神经发育障碍患者兄弟姐妹自述的脑外伤及其生物心理社会风险因素。

IF 1.6 4区心理学 Q3 PSYCHOLOGY

Developmental Neuropsychology Pub Date : 2024-09-01 Epub Date: 2024-07-12 DOI:10.1080/87565641.2024.2377689

Brittany Wolff, Emma J Glasson, Talin Babikian, Carmela F Pestell

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引用次数: 0

摘要

神经发育不全患者（NDCs）的兄弟姐妹处于一个复杂的风险和恢复因素系统中，这些因素会导致不良后果，其中许多因素与创伤性脑损伤（TBI）的风险重叠，并与较差的恢复轨迹相关。本研究采用贝叶斯分析法对 632 名兄弟姐妹（207 名 NDC，425 名对照组；平均年龄 20.54 岁，10-30 岁不等，78.48% 为女性）的创伤性脑损伤和生物心理社会风险因素进行了描述和比较。与对照组相比，NDC兄弟姐妹自我报告的终生创伤性脑损伤病史更高（14.98% 对 6.35%），大多数人报告的创伤性脑损伤病史不止一次，而且年龄较早。创伤性脑损伤史与精神病诊断和亚临床 NDC 特征有关。与创伤性脑损伤有关的家庭和结构因素包括较差的亲子关系、自闭症或胎儿酒精谱系障碍的 NDC 诊断、少数民族和较低的收入。研究结果对健康知识普及、创伤性脑损伤教育和筛查以及家庭支持的实施具有重要意义。

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Self-Reported Traumatic Brain Injury and Its Biopsychosocial Risk Factors in Siblings of Individuals with Neurodevelopmental Conditions.

Siblings of individuals with neurodevelopmental conditions (NDCs) are situated within a complex system of risk and resilience factors for poor outcomes, many of which overlap with the risk of traumatic brain injury (TBI) and correlate with poorer recovery trajectories. This study used Bayesian analyses to characterize and compare TBI and biopsychosocial risk factors among 632 siblings (207 NDC, 425 controls; mean age 20.54 years, range 10-30, 78.48% female). NDC siblings had a higher self-reported lifetime history of TBI compared to controls (14.98% versus 6.35%), with most reporting more than one TBI, and at an earlier age. TBI history was associated with psychiatric diagnoses and subclinical NDC features. Family and structural factors related to TBI included poorer parent-child relationship, NDC diagnoses of autism or fetal alcohol spectrum disorder, minority ethnicity, and lower income. Findings have implications for health literacy, TBI education and screening, and implementation of family support.

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来源期刊

Developmental Neuropsychology 医学-心理学

CiteScore

2.80

自引率

6.70%

发文量

审稿时长

>12 weeks

期刊介绍： Devoted to exploring relationships between brain and behavior across the life span, Developmental Neuropsychology publishes scholarly papers on the appearance and development of behavioral functions, such as language, perception, and social, motivational and cognitive processes as they relate to brain functions and structures. Appropriate subjects include studies of changes in cognitive function—brain structure relationships across a time period, early cognitive behaviors in normal and brain-damaged children, plasticity and recovery of function after early brain damage, the development of complex cognitive and motor skills, and specific and nonspecific disturbances, such as learning disabilities, mental retardation, schizophrenia, stuttering, and developmental aphasia. In the gerontologic areas, relevant subjects include neuropsychological analyses of normal age-related changes in brain and behavioral functions, such as sensory, motor, cognitive, and adaptive abilities; studies of age-related diseases of the nervous system; and recovery of function in later life. Empirical studies, research reviews, case reports, critical commentaries, and book reviews are featured in each issue. By publishing both basic and clinical studies of the developing and aging brain, the journal encourages additional scholarly work that advances understanding of the field of lifespan developmental neuropsychology.