Jones Kelly M, Starkey Nicola J, Theadom Alice, Gheorghe Alina, Willix-Payne Dawn, Prah Philip, Feigin Valery L
a National Institute for Stroke and Applied Neurosciences, Faculty of Health and Environmental Studies , Auckland University of Technology , Auckland , New Zealand.
b School of Psychology, Faculty of Arts & Social Sciences , The University of Waikato , Hamilton , New Zealand.
Brain Inj. 2018;32(11):1397-1404. doi: 10.1080/02699052.2018.1496477. Epub 2018 Jul 9.
Mild traumatic brain injury (mTBI) in children is most commonly associated with parent-reported child behaviour problems. The extent to which parent and child ratings align is unknown.
To examine differences in child behaviour and patterns of recovery over the first 12 months following mTBI based on parent and child self-report.
Ninety-nine children (8-15 years) with mTBI and one of their parents completed the Behavioural Assessment Scale for Children - version 2 to assess child hyperactivity, anxiety and depression at baseline, 1, 6 and 12 months post-injury. Differences between ratings from parents and children were evaluated using Bland-Altman limits of agreement analyses. Child recovery over time was examined using mixed models repeated measures analyses.
Parent and child ratings for child hyperactivity, anxiety and depression differed significantly at baseline and these differences remained constant at each follow-up. Parents tended to report more child hyperactivity, anxiety and depression. Over time, parents and children reported fewer child hyperactivity and anxiety problems.
Parents and children have poor agreement in ratings of child behaviour yet there is general agreement in patterns of recovery in the year following mTBI. Findings show the importance of considering both parent and self-report of child behaviour.
儿童轻度创伤性脑损伤（mTBI）最常与家长报告的儿童行为问题相关。家长和儿童评分的一致程度尚不清楚。
基于家长和儿童的自我报告，研究mTBI后前12个月儿童行为及恢复模式的差异。
99名患有mTBI的儿童（8 - 15岁）及其一名家长完成了儿童行为评估量表第二版，以评估受伤后基线、1个月、6个月和12个月时儿童的多动、焦虑和抑郁情况。使用布兰德 - 奥特曼一致性界限分析评估家长和儿童评分之间的差异。使用混合模型重复测量分析研究儿童随时间的恢复情况。
在基线时，家长和儿童对儿童多动、焦虑和抑郁的评分存在显著差异，且在每次随访时这些差异保持不变。家长倾向于报告更多的儿童多动、焦虑和抑郁情况。随着时间推移，家长和儿童报告的儿童多动和焦虑问题减少。
家长和儿童在儿童行为评分上的一致性较差，但在mTBI后的一年中恢复模式上存在普遍一致性。研究结果表明考虑儿童行为的家长报告和自我报告都很重要。
