• J E Max, D A Robin, S D Lindgren, W L Smith, Y Sato, P J Mattheis, J A Stierwalt, and C S Castillo.
• Department of Psychiatry, University of Iowa, Iowa City 52242, USA.
• J Am Acad Child Adolesc Psychiatry. 1997 Sep 1;36(9):1278-85.

ObjectiveTo extend findings regarding predictive factors of psychiatric outcome from the first to the second year after traumatic brain injury (TBI) in children and adolescents.MethodSubjects were children aged 6 to 14 years at the time they were hospitalized after TBI. The study used a prospective follow-up design. Assessments of preinjury psychiatric, behavioral, adaptive functioning, family functioning and family psychiatric history status were conducted. Severity of injury was assessed by standard clinical scales and neuroimaging was analyzed. The outcome measure was the presence of a psychiatric disorder, not present before the injury ("novel"), during the second year after TBI.ResultsFifty subjects enrolled, and the analyses focused on 42 subjects followed at 24 months. Severity of injury, preinjury family function, and preinjury lifetime psychiatric history predicted the development of a "novel" psychiatric disorder present in the second year.ConclusionThese data suggest that there are children, identifiable through clinical assessment, at increased risk for "novel" psychiatric disorders in the second year after TBI.

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