Abstract
Traumatic brain injury (TBI) is one of the most important causes of mortality and morbidity of children and adolescents worldwide.
The psychiatric, psychological, and cognitive consequences of brain injury can be emotional, e.g., post-traumatic stress disorder or anxiety; neuropsychiatric, e.g., ADHD, decrease of IQ; and symptoms such as social difficulties and processing skills deficit which do not fit into a diagnostic category but are very impairing. Co-morbidity is usual.
Because of brain maturation, the consequences of TBI evolve as the child grows. In some instances, brain plasticity may help to regain skills or compensate; but, very importantly, in many instances the totality of the consequences of TBI may not be apparent until the child is older. It may then become clear that the young person has not developed a particular skill to the level expected in the general population (e.g., the young person’s social skills may not be as sophisticated as those of other young people).
The severity of brain injury is one of the predictors of outcome, but other factors such as pre-injury aspects (child’s function, psychiatric and cognitive abilities, and family function) and post-injury factors (family, environment) are also significant influences.
Traumatic brain injury is often referred to as a “hidden” disability, because some of the effects appear small but they may have a great effect on function. Psychiatrists and psychologists should undertake a careful assessment and, in many instances, assessments should be repeated periodically until the young person has reached full brain maturation.
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References
American Congress of Rehabilitation Medicine (1993) Definition of mild traumatic brain injury. J Head Trauma Rehabil 8:86–87
Anderson V, Godfrey C, Rosenfeld JV et al (2012) Predictors of cognitive function and recovery 10 years after traumatic brain injury in young children. Pediatrics 129(2):e254–e261
Anderson V, Beauchamp MH, Yeates KO et al (2017) Social competence at two years after childhood traumatic brain injury. J Neurotrauma 34(14):2261–2271
Babikian T, Asarnow R (2009) Neurocognitive outcomes and recovery after pediatric TBI: meta-analytic review of the literature. Neuropsychology 23(3):283–296
Babikian T, Satz P, Zaucha K et al (2011) The UCLA longitudinal study of neurocognitive outcomes following mild pediatric traumatic brain injury. J Int Neuropsychol Soc 17(5):886–895
Barman A, Chatterjee A, Bhide R (2016) Cognitive impairment and rehabilitation strategies after traumatic brain injury. Indian J Psychol Med 38(3):172–181
Bates G (2006) Medication in the treatment of the behavioural sequelae of traumatic brain injury. Dev Med Child Neurol 48(8):697–701. https://doi.org/10.1111/j.1469-8749.2006.tb01344.x
Bigler ED, Abildskov TJ, Goodrich-Hunsaker NJ et al (2016) Structural neuroimaging findings in mild traumatic brain injury. Sports Med Arthrosc Rev 24(3):e42–e52
Bloom DR, Levin HS, Ewing-Cobbs L, Saunders AE, Song J, Kowatch RA (2001) Lifetime and novel psychiatric disorders after pediatric traumatic brain injury. J Am Acad Child Adolesc Psychiatry 40:572–579
Braga LW, Da Paz AC, Ylvisaker M (2005) Direct clinician-delivered versus indirect family-supported rehabilitation of children with traumatic brain injury: a randomized controlled trial. Brain Inj 19(10):819–831
Broglio SP, Collins MW, Williams RM, Mucha A, Kontos AP (2015) Current and emerging rehabilitation for concussion: a review of the evidence. Clin Sports Med 34(2):213–231
Brown FL, Whittingham K, Boyd RN et al (2015) Does Stepping Stones Triple P plus Acceptance and Commitment Therapy improve parent, couple, and family adjustment following paediatric acquired brain injury? A randomised controlled trial. Behav Res Ther 73:58–66
Burgess ES, Drotar D, Taylor GH, Wade S, Stancin T, Yeates KO (1999) The family burden of injury interview: reliability and validity studies. J Head Trauma Rehabil 14(4):394–405
Chang HK, Hsu JW, Wu JC et al (2018) Traumatic brain injury in early childhood and risk of attention-deficit/hyperactivity disorder and autism spectrum disorder: a nationwide longitudinal study. J Clin Psychiatry 79(6):17m11857. https://doi.org/10.4088/JCP.17m11857
