Levi R B, Drotar D, Yeates K O, Taylor H G
Department of Psychology, Case Western Reserve University, Cleveland, OH 44106-7123, USA.
J Clin Child Psychol. 1999 Jun;28(2):232-43. doi: 10.1207/s15374424jccp2802_10.
Examined posttraumatic stress (PTS) symptoms in children following pediatric traumatic brain injury (TBI). Children (ages 6-12) with TBI (n = 81) and orthopedic injury (OI; n = 59) were assessed 6 and 12 months postinjury. Parents of children with severe TBI reported higher levels of child PTS symptoms than did parents of children with moderate TBI or OI at the 6- and 12-month follow-ups. Group differences in child-reported PTS symptoms emerged at the 12-month follow-up with higher symptom levels reported by children with severe TBI than by those with moderate TBI or OI. At both follow-ups, rates of clinically significant symptom levels were higher in the severe TBI group than in the moderate TBI or OI groups. The group differences in parent and child reports were significant even after taking ethnicity, social disadvantage, and age at injury into account. Parent and child reports of child PTS symptoms were related to family socioeconomic status. Implications for clinical intervention with children and families following pediatric TBI are discussed.
研究了小儿创伤性脑损伤（TBI）后儿童的创伤后应激（PTS）症状。对81名患有TBI的儿童（6 - 12岁）和59名患有骨科损伤（OI）的儿童在受伤后6个月和12个月进行了评估。在6个月和12个月的随访中，重度TBI儿童的父母报告的儿童PTS症状水平高于中度TBI或OI儿童的父母。在12个月的随访中，儿童报告的PTS症状出现了组间差异，重度TBI儿童报告的症状水平高于中度TBI或OI儿童。在两次随访中，重度TBI组临床显著症状水平的发生率均高于中度TBI或OI组。即使在考虑了种族、社会劣势和受伤时的年龄后，父母和儿童报告中的组间差异仍然显著。父母和儿童对儿童PTS症状的报告与家庭社会经济地位有关。文中讨论了对小儿TBI后儿童及其家庭进行临床干预的意义。
