School of Applied Psychology & Menzies Health Institute of Queensland, GriffithUniversity , Brisbane, Australia.
School of Psychological Sciences, University of Melbourne , Melbourne, Australia.
Child Neuropsychol. 2020 Nov;26(8):1005-1025. doi: 10.1080/09297049.2020.1750577. Epub 2020 Apr 7.
Few studies have examined the self-reported mental health of children with an acquired brain injury (ABI). The current study aimed to: 1) identify levels of child-reported depressive and anxiety symptoms and poor self-concept, 2) investigate demographic and injury-related factors associated with children's mood and self-concept, and 3) examine associations between children's self-reported mental health and parents' reports of children's emotional and behavioral functioning in children specifically with traumatic brain injury (TBI). 122 children (66% male) aged 8-16 years with ABI of mixed etiology were consecutively recruited through an outpatient rehabilitation clinic. Children were administered the Beck Youth Inventories - Second Edition, and parents completed the Adaptive Behavior Assessment System and the Child Behavior Checklist (CBCL). Relative to the norms, 16.4% of children scored in the clinical range for the depression and anxiety scales, and 24.6% reported clinically low self-concept. Children with lower functional status had greater anxiety symptoms. Older children (13-16 years) reported significantly higher depressive and anxiety symptoms and lower self-concept than younger children (8-12 years). A significant interaction between age and sex indicated that older girls reported greater depressive and anxiety symptoms than younger girls whereas no age-based differences were found for boys. Parent-reported total emotional and behavioral problems were positively associated with children's self-reported depressive and anxiety symptoms and were negatively correlated with self-concept. These findings indicate that adolescents, particularly girls, may be at heightened risk of poor mental health following ABI. Further research investigating the reasons for these demographic differences may inform developmentally sensitive interventions.
很少有研究检查过患有后天性脑损伤（ABI）的儿童的自我报告心理健康状况。本研究旨在：1）确定儿童报告的抑郁和焦虑症状以及自我概念差的程度，2）调查与儿童情绪和自我概念相关的人口统计学和损伤相关因素，3）检查儿童自我报告的心理健康与父母报告的儿童情绪和行为功能之间的关联，特别是在创伤性脑损伤（TBI）的儿童中。122 名年龄在 8-16 岁的儿童患有混合病因的 ABI，通过门诊康复诊所连续招募。对儿童进行贝克青年清单 - 第二版评估，父母完成适应行为评估系统和儿童行为检查表（CBCL）。与规范相比，16.4%的儿童在抑郁和焦虑量表中得分处于临床范围，24.6%的儿童报告自我概念较低。功能状态较低的儿童焦虑症状更严重。年龄较大的儿童（13-16 岁）报告的抑郁和焦虑症状以及自我概念明显低于年龄较小的儿童（8-12 岁）。年龄和性别之间存在显著的交互作用，表明年龄较大的女孩比年龄较小的女孩报告更多的抑郁和焦虑症状，而男孩则没有年龄差异。父母报告的总情绪和行为问题与儿童自我报告的抑郁和焦虑症状呈正相关，与自我概念呈负相关。这些发现表明，青少年，尤其是女孩，在 ABI 后可能面临更大的心理健康风险。进一步研究这些人口统计学差异的原因可能会为发展敏感的干预措施提供信息。
