Traumatic Brain Injury in a Child Psychiatry Inpatient Population: A Controlled Study

Max, Jeffrey E.; Sharma, Anil; Qurashi, Mir I.

doi:10.1016/s0890-8567(09)66570-9

Cited by 10 publications

(22 citation statements)

References 8 publications

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“…These 58 manuscripts were divided among 3 pairs of reviewers (6 reviewers) and further narrowed to 30 full manuscripts that were included in the systematic review based on inclusion/exclusion criteria. 24,27,31,32,41 –66…”

Section: Resultsmentioning

confidence: 99%

“…In previous studies, the rate of psychiatric disorders in children with mTBI has varied widely (between 10% and 100%) depending on study design. [18][19][20][21][22][23][24][25][26][27][28][29][30][31][32][33][34] The range of new-onset disorders reported in the subset of studies that consecutively recruited children with mTBI is narrower. [18][19][20][21][22][23][24][25][26][27][28][29] However, many previous studies have not included control groups.…”

Section: Introductionmentioning

confidence: 99%

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A Systematic Review of Psychiatric, Psychological, and Behavioural Outcomes following Mild Traumatic Brain Injury in Children and Adolescents

et al. 2016

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Background: Evidence regarding longer-term psychiatric, psychological, and behavioural outcomes (for example, anxiety, mood disorders, depression, and attention disorders) following mild traumatic brain injury (mTBI) in children and adolescents has not been previously synthesized. Objective: To conduct a systematic review of the available evidence examining psychiatric, psychological, and behavioural outcomes following mTBI in children and adolescents.Materials and Methods: Nine electronic databases were systematically searched from 1980 to August 2014. Studies selected met the following criteria: original data; study design was a randomized controlled trial, quasi-experimental design, cohort or historical cohort study, case-control study, or cross-sectional study; exposure included mTBI (including concussion); population included children and adolescents (<19 years) at the time of mTBI, as well as a comparison group (for example, healthy children, children with orthopaedic injuries); and included psychiatric, psychological, or behavioural outcomes (for example, anxiety, mood disorders, depression, attention disorders). Two authors independently assessed the quality and level of evidence with the Downs and Black (DB) criteria and Oxford Centre of Evidence-Based Medicine (OCEBM) model, respectively, for each manuscript. Results: Of 9472 studies identified in the initial search, 30 were included and scored. Heterogeneity in methodology and injury definition precluded meta-analyses. The median methodological quality for all 30 studies, based on the DB criteria, was 15/33 (range 6 to 19). The highest level of evidence demonstrated by all reviewed studies was level 2b based on OCEBM criteria, with the majority (28/30 studies) classified at this level. Based on the literature included in this systematic review, psychological and psychiatric problems in children with a history of mTBI were found to be more prevalent when mTBI is Ré sultats : Sur les 9 472 études repérées dans la recherche initiale, 30 ont été incluses et notées. L'hétérogénéité de la méthodologie et la définition du traumatisme excluaient les méta-analyses. La qualité méthodologique moyenne pour les 30 études, selon les critères DB, était de 15/33 (écart 6-19). Le niveau le plus élevé des données probantes démontré par toutes les études examinées était le niveau 2b, selon les critères de l'OCEBM, la majorité des études (28/30) étant classées à ce niveau. D'après la littérature incluse dans cette revue systématique, les problèmes psychiatriques et psychologiques des enfants ayant des antécédents de TCCb se sont révélés plus prévalents quand le TCCb est associé à une hospitalisation, quand l'évaluation a lieu plus tôt dans la période de rétablissement (c.-à-d., qui se résout avec le temps), quand il y a de multiples TCCb passés, chez des personnes souffrant d'une maladie psychiatrique préexistante, quand les résultats sont basés sur la mémoire rétrospective, et quand le groupe de comparaison est formé d'enfants en santé non blessés (par oppositi...

