Behavior problems 7 years after severe childhood traumatic brain injury: Results of the Traumatisme Grave de L'Enfant study.

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2024-04-22 DOI:10.1037/rep0000555

H. Câmara-Costa, Lilia Tokpo, Leila Francillette, H. Toure, D. Brugel, A. Laurent‐Vannier, Philippe Meyer, Georges Dellatolas, M. Chevignard

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引用次数: 0

Abstract

PURPOSE/OBJECTIVE To investigate the occurrence of behavioral problems 7 years after severe pediatric traumatic brain injury (TBI), and their evolution from 3 months to 7 years postinjury. METHOD/DESIGN Thirty-four participants, 38% girls, M (SD) age at injury 7.6 (4.7) years, age at assessment 15 (4.6) years, underwent comprehensive assessments 7 years after severe TBI from March 2014 to March 2016 and were matched to a control group by age, gender, and parental education. A subgroup of 20 participants had available behavioral assessments at 3, 12, and 24 months postinjury. Internalizing, externalizing, and total behavioral problems were assessed with self- and parent reports of the Achenbach's Behavioral Checklist. Additional data included sociodemographic background, initial injury severity, and specific outcomes assessed concurrently 7 years postinjury. RESULTS Compared to controls: (a) a significant proportion of participants with severe TBI fell above the clinical cutoff for self- (42%) and parent-reported (36%) externalizing problems, but not for self- (33%) or parent-reported (45%) internalizing problems; (b) withdrawn/depressed, intrusive behavior, and somatic complaints were significantly higher in self-reports; and (c) rule-breaking behavior, attention, and social problems were significantly higher in parent reports. Parent-reported internalizing problems were associated with older age at injury, whereas externalizing problems correlated with greater injury severity and concurrent levels of greater overall disability, lower intellectual ability, and poorer family functioning. In multiple hierarchical regression analyses, overall disability and worse family functioning significantly predicted externalizing problems. Parent-reported internalizing and externalizing problems persisted over time. CONCLUSIONS/IMPLICATIONS These results highlight the importance of long-term follow-up and individualized behavioral interventions for children who sustained severe TBI. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

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严重儿童脑外伤 7 年后的行为问题：儿童严重创伤研究结果。

目的研究严重小儿创伤性脑损伤（TBI）7 年后行为问题的发生及其在伤后 3 个月至 7 年间的演变情况。方法/设计34 名参与者（38% 为女孩，中位数（标清）受伤时年龄为 7.6（4.7）岁，评估时年龄为 15（4.6）岁）在 2014 年 3 月至 2016 年 3 月期间接受了严重 TBI 7 年后的综合评估，并与对照组进行了年龄、性别和父母教育程度的匹配。20名参与者中的一个亚组在伤后3、12和24个月进行了行为评估。内化、外化和总的行为问题是通过阿亨巴赫行为检查表的自我和家长报告进行评估的。其他数据包括社会人口背景、最初的受伤严重程度以及受伤后 7 年同时评估的特定结果。结果与对照组相比：(a) 很大一部分严重创伤性脑损伤患者的自我报告（42%）和家长报告（36%）的外化问题超过了临床临界值，但自我报告（33%）和家长报告（45%）的内化问题则没有超过临床临界值；(b) 自我报告中的孤僻/抑郁、侵入性行为和躯体不适明显较多；(c) 家长报告中的破坏规则行为、注意力和社交问题明显较多。家长报告的内化问题与受伤年龄较大有关，而外化问题则与受伤严重程度较高以及同时存在的整体残疾程度较高、智力较低和家庭功能较差有关。在多重分层回归分析中，总体残疾程度和较差的家庭功能可显著预测外化问题。家长报告的内化和外化问题会随着时间的推移而持续存在。结论/启示这些结果凸显了长期随访和个性化行为干预对严重创伤性脑损伤儿童的重要性。(PsycInfo Database Record (c) 2024 APA，保留所有权利）。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.