Article

OBJECTIVE: To explore long-term psychiatric outcomes in individuals with a
history of childhood traumatic brain injury (TBI) or orthopedic injury (OI).
SETTING: Hospital emergency department, medical admission records and outpatient
settings. PARTICIPANTS: There were 95 males (M = 22.78 years, SD = 3.44 years)
and 74 females (M = 22.27 years, SD = 3.09 years), 65 with mild TBI (M = 23.25
years, SD = 3.58 years), 61 with moderate-severe TBI (M = 22.34 years, SD = 2.79
years), and 43 with OI (M = 21.81 years, SD = 3.36 years). DESIGN: Longitudinal,
between-subjects, cross-sectional design using retrospective and current data.
MAIN MEASURES: Semistructured interview to obtain psychiatric diagnoses and
background information, and medical records for identification of TBI. RESULTS:
Group with moderate-severe TBI presented with significantly higher rates of any
anxiety disorder (chi2 = 6.81, P = .03) and comorbid anxiety disorder (chi2 =
6.12, P < .05). Group with overall TBI presented with significantly higher rates
of any anxiety disorder (chi1 = 5.36, P = .02), panic attacks (chi1 = 4.43, P =
.04), specific phobias (chi1 = 4.17, P = .04), and depression (chi1 = 3.98, P <
.05). Prediction analysis revealed a statistically significant model (chi7 =
41.84, P < .001) explaining 23% to 37% of the variance in having any anxiety
disorder, with significant predictors being group (TBI) and gender (female).
CONCLUSIONS: Children who have sustained a TBI may be vulnerable to persistent
anxiety, panic attacks, specific phobias, and depression, even 13 years after the
injury event.

Langue : ANGLAIS