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 Citations (Scopus)

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 1998
Externally publishedYes

Fingerprint

Post-Traumatic Stress Disorders
Psychiatry
Wounds and Injuries
Amnesia
Neuroimaging
Traumatic Brain Injury

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

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 journalArticle

Max, JE, Castillo, CS, Robin, DA, Lindgren, SD, Smith, WL, Sato, Y & Arndt, S 1998, 'Posttraumatic stress symptomatology after childhood traumatic brain injury', Journal of Nervous and Mental Disease, vol. 186, no. 10, pp. 589-596. https://doi.org/10.1097/00005053-199810000-00001
Max, Jeffrey E. ; Castillo, Carlos S. ; Robin, Donald A. ; Lindgren, Scott D. ; Smith, Wilbur L. ; Sato, Yutaka ; Arndt, Stephan. / Posttraumatic stress symptomatology after childhood traumatic brain injury. In: Journal of Nervous and Mental Disease. 1998 ; Vol. 186, No. 10. pp. 589-596.
@article{21c5f6ad632c4914a3e6edc132ba0d42,
title = "Posttraumatic stress symptomatology after childhood traumatic brain injury",
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.",
author = "Max, {Jeffrey E.} and Castillo, {Carlos S.} and Robin, {Donald A.} and Lindgren, {Scott D.} and Smith, {Wilbur L.} and Yutaka Sato and Stephan Arndt",
year = "1998",
month = "10",
doi = "10.1097/00005053-199810000-00001",
language = "English (US)",
volume = "186",
pages = "589--596",
journal = "Journal of Nervous and Mental Disease",
issn = "0022-3018",
publisher = "Lippincott Williams and Wilkins",
number = "10",

}

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 -