Chung CY, Chen CL, Cheng PT et al (2006) Critical score of Glasgow Coma Scale for pediatric traumatic brain injury. Pediatr Neurol 34(5):379–387
Cole WR, Paulos SK, Cole CA, Tankard CA (2009) Review of family intervention guidelines for pediatric acquired brain injuries. Dev Disabil Res Rev 15(2):159–166
Compas BE, Jaser SS, Reeslund K et al (2017) Neurocognitive deficits in children with chronic health conditions. Am Psychol 72(4):326–338
Dollman AK, Figaji AA, Schrieff-Elson LE (2017) Academic and behavioral outcomes in school-age South African children following severe traumatic brain injury. Front Neuroanat 11:121. https://doi.org/10.3389/fnana.2017.00121
Ekinci O, Direk MÇ, Gunes S et al (2017) Short-term efficacy and tolerability of methylphenidate in children with traumatic brain injury and attention problems. Brain Dev 39(4):327–336
Emery CA, Barlow KM, Brooks BL et al (2016) A systematic review of psychiatric, psychological, and behavioural outcomes following mild traumatic brain injury in children and adolescents. Can J Psychiatr 61(5):259–269
Ewing-Cobbs L, Levin HS, Fletcher JM et al (1990) The children’s Orientation and Amnesia Test: relationship to severity of acute head injury and to recovery of memory. Neurosurgery 27:683–669
Fischer JT, Hannay HJ, Alfano CA et al (2018) Sleep disturbances and internalizing behavior problems following pediatric traumatic injury. Neuropsychology 32(2):161–175. https://doi.org/10.1037/neu0000420
Friedland D, Hutchinson P (2013) Classification of traumatic brain injury. ACNR Advances in Clinical Neuroscience and Rehabilitation. www.acnr.co.uk/2013/07/classification-of-traumatic-brain-injury/. Accessed 31 Dec 2018
Gallagher M, McLeod J, McMillan M (2019) A systematic review of recommended modifications of CBT for people with cognitive impairments following brain injury. Neuropsychol Rehabil 29(1):1–21
Gertler P, Tate RL, Cameron ID (2015) Non-pharmacological interventions for depression in adults and children with traumatic brain injury. Cochrane Database Syst Rev 12:CD009871. https://doi.org/10.1002/14651858.CD009871.pub2
Halstead ME (2016) Pharmacologic therapies for pediatric concussions. Sports Health 8(1):50–52
Harvey DW, Morrall M, Neilly E et al (2012) Question 3 should stimulants be administered to manage difficulties with attention, hyperactivity and impulsivity following paediatric acquired brain injury? Arch Dis Child 97(8):755
Henry LC, Twitchell M (updated 2018) Concussion. BMJ Best practice. https://bestpractice.bmj.com/topics/en-gb/967
Hornyak JL, Nelson VS, Hurvitz EA (1997) The use of methylphenidate in paediatric traumatic brain injury. Pediatr Rehabil 1(1):15–17. https://doi.org/10.3109/17518429709060937
Hyder AA, Wunderlich CA, Puvanachandra P et al (2007) The impact of traumatic brain injuries: a global perspective. NeuroRehabilitation 22:341–353
Jackson TL, Braun JM, Mello M et al (2017) The relationship between early childhood head injury and later life criminal behaviour: a longitudinal cohort study. J Epidemiol Community Health 71:800–805
Kenardy J, Le Brocque R, Hendrikz J et al (2012) Impact of posttraumatic stress disorder and injury severity on recovery in children with traumatic brain injury. J Clin Child Adolesc Psychol 41(1):5–14. https://doi.org/10.1080/15374416.2012.632348
Kinsella G, Ong B, Murtagh D, Prior M, Sawyer M (1999) The role of the family for behavioral outcome in children and adolescents following traumatic brain injury. J Consult Clin Psychol 67:116–123
Lax Pericall MT, Taylor E (2014) Family function and its relationship to injury severity and psychiatric outcome in children with acquired brain injury: a systematized review. Dev Med Child Neurol 56:19–30. https://doi.org/10.1111/dmcn.12237
Levin HS, High WM, Goethe KE et al (1987) The neurobehavioural rating scale: assessment of the behavioural sequelae of head injury by the clinician. J Neurol Neurosurg Psychiatry 50:183–193
Li L, Liu J (2013) The effect of pediatric traumatic brain injury on behavioral outcomes: a systematic review. Dev Med Child Neurol 55:37–45. https://doi.org/10.1111/j.1469-8749.2012.04414.x
