Posttraumatic stress symptomatology after childhood traumatic brain injury

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

Research output: Contribution to journalArticle

54 Scopus citations

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 languageEnglish (US)
Pages (from-to)589-596
Number of pages8
JournalJournal of Nervous and Mental Disease
Volume186
Issue number10
DOIs
StatePublished - Oct 1 1998

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ASJC Scopus subject areas

  • Psychiatry and Mental health

Cite this

Max, J. E., Castillo, C. S., Robin, D. A., Lindgren, S. D., Smith, W. L., Sato, Y., & Arndt, S. (1998). Posttraumatic stress symptomatology after childhood traumatic brain injury. Journal of Nervous and Mental Disease, 186(10), 589-596. https://doi.org/10.1097/00005053-199810000-00001