Abstract:
OBJECTIVE:Traumatic brain injury (TBI) is the leading cause of death and permanent disability in developmental age. Neurobehavioural symptoms are not uncommon in these patients. The aim of this study was to identify the main neuropsychiatric sequelae of TBI at different ages and study the possible correlations with clinical features in the acute phase and outcome in order to better plan rehabilitative treatment and re-entry into society. METHOD:Ninety-six post-traumatic patients, ranging from 0-18 years, underwent a complete psychological evaluation protocol at I year from trauma. Patients were divided into three different age groups (0-6 years; 7-13 years; 14-18 years) and received a protocol made up of age-appropriate scales. RESULTS:Different psychological problems were found across the three groups; more frequently younger patients show internalizing problems such as withdrawal and closure, while, with age, behaviour problems become more frequent, characterized by hyperactivity and aggressiveness. Factors that were most predictive of psychological, behaviour and adjustment problems include GOS scores, the degree of impairment on the neurological examination and male gender. CONCLUSIONS:Psychological and behavioural problems differ across the three age groups and determine a different outcome, rehabilitation plan and re-entry into society. These problems should, thus, be investigated and treated specifically according to age.
journal_name
Brain Injjournal_title
Brain injuryauthors
Geraldina P,Mariarosaria L,Annarita A,Susanna G,Michela S,Alessandro D,Sandra S,Enrico Cdoi
10.1080/0269905031000088612subject
Has Abstractpub_date
2003-10-01 00:00:00pages
835-46issue
10eissn
0269-9052issn
1362-301Xpii
H5Q96U5HMEKNT9T6journal_volume
17pub_type
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