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轻度创伤性脑损伤作为青少年内化和外化精神病理学分类的预测指标。

Mild Traumatic Brain Injury as a Predictor of Classes of Youth Internalizing and Externalizing Psychopathology.

机构信息

Department of Psychology, Center for Youth Development and Intervention, The University of Alabama, Tuscaloosa, AL, 35401, USA.

Department of Criminal Justice and Criminology, Sam Houston State University, Huntsville, TX, 77340, USA.

出版信息

Child Psychiatry Hum Dev. 2021 Feb;52(1):166-178. doi: 10.1007/s10578-020-00992-9. Epub 2020 May 5.

Abstract

Mild traumatic brain injury (mTBI), is a developing public health problem. Evidence suggests that youth who suffer a mTBI experience worse outcomes than similar adults. However, the structure of long-term symptoms associated with mTBI is not well understood. The current study aims to determine if classes of youth psychopathology can be predicted by mTBI status. The current study analyzed a large sample of children and adolescents from the Project on Human Development in Chicago Neighborhoods (n = 2978) to examine trajectories of psychopathologies. Using data from the Achenbach Childhood Behavior Checklist, latent classes of internalizing and externalizing psychopathology were identified. Multinomial logistic regression models were used to examine if mTBI predicted class membership, while controlling for a number of variables associated with psychopathology. The results of the current study suggest that mTBI may be an important transdiagnostic risk factor associated with developmental patterns of internalizing and externalizing psychopathology.

摘要

轻度创伤性脑损伤(mTBI)是一个日益严重的公共卫生问题。有证据表明,患有 mTBI 的年轻人比类似的成年人经历更糟糕的后果。然而,与 mTBI 相关的长期症状的结构尚不清楚。本研究旨在确定 mTBI 状态是否可以预测青年精神病理学的类别。本研究分析了来自芝加哥社区人类发展项目的大量儿童和青少年样本(n=2978),以检查精神病理学的轨迹。使用来自 Achenbach 儿童行为检查表的数据,确定了内化和外化精神病理学的潜在类别。使用多项逻辑回归模型,在控制与精神病理学相关的许多变量的情况下,检查 mTBI 是否预测类别归属。本研究的结果表明,mTBI 可能是与内化和外化精神病理学发展模式相关的重要跨诊断风险因素。

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