Attention-deficit hyperactivity symptomatology after traumatic brain injury: A prospective study

Jeffrey E. Max; Stephan Arndt; Carlos S. Castillo; Hirokazu Bokura; Donald A. Robin; Scott D. Lindgren; Wilbur L. Smith; Yutaka Sato; Philip J. Mattheis

doi:10.1097/00004583-199808000-00014

Attention-deficit hyperactivity symptomatology after traumatic brain injury: A prospective study

Jeffrey E. Max, Stephan Arndt, Carlos S. Castillo, Hirokazu Bokura, Donald A. Robin, Scott D. Lindgren, Wilbur L. Smith, Yutaka Sato, Philip J. Mattheis

Research Imaging Institute

Research output: Contribution to journal › Article

88 Scopus citations

Abstract

Objective: To study prospectively the course of attention-deficit hyperactivity (ADH) symptomatology in children and adolescents after traumatic brain injury (TBI). It was hypothesized that ADH symptomatology would be significantly related to severity of injury. Method: Subjects were children (n = 50) 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, socioeconomic, family functioning, and family psychiatric history status were conducted. Severity of injury was assessed by standard clinical scales, and neuroimaging was analyzed. Results: The main finding of this study was that change in ADH symptomatology in the first 2 years after TBI in children and adolescents was significantly related to severity of injury. Overall ADH symptomatology during the study was significantly related to a measure of family dysfunction when family psychiatric history, socioeconomic status, and severity of injury were controlled. Conclusion: The presence of a positive 'dose-response' relationship between severity of injury and change in ADH symptoms, present from the 3-month assessment, was consistent with an effect directly related to brain damage.

Original language	English (US)
Pages (from-to)	841-847
Number of pages	7
Journal	Journal of the American Academy of Child and Adolescent Psychiatry
Volume	37
Issue number	8
DOIs	https://doi.org/10.1097/00004583-199808000-00014
State	Published - Aug 1998

Keywords

Attention-deficit hyperactivity disorder
Traumatic brain injury

ASJC Scopus subject areas

Developmental and Educational Psychology
Psychiatry and Mental health

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Attention-deficit hyperactivity symptomatology after traumatic brain injury : A prospective study. / Max, Jeffrey E.; Arndt, Stephan; Castillo, Carlos S.; Bokura, Hirokazu; Robin, Donald A.; Lindgren, Scott D.; Smith, Wilbur L.; Sato, Yutaka; Mattheis, Philip J.

In: Journal of the American Academy of Child and Adolescent Psychiatry, Vol. 37, No. 8, 08.1998, p. 841-847.

Research output: Contribution to journal › Article

Max, Jeffrey E. ; Arndt, Stephan ; Castillo, Carlos S. ; Bokura, Hirokazu ; Robin, Donald A. ; Lindgren, Scott D. ; Smith, Wilbur L. ; Sato, Yutaka ; Mattheis, Philip J. / Attention-deficit hyperactivity symptomatology after traumatic brain injury : A prospective study. In: Journal of the American Academy of Child and Adolescent Psychiatry. 1998 ; Vol. 37, No. 8. pp. 841-847.

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