Max J E, Sharma A, Qurashi M I
Department of Psychiatry, University of Iowa, Iowa City 52242, USA.
J Am Acad Child Adolesc Psychiatry. 1997 Nov;36(11):1595-601. doi: 10.1016/S0890-8567(09)66570-9.
To extend our findings from child psychiatry outpatients to child psychiatry inpatients regarding the similarity of children with a history of traumatic brain injury (TBI), particularly mild TBI, to matched children without such a history.
This is a chart review of patients consecutively admitted to a child psychiatry inpatient unit over a 5-year period. Children with TBI were matched by age, sex, race, and social class to children with no history of TBI. Axis I and II diagnoses and diagnostic clusters and use of special education services and IQ scores were compared.
Fifty-six (8.1%) of 694 consecutive patients admitted had a definite TBI. Not one of more than 50 variables compared between TBI and control subjects was significantly different.
In a child psychiatry inpatient unit, patients with a history of TBI were virtually indistinguishable from matched children without TBI. Caution should be exercised before attributing the child's problems, especially long-term problems, to the TBI unless the injury was severe or the child is exhibiting related phobic or posttraumatic stress symptomatology.
将我们在儿童精神科门诊患者中的研究结果扩展至儿童精神科住院患者，以探讨有创伤性脑损伤（TBI）病史的儿童，尤其是轻度TBI儿童，与匹配的无此类病史儿童的相似性。
这是一项对5年间连续入住儿童精神科住院部的患者的病历回顾。将有TBI的儿童按年龄、性别、种族和社会阶层与无TBI病史的儿童进行匹配。比较了轴I和轴II诊断及诊断集群、特殊教育服务的使用情况和智商分数。
694例连续入院患者中有56例（8.1%）有明确的TBI。在TBI组和对照组之间比较的50多个变量中，没有一个有显著差异。
在儿童精神科住院部，有TBI病史的患者与匹配的无TBI儿童几乎没有区别。在将儿童的问题，尤其是长期问题归因于TBI之前应谨慎，除非损伤严重或儿童表现出相关的恐惧或创伤后应激症状。
