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首页> 外文期刊>Brain injury: BI >Disruptive behaviour disorders and disruptive symptoms after severe paediatric traumatic brain injury.
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Disruptive behaviour disorders and disruptive symptoms after severe paediatric traumatic brain injury.

机译：严重的小儿外伤性脑损伤后的破坏性行为障碍和破坏性症状。

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OBJECTIVE: To determine pre-injury prevalence and post-injury incidence of DSM-III-R oppositional defiant disorder (ODD) and conduct disorder (CD), increase in disruptive symptoms after severe paediatric traumatic brain injury (TBI) and risk factors associated with development of these disturbances. METHODS: Ninety-four children were followed 1 one year after severe TBI. Assessments of pre-injury and 1-year psychiatric status were ascertained by parent report. The 1-year incidence of disruptive behaviour disorders/symptoms was the main outcome measure. RESULTS: The pre-injury prevalence of ODD and CD in the TBI sample was 6% and 8%, respectively, the prevalence of pre-injury CD being significantly higher than in a reference population. The incidence of new-onset ODD and CD 1-year post-injury was 9% and 8%, respectively, the incidence of new-onset CD being significantly higher than in a reference population. ODD symptoms and total number of disruptive symptoms increased significantly over the first post-injury year. Significant risk factors for disruptive disorders/symptoms included higher pre-injury psychosocial adversity, delinquency ratings and affective lability. CONCLUSIONS: Pre-injury conduct disorder is a significant risk factor for post-injury disruptive behaviours. New-onset CD and disruptive symptoms are consequences of TBI at 1-year post-injury. Risk factors for these post-injury disturbances are similar to risk factors in non-TBI populations.
机译：目的：确定DSM-III-R对立违抗性障碍（ODD）和行为障碍（CD）的损伤前患病率和损伤后发生率，严重小儿颅脑损伤（TBI）后破坏性症状的增加以及与之相关的危险因素这些干扰的发展。方法：94例儿童在严重TBI后1年接受随访。父母报告确定了受伤前和1年精神状态的评估。主要的结局指标是破坏性行为障碍/症状的1年发生率。结果：TBI样本中ODD和CD的损伤前患病率分别为6％和8％，损伤前CD患病率显着高于参考人群。一年后新发ODD和CD的发生率分别为9％和8％，新发CD的发生率显着高于参考人群。在受伤后的第一年中，ODD症状和破坏性症状的总数显着增加。破坏性疾病/症状的重要危险因素包括更高的伤害前心理社会逆境，犯罪等级和情感不稳定性。结论：伤害前行为障碍是伤害后破坏行为的重要危险因素。伤后1年，TBI会导致新发CD和破坏性症状。这些损伤后干扰的危险因素与非TBI人群的危险因素相似。

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