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首页> 外文期刊>Journal of the American Academy of Child and Adolescent Psychiatry >Predictors of Secondary Attention-Deficit/Hyperactivity Disorder in Children and Adolescents 6 to 24 Months After Traumatic Brain Injury.
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Predictors of Secondary Attention-Deficit/Hyperactivity Disorder in Children and Adolescents 6 to 24 Months After Traumatic Brain Injury.

机译：创伤性脑损伤后6至24个月儿童和青少年继发性注意力缺乏/多动障碍的预测因素。

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OBJECTIVE:: To assess the phenomenology and predictive factors of attention-deficit/hyperactivity disorder (ADHD) after traumatic brain injury (TBI), also called secondary ADHD (SADHD). METHOD:: Children without preinjury ADHD 5-14 years old with TBI from consecutive admissions (n = 143) to five trauma centers were observed prospectively from 6 to 12 months (12-month assessment) and from 12 to 24 months (24-month assessment) postinjury with semistructured psychiatric interviews. Injury and preinjury psychosocial variables were assessed. RESULTS:: SADHD occurred in 15 of 103 (15%) of participants between 6 and 12 months after injury and 17 of 82 (21%) in the second year after injury. SADHD was significantly (p < .05) comorbid with personality change due to TBI and new-onset disruptive behavior disorders. Preinjury adaptive function was a consistent predictor of SADHD. Regression analyses revealed that preinjury psychosocial adversity was an independent predictor of SADHD in the second year after injury.Neither severity of injury nor lesion location predicted SADHD from 6 to 24 months postinjury. CONCLUSIONS:: Determination of preinjury psychosocial adversity and the child's preinjury functioning during the index hospitalization would improve identification of children at highest risk of development of SADHD.
机译：目的：评估脑外伤（TBI）后也称为继发性ADHD（SADHD）的注意力缺陷/多动障碍（ADHD）的现象学和预测因素。方法：前瞻性观察从6到12个月（12个月评估）和12到24个月（24个月）从连续入院（n = 143）到五个创伤中心的5-14岁患有TBI的未受伤的ADHD儿童。评估）半结构性精神病学访谈后的受伤情况。评估伤害和伤害前的社会心理变量。结果：SADHD发生在受伤后6到12个月之间的103名参与者中的15名（15％）和受伤后第二年发生的82名中的17名（21％）。 SADHD显着（p <.05）与TBI和新发的破坏性行为障碍导致的人格改变并存。损伤前适应功能是SADHD的一致预测指标。回归分析显示，损伤后第二年损伤前的心理社会逆境是SADHD的独立预测因素，损伤的严重程度和病变位置均不能预测损伤后6至24个月的SADHD。结论：在指数住院期间确定损伤前的心理社会逆境和儿童的损伤前功能将改善对发展为SADHD最高风险的儿童的识别。

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