Traumatic brain injury in children and adolescents: Psychiatric disorders in the second three months

Jeffrey E. Max, Scott D. Lindgren, Donald A. Robin, Wilbur L. Smith, Yutaka Sato, Philip J. Mattheis, Carlos S. Castillo, Julie A.G. Stierwalt

Research output: Contribution to journalArticlepeer-review

41 Scopus citations

Abstract

Psychiatric disorders may be common after traumatic brain injury (TBI) in children, yet there is a dearth of prospective studies examining this problem. Fifty children aged 6 to 14, hospitalized after TBI, were assessed soon after TBI regarding preinjury psychiatric, behavioral, adaptive, and family functioning, family psychiatric history status and injury severity. The outcome measure was the presence of a 'novel' psychiatric disorder (not present before the injury) during the second 3 months after the injury. Forty-two subjects were reassessed at 6 months. Severity of injury, family psychiatric history, and family function predicted a novel psychiatric disorder. Among children suffering a mild/moderate injury, those with preinjury lifetime psychiatric disorders were no longer (as they had been in the first 3 months) at higher risk than those without such a lifetime history. Thus, there appeared to be children, identifiable through clinical assessment, at increased risk for novel psychiatric disorders after TBI.

Original languageEnglish (US)
Pages (from-to)394-401
Number of pages8
JournalJournal of Nervous and Mental Disease
Volume185
Issue number6
DOIs
StatePublished - Jun 1 1997

ASJC Scopus subject areas

  • Psychiatry and Mental health

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