Green L, Godfrey C, Soo C, Anderson V, Catroppa C
Psychological Science, University of Melbourne, Melbourne, Australia.
Brain Inj. 2013;27(7-8):872-7. doi: 10.3109/02699052.2013.775506. Epub 2013 Jun 19.
This study investigated the long-term psychosocial outcome and quality-of-life (QoL) of 15-18 year olds, sustaining childhood traumatic brain injury (TBI) between birth and 5 years.
Thirty-three participants (17 TBI parent-proxies, 16 control parent-proxies) were involved in the present study which compared parent-ratings for the TBI group and healthy controls on the Sydney Psychosocial Reintegration Scale-Child form (SPRS-C) and the Paediatric Quality of Life Inventory (PedsQL).
Despite comparable overall psychosocial reintegration scores, parents reported that their teens with TBI were more likely to experience poor QoL compared to controls. On further analysis, some aspects of psychosocial outcome appear to be compromised following childhood TBI.
Interventions targeting childhood TBI must consider QoL in addition to symptom reduction and be extended throughout adolescence. The limitations of the sample size are cause for concern; however, preliminary results do validate the need for future research efforts.
本研究调查了15至18岁在出生至5岁期间遭受儿童创伤性脑损伤（TBI）的青少年的长期心理社会结局和生活质量（QoL）。
33名参与者（17名TBI患儿的家长代理人，16名对照患儿的家长代理人）参与了本研究，该研究比较了TBI组和健康对照组在悉尼心理社会重新融入量表儿童版（SPRS-C）和儿童生活质量量表（PedsQL）上的家长评分。
尽管总体心理社会重新融入得分相当，但家长报告称，与对照组相比，他们患有TBI的青少年更有可能经历较差的生活质量。进一步分析表明，儿童TBI后心理社会结局的某些方面似乎受到了影响。
针对儿童TBI的干预措施除了减轻症状外，还必须考虑生活质量，并应贯穿整个青春期。样本量的局限性令人担忧；然而，初步结果确实证实了未来研究的必要性。
