Abstract
The purpose of this study was to quantify and to identify predictors of posttraumatic stress disorder (PTSD) symptomatology after traumatic brain injury (TBI). Fifty children aged 6 to 14 years, hospitalized after TBI, were assessed soon after TBI regarding injury severity and preinjury psychiatric, socioeconomic, family functioning, and family psychiatric history status; neuroimaging was also analyzed. Psychiatric assessments were repeated 3, 6, 12, and 24 months after TBI. Only 2 of 46 (4%) subjects with at least one follow-up assessment developed PTSD. However, the frequency with which subjects experienced at least one PTSD symptom ranged from 68% in the first 3 months to 12% at 2 years in assessed children. The presence of an internalizing disorder at time of injury followed by greater injury severity were the most consistent predictors of PTSD symptomatology. It is apparent, therefore, that PTSD and subsyndromal posttraumatic stress disturbances occur despite neurogenic amnesia. These problems should be treated, particularly if symptoms persist beyond 3 months.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 589-596 |
| Number of pages | 8 |
| Journal | Journal of Nervous and Mental Disease |
| Volume | 186 |
| Issue number | 10 |
| DOIs | |
| State | Published - Oct 1998 |
| Externally published | Yes |
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ASJC Scopus subject areas
- Psychiatry and Mental health
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Posttraumatic stress symptomatology after childhood traumatic brain injury. / Max, Jeffrey E.; Castillo, Carlos S.; Robin, Donald A.; Lindgren, Scott D.; Smith, Wilbur L.; Sato, Yutaka; Arndt, Stephan.
In: Journal of Nervous and Mental Disease, Vol. 186, No. 10, 10.1998, p. 589-596.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Posttraumatic stress symptomatology after childhood traumatic brain injury
AU - Max, Jeffrey E.
AU - Castillo, Carlos S.
AU - Robin, Donald A.
AU - Lindgren, Scott D.
AU - Smith, Wilbur L.
AU - Sato, Yutaka
AU - Arndt, Stephan
PY - 1998/10
Y1 - 1998/10
N2 - The purpose of this study was to quantify and to identify predictors of posttraumatic stress disorder (PTSD) symptomatology after traumatic brain injury (TBI). Fifty children aged 6 to 14 years, hospitalized after TBI, were assessed soon after TBI regarding injury severity and preinjury psychiatric, socioeconomic, family functioning, and family psychiatric history status; neuroimaging was also analyzed. Psychiatric assessments were repeated 3, 6, 12, and 24 months after TBI. Only 2 of 46 (4%) subjects with at least one follow-up assessment developed PTSD. However, the frequency with which subjects experienced at least one PTSD symptom ranged from 68% in the first 3 months to 12% at 2 years in assessed children. The presence of an internalizing disorder at time of injury followed by greater injury severity were the most consistent predictors of PTSD symptomatology. It is apparent, therefore, that PTSD and subsyndromal posttraumatic stress disturbances occur despite neurogenic amnesia. These problems should be treated, particularly if symptoms persist beyond 3 months.
AB - The purpose of this study was to quantify and to identify predictors of posttraumatic stress disorder (PTSD) symptomatology after traumatic brain injury (TBI). Fifty children aged 6 to 14 years, hospitalized after TBI, were assessed soon after TBI regarding injury severity and preinjury psychiatric, socioeconomic, family functioning, and family psychiatric history status; neuroimaging was also analyzed. Psychiatric assessments were repeated 3, 6, 12, and 24 months after TBI. Only 2 of 46 (4%) subjects with at least one follow-up assessment developed PTSD. However, the frequency with which subjects experienced at least one PTSD symptom ranged from 68% in the first 3 months to 12% at 2 years in assessed children. The presence of an internalizing disorder at time of injury followed by greater injury severity were the most consistent predictors of PTSD symptomatology. It is apparent, therefore, that PTSD and subsyndromal posttraumatic stress disturbances occur despite neurogenic amnesia. These problems should be treated, particularly if symptoms persist beyond 3 months.
UR - http://www.scopus.com/inward/record.url?scp=0031723113&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0031723113&partnerID=8YFLogxK
U2 - 10.1097/00005053-199810000-00001
DO - 10.1097/00005053-199810000-00001
M3 - Article
C2 - 9788634
AN - SCOPUS:0031723113
VL - 186
SP - 589
EP - 596
JO - Journal of Nervous and Mental Disease
JF - Journal of Nervous and Mental Disease
SN - 0022-3018
IS - 10
ER -