Exploring sex differences in pediatric mild traumatic brain injury: clinical characteristics and recovery patterns of pediatric mTBI patients with non-credible effort.

IF 1.6 3区心理学 Q3 CLINICAL NEUROLOGY

Child Neuropsychology Pub Date : 2025-04-15 DOI:10.1080/09297049.2025.2492134

Mari-Liis Kaldoja, Kavita Devi Nadendla, Danielle Ploetz, Carolyn T Caldwell, Stacy J Suskauer, Adrian Svingos, Tyler Ann Busch, Beth S Slomine

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Abstract

This study investigates sex differences in demographic and injury-related characteristics, along with recovery patterns, in children with mild traumatic brain injury (mTBI) who failed at least one Performance Validity Test (PVT). A retrospective analysis of 186 patients (8-18 years old; 65.1% females) from a specialty concussion clinic with non-credible effort on PVTs was conducted. Data on demographics, injury-related characteristics, symptoms, as well as recovery patterns, were analyzed. There were significant sex differences in age at injury, pre-injury academic status, ADHD prevalence, physical activity levels, and post-injury emotional symptoms. Girls exhibited longer recovery times, had more clinical visits, and received different provider recommendations. This study revealed significant sex differences between boys and girls with mTBI and non-credible effort on PVTs. These findings underscore the need for sex-informed approaches in pediatric mTBI management and highlight areas for future research.

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探讨儿童轻度颅脑损伤的性别差异：非可信努力儿童mTBI患者的临床特征和恢复模式。

本研究调查了至少一项性能效度测试（PVT）失败的轻度创伤性脑损伤（mTBI）儿童在人口统计学和损伤相关特征以及恢复模式方面的性别差异。回顾性分析186例患者(8-18岁；（65.1%女性）来自一家专业脑震荡诊所，对pvt进行了不可信的努力。对人口统计数据、损伤相关特征、症状以及恢复模式进行了分析。在受伤年龄、受伤前学业状况、ADHD患病率、身体活动水平和受伤后情绪症状方面存在显著的性别差异。女孩表现出更长的恢复时间，有更多的临床就诊，并收到不同的提供者的建议。这项研究揭示了mTBI的男孩和女孩之间存在显著的性别差异，以及不可信的pvt努力。这些发现强调了在儿童mTBI管理中采用性别知情方法的必要性，并突出了未来研究的领域。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Child Neuropsychology 医学-临床神经学

CiteScore

4.10

自引率

9.10%

发文量

审稿时长

>12 weeks

期刊介绍： The purposes of Child Neuropsychology are to: publish research on the neuropsychological effects of disorders which affect brain functioning in children and adolescents, publish research on the neuropsychological dimensions of development in childhood and adolescence and promote the integration of theory, method and research findings in child/developmental neuropsychology. The primary emphasis of Child Neuropsychology is to publish original empirical research. Theoretical and methodological papers and theoretically relevant case studies are welcome. Critical reviews of topics pertinent to child/developmental neuropsychology are encouraged. Emphases of interest include the following: information processing mechanisms; the impact of injury or disease on neuropsychological functioning; behavioral cognitive and pharmacological approaches to treatment/intervention; psychosocial correlates of neuropsychological dysfunction; definitive normative, reliability, and validity studies of psychometric and other procedures used in the neuropsychological assessment of children and adolescents. Articles on both normal and dysfunctional development that are relevant to the aforementioned dimensions are welcome. Multiple approaches (e.g., basic, applied, clinical) and multiple methodologies (e.g., cross-sectional, longitudinal, experimental, multivariate, correlational) are appropriate. Books, media, and software reviews will be published.