Peterson Robin L, Connery Amy K, Baker David A, Kirkwood Michael W
From the Dept. of Physical Medicine and Rehabilitation, University of Colorado School of Medicine and Children's Hospital Colorado, Aurora.
J Neuropsychiatry Clin Neurosci. 2015 Fall;27(4):280-6. doi: 10.1176/appi.neuropsych.14120373. Epub 2015 Aug 10.
This study aimed to characterize preinjury emotional-behavioral functioning in pediatric patients with lingering problems after mild traumatic brain injury (TBI). The clinical case series design included 278 patients 8-17 years old. Parents retrospectively rated children's preinjury emotional-behavioral functioning on a broadband questionnaire. The rate of clinically significant preinjury anxiety was elevated compared with national norms. The number of previous TBIs was associated with clinically significant preinjury externalizing problems, suggesting a link between externalizing disorders and mild TBI exposure. Premorbid emotional-behavioral difficulties may play an important role in the establishment or maintenance of lingering symptoms after pediatric mild TBI.
本研究旨在描述轻度创伤性脑损伤（TBI）后仍存在问题的儿科患者伤前的情绪行为功能。该临床病例系列设计纳入了278名8至17岁的患者。家长通过一份综合问卷对孩子伤前的情绪行为功能进行回顾性评分。与全国常模相比，临床上显著的伤前焦虑发生率有所升高。既往TBI的次数与临床上显著的伤前外化问题相关，提示外化障碍与轻度TBI暴露之间存在联系。病前情绪行为困难可能在儿科轻度TBI后持续症状的形成或维持中起重要作用。
