Trenchard Sian Olivia, Rust Stewart, Bunton Penny
Paediatric Psychosocial Service, Royal Manchester Children's Hospital , Manchester , UK and.
Brain Inj. 2013;27(11):1217-37. doi: 10.3109/02699052.2013.812240.
To systematically review the results of investigative research into psychosocial outcomes following paediatric traumatic brain injury (TBI) in children of school-age.
Searches were conducted using PsycINFO, MEDLINE and Science Direct. Three hundred and ninety papers were identified, of which 17 met inclusion criteria. Citation searches uncovered 28 further studies. All 44 studies were appraised in terms of their methodological rigour (e.g. sample characteristics, measures utilized, control groups employed).
The papers reviewed described outcomes across domains of behavioural, emotional, adaptive and parent/family functioning. Studies describing behavioural functioning post-injury demonstrated least consistent results. Papers examining emotional, adaptive and parent/family outcomes found that those with head injury presented with poorer functioning than other paediatric populations. Injury severity was commonly identified as a significant predictor of outcome, as were several pre-injury psychosocial factors.
Inconsistencies in results may have arisen due to the heterogeneous populations studied and methodologies employed. Research which examines the reliability of assessment measures is needed. Given the high prevalence of difficulties, psychosocial assessment is warranted in this population.
系统回顾学龄期儿童创伤性脑损伤（TBI）后心理社会结局的调查研究结果。
使用PsycINFO、MEDLINE和科学Direct进行检索。共识别出390篇论文，其中17篇符合纳入标准。通过引文检索又发现了28项研究。对所有44项研究的方法严谨性（如样本特征、使用的测量方法、采用的对照组）进行了评估。
所审查的论文描述了行为、情绪、适应性以及父母/家庭功能等领域的结局。描述损伤后行为功能的研究结果最不一致。研究情绪、适应性以及父母/家庭结局的论文发现，头部受伤的儿童比其他儿科人群的功能更差。损伤严重程度通常被确定为结局的重要预测因素，一些损伤前的心理社会因素也是如此。
结果的不一致可能是由于所研究人群和采用方法的异质性所致。需要开展研究来检验评估措施的可靠性。鉴于困难的高发生率，对该人群进行心理社会评估是必要的。
