Neuropsychiatric Research, Rady Children's Hospital, 3020 Children's Way, MC 5018, San Diego, CA 92123-4282, USA.
Psychiatr Clin North Am. 2014 Mar;37(1):125-40. doi: 10.1016/j.psc.2013.11.003. Epub 2014 Jan 14.
Pediatric traumatic brain injury (TBI) is a major public health problem. Psychiatric disorders with onset before the injury are more common than population base rates. Novel (postinjury onset) psychiatric disorders (NPD) are also common and complicate child function after injury. Novel disorders include personality change due to TBI, secondary attention-deficit/hyperactivity disorder, other disruptive behavior disorders, and internalizing disorders. This article reviews preinjury psychiatric disorders as well as biopsychosocial risk factors and treatments for NPD.
儿科创伤性脑损伤 (TBI) 是一个主要的公共卫生问题。损伤前出现的精神障碍比人群基础发病率更为常见。新出现的(损伤后出现的)精神障碍(NPD)也很常见,并使儿童在受伤后的功能复杂化。新出现的障碍包括 TBI 引起的人格改变、继发性注意缺陷/多动障碍、其他破坏性行为障碍和内化障碍。本文回顾了损伤前的精神障碍以及 NPD 的生物心理社会风险因素和治疗方法。