TY  - JOUR
PY  - 2013//
TI  - Psychiatric disorders in children and adolescents in the first six months after mild traumatic brain injury
JO  - Journal of neuropsychiatry and clinical neurosciences
A1  - Max, Jeffrey E.
A1  - Schachar, Russell J.
A1  - Landis, Julie
A1  - Bigler, Erin D.
A1  - Wilde, Elisabeth A.
A1  - Saunders, Ann E.
A1  - Ewing-Cobbs, Linda
A1  - Chapman, Sandra B.
A1  - Dennis, Maureen
A1  - Hanten, Gerri
A1  - Levin, Harvey S.
SP  - 187
EP  - 197
VL  - 25
IS  - 3
N2  - 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>
LA  - en
SN  - 0895-0172
UR  - http://dx.doi.org/10.1176/appi.neuropsych.12010011
ID  - ref1
ER  -