Journal of the American Academy of Child & Adolescent Psychiatry
ArticlesLifetime and Novel Psychiatric Disorders After Pediatric Traumatic Brain Injury
Section snippets
Subjects
Forty-six children and adolescents (29 males and 17 females) were seen in conjunction with their participation in a larger prospective study of the neurobehavioral outcome of TBI encompassing a number of cognitive functions including executive functions, attention, discourse, and memory (e.g., Brookshire et al., 2000, Levin et al., 1996). This article reports on preliminary long-term psychiatric outcome in a representative subsample from this ongoing study. Children were eligible for inclusion
Lifetime and Current Psychiatric Disorders
Despite attempts to exclude children with preinjury neuropsychiatric disorders, the DICA-R identified 16 children with 20 previously undiagnosed DSM-IV disorders. Thirteen of these children had internalizing disorders that were associated with minimal if any impairment. ADHD was the most common disorder present prior to injury (i.e., 10 total including 6 predominantly inattentive type) followed by 6 anxiety disorders including 4 specific phobias. Demographic variables were similar among
Psychiatric Interview Findings
The current study was generally consistent with previous retrospective (Lehmkuhl and Thoma, 1990, Max et al., 1998b, Shaffer et al., 1975) and prospective (Brown et al., 1981, Max et al., 1997a, Max et al., 1997b, Max et al., 1997c) research using psychiatric interviewing in revealing a high rate of psychiatric disorder at least 1 year after significant TBI in children and adolescents. In the present sample, 76% of the children had lifetime psychiatric disorders, which is quite similar to rates
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This research was supported by NIH grant NS-21889, Neurobehavioral Outcome of Head Injury in Children, from the National Institute of Neurological Disorders and Stroke.