Centre of National Research on Disability and Rehabilitation Medicine, University of Queensland, Queensland, Australia.
J Clin Child Adolesc Psychol. 2012;41(1):5-14. doi: 10.1080/15374416.2012.632348.
The adverse impact on recovery of posttraumatic stress disorder (PTSD) in mild traumatic brain injury (TBI) has been demonstrated in returned veterans. The study assessed this effect in children's health outcomes following TBI and extended previous work by including a full range of TBI severity, and improved assessment of PTSD within a longitudinal design. There were 205 children and adolescents (6 to 15 years of age) who experienced a TBI that were assessed at 2, 3, 6, 12, and 18 months following the TBI. Severity of TBI was classified as mild, moderate, or severe. After controlling for the impact of the severity of TBI, premorbid behavioral and emotional problems and executive function, children with TBI and PTSD did not experience as much psychosocial recovery as those without PTSD. Furthermore the level of psychosocial function was no better than that experienced by children with a severe TBI. In contrast, severe TBI was predictive of a poorer physical recovery in the first 6 months, after which recovery was equivalent across all severity levels.
创伤后应激障碍（PTSD）对轻度创伤性脑损伤（TBI）康复的不良影响在退伍军人中已有证实。本研究在儿童 TBI 后的健康结果中评估了这种影响，并通过包括全范围的 TBI 严重程度和在纵向设计中改进 PTSD 的评估，扩展了先前的工作。共有 205 名 6 至 15 岁的儿童和青少年经历了 TBI，并在 TBI 后 2、3、6、12 和 18 个月进行了评估。TBI 的严重程度分为轻度、中度或重度。在控制 TBI 严重程度、发病前行为和情绪问题以及执行功能的影响后，患有 PTSD 的 TBI 儿童的社会心理康复程度不如没有 PTSD 的儿童。此外，他们的社会心理功能水平并不比严重 TBI 儿童的好。相比之下，严重 TBI 在最初的 6 个月内预测到较差的身体康复，此后所有严重程度水平的康复效果相当。
