Hajek Christine A, Yeates Keith Owen, Gerry Taylor H, Bangert Barbara, Dietrich Ann, Nuss Kathryn E, Rusin Jerome, Wright Martha
Department of Psychology, The Ohio State University, Columbus, OH, USA.
Brain Inj. 2010 Feb;24(2):100-9. doi: 10.3109/02699050903508226.
To investigate the occurrence of post-concussive symptoms (PCS) and symptoms of post-traumatic stress disorder (PTSD) in children following mild traumatic brain injuries (TBI).
Longitudinal study comparing the outcomes of mild TBI and orthopaedic injuries (OI) in children aged 8-15.
One hundred and eighty-six children with mild TBI and 99 with OI were recruited prospectively. Parents rated children's PCS and symptoms of PTSD at 2 weeks, 3 months and 12 months post-injury. One hundred and sixty-seven with mild TBI and 84 with OI completed all assessments.
Controlling for symptoms of PTSD, the mild TBI group demonstrated more PCS than the OI group, although the magnitude of group differences diminished with time. Controlling for PCS, the OI group displayed more symptoms of PTSD than the mild TBI group at baseline, but not thereafter. Symptoms of PTSD and PCS were correlated significantly, but more highly in the OI group than the mild TBI group.
Although PCS and symptoms of PTSD are correlated, children with mild TBI are more distinguishable from children with OI based on PCS than on symptoms of PTSD. The latter symptoms, moreover, do not account for increased PCS following mild TBI in children.
调查轻度创伤性脑损伤（TBI）后儿童脑震荡后症状（PCS）和创伤后应激障碍（PTSD）症状的发生情况。
纵向研究，比较8至15岁儿童轻度TBI和骨科损伤（OI）的结果。
前瞻性招募了186名轻度TBI儿童和99名OI儿童。父母在受伤后2周、3个月和12个月对儿童的PCS和PTSD症状进行评分。167名轻度TBI儿童和84名OI儿童完成了所有评估。
在控制PTSD症状的情况下，轻度TBI组的PCS比OI组更多，尽管组间差异的幅度随时间减小。在控制PCS的情况下，OI组在基线时的PTSD症状比轻度TBI组更多，但此后并非如此。PTSD症状和PCS显著相关，但OI组的相关性高于轻度TBI组。
尽管PCS和PTSD症状相关，但基于PCS，轻度TBI儿童比OI儿童更具可区分性，而不是基于PTSD症状。此外，后一种症状并不能解释儿童轻度TBI后PCS的增加。
