创伤性脑损伤后青少年的内化问题与父母的精神症状有关。
Adolescents' internalizing problems following traumatic brain injury are related to parents' psychiatric symptoms.
机构信息
Department of Psychology, University of Denver, Denver, Colorado (Dr Peterson); Department of Physical Medicine and Rehabilitation, Children's Hospital Colorado and University of Colorado Denver School of Medicine, Aurora, Colorado (Dr Kirkwood); Department of Pediatrics, Case Western Reserve University, Rainbow Babies and Children's Hospital, University Hospitals Case Medical Center, Cleveland, Ohio (Dr Taylor); Department of Psychiatry, MetroHealth Medical Center and Case Western Reserve University, Cleveland, Ohio (Dr Stancin); Department of Psychiatry and Psychology, Mayo Clinic, Rochester, Minnesota (Dr Brown); and Department of Pediatrics, Cincinnati Children's Hospital Medical Center and University of Cincinnati College of Medicine, Cincinnati, Ohio (Dr Wade).
出版信息
J Head Trauma Rehabil. 2013 Sep-Oct;28(5):E1-12. doi: 10.1097/HTR.0b013e318263f5ba.
BACKGROUND
A small body of previous research has demonstrated that pediatric traumatic brain injury (TBI) increases risk for internalizing problems, but findings have varied regarding their predictors and correlates.
METHODS
We examined the level and correlates of internalizing symptoms in 130 teens who had sustained a complicated mild to severe TBI within the past 1 to 6 months. Internalizing problems were measured via both maternal- and paternal-report Child Behavior Checklist. We also measured family functioning, parent psychiatric symptoms, and postinjury teen neurocognitive function.
RESULTS
Mean parental ratings of internalizing problems were within the normal range. Depending on informant, 22% to 26% of the sample demonstrated clinically elevated internalizing problems. In multiple and binary logistic regression models, only parent psychiatric symptoms consistently provided unique prediction of teen internalizing symptoms. For maternal but not paternal report, female gender was associated with greater internalizing problems.
CONCLUSION
Parent and teen emotional problems are associated following adolescent TBI. Possible reasons for this relationship, including the effects of TBI on the family unit, are discussed.
背景
先前有少量研究表明，儿童创伤性脑损伤 (TBI) 会增加内化问题的风险，但关于其预测因素和相关性的研究结果却存在差异。
方法
我们研究了 130 名在过去 1 至 6 个月内遭受复杂轻度至重度 TBI 的青少年的内化症状水平及其相关性。通过母亲和父亲报告的儿童行为检查表来测量内化问题。我们还测量了家庭功能、父母的精神症状和创伤后青少年的神经认知功能。
结果
父母对内化问题的平均评分处于正常范围内。根据信息提供者的不同，22%至 26%的样本表现出明显的内化问题。在多项和二元逻辑回归模型中，只有父母的精神症状才能对青少年的内化症状提供独特的预测。对于母亲的报告，但不是父亲的报告，女性性别与更大的内化问题相关。
结论
青少年 TBI 后父母和青少年的情绪问题有关。讨论了这种关系的可能原因，包括 TBI 对家庭单位的影响。
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