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A Systematic Review of Psychiatric, Psychological, and Behavioural Outcomes following Mild Traumatic Brain Injury in Children and Adolescents

et al. 2016

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“…These two studies did not reveal a significant association between ADHD and risk for an MTBI. Similarly, in two large chart review studies of child psychiatry inpatient (Max, Sharma, & Qurashi, 1997) and outpatient (Max & Dunisch, 1997) samples, those with a history of MTBI were not more likely to have ADHD. Two longitudinal cohort studies revealed mixed results.…”

Section: Introductionmentioning

confidence: 96%

High School Athletes With ADHD and Learning Difficulties Have a Greater Lifetime Concussion History

et al. 2016

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“…(2) retrospective cross-sectional psychiatric studies of consecutive hospital admissions that used (a) standardized psychiatric interviews (Lemkuhl & Thoma, 1990;Max et al, 1998c;Shaffer et al, 1975), (b) unstandardized psychiatric interviews (Rune, 1970); (3) prospective study of a referred sample of TBI children in a rehabilitation center using a standardized psychiatric interview (Gerring et al, 1998); (4) retrospective cross-sectional psychiatric studies using nonstandardized psychiatric interviews of referred samples such as child psychiatric inpatients (Bender & Fabian, 1956;Blau, 1936;Max et al, 1997c;Strecker & Ebaugh, 1924), child psychiatric outpatients (Harrington & Letemendia, 1958;Kasanin, 1929;Max & Dunisch, 1997;Otto, 1960), pediatric brain injury clinic patients (Max et al, 1997a), and litigants in the civil justice system (Dillon & Leopold, 1961;Max et al, 1998a); (5) case reports of adults who acquired their injuries during childhood (Ackerly, 1964;Ackerly & Benton, 1947;Eslinger et al, 1992;Hebb, 1945;Hebb & Penfield, 1940;Price et al, 1990), and reports of children after their injury (Marlowe, 1992;Russell, 1959;Williams & Mateer, 1992). There is also a large literature that addresses postinjury behavioral changes reported by parents and teachers typically by questionnaires that tend not to be specific to generating a psychiatric diagnosis including that of PC (Fletcher et al, 1996;Rivara et al, 1994;Yeates et al, 1997).…”

Section: Introductionmentioning

confidence: 99%

Personality change disorder in children and adolescents following traumatic brain injury

Max

Koele

Castillo

et al. 2000

J Int Neuropsychol Soc

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The occurrence of personality change due to traumatic brain injury (PC), and its clinical and neuroimaging correlates were investigated. Ninety-four children, ages 5 through 14 at the time of hospitalization following traumatic brain injury (TBI; severe TBI N = 37; mild–moderate TBI N = 57), were assessed. Standardized psychiatric, adaptive functioning, cognitive functioning, family functioning, family psychiatric history, severity of injury, and neuroimaging assessments were conducted. The Neuropsychiatric Rating Schedule (NPRS) was used to establish a diagnosis of PC. Approximately 40% of consecutively hospitalized severe TBI participants had ongoing persistent PC an average of 2 years postinjury. An additional approximately 20% had a history of a remitted and more transient PC. PC occurred in 5% of mild–moderate TBI but was always transient. Interrater reliability for the diagnosis of PC was good (Kappa = .70). In severe TBI participants, persistent PC was significantly associated with severity of injury, particularly impaired consciousness over 100 hr, adaptive and intellectual functioning decrements, and concurrent diagnosis of secondary attention deficit hyperactivity disorder, but was not significantly related to any psychosocial adversity variables. These findings suggest that PC is a frequent diagnosis following severe TBI in children and adolescents, but is much less common following mild–moderate TBI. (JINS, 2000, 6, 279–289.)

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Traumatic Brain Injury in a Child Psychiatry Inpatient Population: A Controlled Study

Cited by 10 publications

References 8 publications

A Systematic Review of Psychiatric, Psychological, and Behavioural Outcomes following Mild Traumatic Brain Injury in Children and Adolescents

A Systematic Review of Psychiatric, Psychological, and Behavioural Outcomes following Mild Traumatic Brain Injury in Children and Adolescents

High School Athletes With ADHD and Learning Difficulties Have a Greater Lifetime Concussion History

Personality change disorder in children and adolescents following traumatic brain injury

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