Department of Psychology, Center for Youth Development and Intervention, The University of Alabama, 348 Gordon Palmer Hall, Tuscaloosa, AL, 35487, USA.
Child Psychiatry Hum Dev. 2024 Apr;55(2):488-496. doi: 10.1007/s10578-022-01433-5. Epub 2022 Sep 6.
Mild traumatic brain injury (mTBI) is a growing public health concern, and it is a common injury amongst children and adolescents. Existing evidence suggests that mTBI in youth may be related to both externalizing and internalizing symptoms. However, many existing studies fail to control for pre-injury symptoms or consider the potential interaction between mTBI and pre-injury symptom levels. The current study employed data from a longitudinal sample (N = 1,803) of youth from the Project on Human Development in Chicago Neighborhoods to assess the interaction between pre-injury externalizing and internalizing symptoms and outcomes following mTBI in youth. The results showed, contrary to our expectations, that participants with lower pre-injury symptoms were at a greater risk for increased psychopathology following mTBI, compared to participants with higher pre-injury symptoms and non-injured participants. Potential explanations for the results and implications are discussed.
轻度创伤性脑损伤（mTBI）是一个日益严重的公共卫生问题，在儿童和青少年中较为常见。现有证据表明，青少年的 mTBI 可能与外化和内化症状有关。然而，许多现有研究未能控制受伤前的症状，也没有考虑 mTBI 与受伤前症状水平之间的潜在相互作用。本研究利用来自芝加哥社区人类发展项目的纵向样本（N=1803）的数据，评估了青少年受伤前的外化和内化症状与 mTBI 后结果之间的相互作用。结果与我们的预期相反，与受伤前症状较高的参与者和未受伤的参与者相比，受伤前症状较低的参与者在 mTBI 后出现更多精神病理学症状的风险更高。讨论了对结果的潜在解释和影响。
