Attention-Deficit Hyperactivity Symptomatology After Traumatic Brain Injury: A Prospective Study - 09/09/11
ABSTRACT |
Objective |
To study prospectively the course of attention-deficit hyperactivity (ADH) symptomatology in children and adolescents after traumatic brain injury (TBI). It was hypothesized that ADH symptomatology would be significantly related to severity of injury.
Method |
Subjects were children (n = 50) 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, socioeconomic, family functioning, and family psychiatric history status were conducted. Severity of injury was assessed by standard clinical scales, and neuroimaging was analyzed.
Results |
The main finding of this study was that change in ADH symptomatology in the first 2 years after TBI in children and adolescents was significantly related to severity of injury. Overall ADH symptomatology during the study was significantly related to a measure of family dysfunction when family psychiatric history, socioeconomic status, and severity of injury were controlled.
Conclusion |
The presence of a positive “dose-response” relationship between severity of injury and change in ADH symptoms, present from the 3-month assessment, was consistent with an effect directly related to brain damage.
Le texte complet de cet article est disponible en PDF.Key Words : traumatic brain injury, attention-deficit hyperactivity disorder
| This research was supported by a NARSAD Young Investigator Award (Dr. Max) and NIMH grants MH31593, MH40856, and MHCRC43271 (Dr. Arndt). The authors acknowledge the helpful comments of Robert Robinson, M.D., and Mary Morrisey, B.A., Tracy Shannon, B.A., and Erika Gaylor, B.S., for collection of some of the data. |
Vol 37 - N° 8
P. 841-847 - août 1998 Retour au numéro
Article précédent
- Psychiatric Disorders in Children and Adolescents After Severe Traumatic Brain Injury: A Controlled Study
- JEFFREY E. MAX, SHARON L. KOELE, WILBUR L. SMITH, YUTAKA SATO, SCOTT D. LINDGREN, DONALD A. ROBIN, STEPHAN ARNDT
- Latent Class and Factor Analysis of DSM-IV ADHD: A Twin Study of Female Adolescents
- JAMES J. HUDZIAK, ANDREW C. HEATH, PAMELA F. MADDEN, WENDY REICH, KATHRYN K. BUCHOLZ, WENDY SLUTSKE, LAURA J. BIERUT, ROSALIN J. NEUMAN, RICHARD D. TODD
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