD subscale. <br><br>RESULTS: Of 147 adolescents enrolled, 65 (44%) had severe TBI, with an average time since injury of 5.8 ± 4 months. Of the 104 who completed the UCLA-PTSD Reaction Index, 22 (21%) reported PTSS and 9 (8%) met clinical criteria for PTSD. Of the 143 who completed the YSR-PTSD subscale, 23 (16%) reported PTSS and 6 (4%) met clinical criteria for PTSD. In multivariable analyses, having a negative approach to problem solving and depressive symptoms were both associated (P <.001) with higher levels of PTSS based on the UCLA-PTSD Reaction Index (β = 0.41 and β = 0.33, respectively) and the YSR-PTSD subscale (β = 0.33 and β = 0.40, respectively). <br><br>CONCLUSION: Targeting negative aspects of problem solving in youths after brain injury may mitigate PTSS.<p /> <p>Language: en</p>",
language="en",
issn="0885-9701",
doi="10.1097/HTR.0000000000000319",
url="http://dx.doi.org/10.1097/HTR.0000000000000319"
}