Faculty of Medicine Nursing and Health Sciences, School of Psychological Sciences, Monash University, Clayton, Australia.
School of Psychological Sciences, University of Melbourne, Melbourne, Australia, and.
J Ment Health. 2020 Aug;29(4):439-445. doi: 10.1080/09638237.2017.1385733. Epub 2017 Oct 5.
: A history of traumatic brain injury (TBI) is prevalent in children and adolescents within the health system, which may be accompanied with higher rates of poor mental health outcomes including anxiety and other psychiatric disorders.: To explore rates of TBI and associated anxiety and other psychiatric diagnoses in children and adolescents aged 5-18 years within the mental health system.: Participants were recruited from an outpatient mental health service in Canterbury, New Zealand. The Ohio State University TBI Identification method was utilised to ascertain TBI history. Anxiety and other diagnoses were identified by a mental health file review.: Over 28% of children in this study reported a history of TBI, the majority of which were mild. Review of mental health files revealed no significant differences between participants with and without TBI for anxiety and psychiatric diagnoses.: A proportionately high number of children and adolescents within the mental health system reported a previous TBI. However, anxiety and other psychiatric problems were not over-represented in this group. Further research is essential for examining the characteristics of children and adolescents with TBI within the mental health system, particularly those with more severe injuries, who may present a subgroup.
: 在医疗体系中,儿童和青少年普遍存在创伤性脑损伤(TBI)病史,这可能伴随着更高的心理健康不良结局发生率,包括焦虑和其他精神障碍。: 探索在心理健康体系中,年龄为 5-18 岁的儿童和青少年的 TBI 发生率,以及与之相关的焦虑和其他精神疾病诊断。: 参与者是从新西兰坎特伯雷的一家门诊心理健康服务机构招募的。使用俄亥俄州立大学 TBI 识别方法来确定 TBI 病史。通过心理健康档案审查确定焦虑和其他诊断。: 在这项研究中,超过 28%的儿童报告有 TBI 病史,其中大多数为轻度。对心理健康档案的审查显示,有和没有 TBI 的参与者在焦虑和精神疾病诊断方面没有显著差异。: 在心理健康体系中,相当数量的儿童和青少年报告了以前的 TBI。然而,在这群人中,焦虑和其他精神问题并没有过多地出现。进一步的研究对于检查心理健康体系中 TBI 儿童和青少年的特征是必要的,特别是那些有更严重损伤的儿童和青少年,他们可能是一个亚组。