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Lifelong consequences of brain injuries during development: From risk to resilience

机译:发展过程中脑损伤的终身后果:从恢复力的风险

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Traumatic brain injuries in children represent a major public health issue and even relatively mild injuries can have lifelong consequences. However, the outcomes from these injuries are highly heterogeneous, with most individuals recovering fully, but a substantial subset experiencing prolonged or permanent disabilities across a number of domains. Moreover, brain injuries predispose individuals to other kinds of neuropsychiatric and somatic illnesses. Critically, the severity of the injury only partially predicts subsequent outcomes, thus other factors must be involved. In this review, we discuss the psychological, social, neuroendocrine, and autonomic processes that are disrupted following traumatic brain injury during development, and consider the mechanisms the mediate risk or resilience after traumatic brain injury in this vulnerable population.
机译:儿童的创伤性脑损伤代表了一个主要的公共卫生问题,甚至相对温和的伤害都会产生终身后果。 然而,这些伤害的结果是高度异质的,大多数人都充分恢复,但在许多域中经历长期或永久性的大量子集。 此外,脑损伤易于促使个体对其他类型的神经精神和躯体疾病。 批判性地,伤害的严重程度仅部分预测后续结果,因此必须参与其他因素。 在本文中,我们讨论了在开发过程中创伤性脑损伤后破坏的心理,社会,神经内分泌和自主过程,并考虑在这种脆弱的人群中创伤性脑损伤后调解风险或恢复力的机制。

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