TY - JOUR PY - 2013// TI - Psychiatric disorders in children and adolescents six-to-twelve months after mild traumatic brain injury JO - Journal of neuropsychiatry and clinical neurosciences A1 - Max, Jeffrey E. A1 - Pardo, David A1 - Hanten, Gerri A1 - Schachar, Russell J. A1 - Saunders, Ann E. A1 - Ewing-Cobbs, Linda A1 - Chapman, Sandra B. A1 - Dennis, Maureen A1 - Wilde, Elisabeth A. A1 - Bigler, Erin D. A1 - Thompson, Wesley K. A1 - Yang, Tony T. A1 - Levin, Harvey S. SP - 272 EP - 282 VL - 25 IS - 4 N2 - The objective of this study was to understand how novel psychiatric disorders (NPD) in children with mild traumatic brain injury (MTBI) are related to pre-injury variables, injury-related variables, and concurrent neurocognitive outcome. A group of 79 children, ages 5 to 14 years, who had experienced MTBI, were studied from consecutive hospital admissions with semistructured psychiatric interviews soon after injury (baseline); 60 children were reassessed 12 months post-injury. Standardized instruments were used to assess injury severity; lesion characteristics; pre-injury variables, including psychiatric disorder, family psychiatric history, family functioning, socioeconomic status, psychosocial adversity, adaptive functioning, and post-injury neurocognitive and adaptive functioning. NPD occurred in 17 of 60 participants (28%) in the 6-12-month interval after injury, with disorders that were significantly associated with socioeconomic status, psychosocial adversity, estimated pre-injury academic functioning, and concurrent deficits in adaptive functioning, academic performance, processing speed, memory, and expressive language. NPD was not significantly associated with pre-injury adaptive functioning, injury severity, family psychiatric history, pre-injury psychiatric disorder, lesion location, gender, or age at injury. These findings suggest that the short-term psychiatric morbidity associated with MTBI in children occurs more commonly than previously reported and is related to both pre-injury social factors and concurrent neurocognitive functioning.
Language: en
LA - en SN - 0895-0172 UR - http://dx.doi.org/10.1176/appi.neuropsych.12040078 ID - ref1 ER -