• 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, Speech Pathology and Audiology, University of Iowa, Iowa City 52242, USA.
• J Neuropsychiatry Clin Neurosci. 1998 Jan 1;10(3):290-7.

AbstractFactors predictive of psychiatric outcome in the second 6 months following traumatic brain injury (TBI) in 43 children and adolescents were assessed prospectively. The outcome measure was the presence of a psychiatric disorder not present before the injury ("novel"). Out of six models tested, four were predictive of novel psychiatric disorder: preinjury family function, family psychiatric history, socioeconomic class/intellectual function, and behavior/adaptive function. Post hoc analyses suggested that preinjury family functioning measured by a structured interview was a significant predictive variable. Severity of injury, when reclassified as severe versus mild/moderate TBI, significantly predicted novel psychiatric disorders. These data suggest that some children, identifiable through clinical assessment, are at increased risk for psychiatric disorders following TBI.

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