Mittenberg W, Wittner M S, Miller L J
Center for Psychological Studies, Nova Southeastern University, Fort Lauderdale, Florida 33314, USA.
Neuropsychology. 1997 Jul;11(3):447-52. doi: 10.1037//0894-4105.11.3.447.
The consensus of evidence published since 1924 suggests that parents report attention deficits, hyperactivity, or conduct disorder after pediatric head injury rather than postconcussion syndrome. In this study, the symptoms reported by children after mild (n = 38) and moderate-severe (n = 27) head trauma were compared to those reported after orthopedic injury (n = 47) and to adults matched for injury severity and chronicity by using a structured interview based on diagnostic criteria for postconcussion syndrome. Pediatric head trauma caused significantly more subjective symptoms after 6 weeks than orthopedic injury. These symptoms were related to head injury severity and the child's anxiety level. When assessed in a similar manner, children report postconcussion syndrome similar to that seen in adults.
自1924年以来发表的证据共识表明,家长报告称儿童头部受伤后出现注意力缺陷、多动或品行障碍,而非脑震荡后综合征。在本研究中,通过使用基于脑震荡后综合征诊断标准的结构化访谈,将轻度(n = 38)和中重度(n = 27)头部创伤后儿童报告的症状,与骨科损伤后(n = 47)报告的症状,以及与损伤严重程度和病程相匹配的成人报告的症状进行比较。与骨科损伤相比,小儿头部创伤在6周后引起的主观症状明显更多。这些症状与头部损伤严重程度和儿童焦虑水平有关。当以类似方式进行评估时,儿童报告的脑震荡后综合征与成人所见相似。