Lumba-Brown A, Yeates KO, Sarmiento K et al (2018a) Diagnosis and management of mild traumatic brain injury in children: a systematic review. JAMA Pediatr 172(11):e182847. https://doi.org/10.1001/jamapediatrics.2018.2847. Epub 2018 Nov 5
Lumba-Brown A, Yeates KO, Sarmiento K et al (2018b) Centers for disease control and prevention guideline on the diagnosis and management of mild traumatic brain injury among children. JAMA Pediatr 172(11):e182853. https://doi.org/10.1001/jamapediatrics.2018.2853. Epub 2018 Nov 5
Mahalick DM, Carmel PW, Greenberg JP et al (1998) Psychopharmacologic treatment of acquired attention disorders in children with brain injury. Pediatr Neurosurg 29:121–126
Max JE (2014) Neuropsychiatry of pediatric traumatic brain injury. Psychiatr Clin North Am 37(1):125–140
McCauley SR, Levin HS, Vanier M et al (2001) The neurobehavioural rating scale-revised: sensitivity and validity in closed head injury assessment. J Neurol Neurosurg Psychiatry 71(5):643–651
McKinlay A, Linden M, DePompei R, Aaro Jonsson C, Anderson V, Braga L et al (2016) Service provision for children and young people with acquired brain injury: practice recommendations. Brain Inj 30(13–14):1656–1664
Mena JH, Sanchez AI, Rubiano AM et al (2011) Effect of the modified Glasgow Coma Scale score criteria for mild traumatic brain injury on mortality prediction: comparing classic and modified Glasgow Coma Scale score model scores of 13. J Trauma 71(5):1185–1192; discussion 1193
Moura R, Andrade PMO, Fontes PLB et al (2017) Mini-mental state exam for children (MMC) in children with hemiplegic cerebral palsy. Dement Neuropsychol 11(3):287–296
Ouvrier RA, Goldsmith RF, Ouvrier S et al (1993) The value of the mini-mental state examination in childhood: a preliminary study. J Child Neurol 8(2):145–148. https://doi.org/10.1177/088307389300800206
Park K, Ksiazek T, Olson B (2018) Effectiveness of vestibular rehabilitation therapy for treatment of concussed adolescents with persistent symptoms of dizziness and imbalance. J Sport Rehabil 27(5):485–490. https://doi.org/10.1123/jsr.2016-0222
Ponsford J, Lee N, Wong D, Mckay A, Haines K, Alway Y, … O’Donnell M (2016) Efficacy of motivational interviewing and cognitive behavioral therapy for anxiety and depression symptoms following traumatic brain injury. Psychol Med 46(5):1079–1090. https://doi.org/10.1017/S0033291715002640
Powell T (2004) What happens in a head injury. In: Powll T (ed) Head injury. A practical guide, 2nd edn. Speechmark Publishing Ltd., London
Resch C, Rosema S, Hurks P, de Kloet A, van Heugten C (2018) Searching for effective components of cognitive rehabilitation for children and adolescents with acquired brain injury: A systematic review. Brain Inj 32(6):679–692. https://doi.org/10.1080/02699052.2018.1458335
Richard YF, Swaine BR, Sylvestre M-P et al (2015) The association between traumatic brain injury and suicide: are kids at risk? Am J Epidemiol 182(2):177–184. https://doi.org/10.1093/aje/kwv014
Ruff RM, Iverson GL, Barth JT, Bush SS, Broshek DK, NAN Policy and Planning Committee (2009) Recommendations for diagnosing a mild traumatic brain injury: a National Academy of Neuropsychology education paper. Arch Clin Neuropsychol 24(1):3–10. https://doi.org/10.1093/arclin/acp006. Epub 2009 Mar 17
Scher LM, Loomis E, Mccarron RM (2011) Traumatic brain injury: pharmacotherapy options for cognitive deficits: different medication classes improve different areas of cognitive function. Curr Psychiatr 10(2):21–37
Schwartz L, Taylor HG, Drotar D et al (2003) Term behavior problems following pediatric traumatic brain injury: prevalence, predictors, and correlates. J Pediatr Psychol 28(4):251–263
Sharp DJ, Jenkins PO (2015) Concussion is confusing us all. Pract Neurol 15(3):172–186
Shaw DR (2016) A systematic review of pediatric cognitive rehabilitation in the elementary and middle school systems. NeuroRehabilitation 39(1):119–123
Slomine B, Locascio G (2009) Cognitive rehabilitation for children with acquired brain injury. Dev Disabil Res Rev 15(2):133–143. https://doi.org/10.1002/ddrr.56
Spiegel DR, Warren A, Takakura W et al (2018) Disorders of diminished motivation: what they are, and how to treat them. Curr Psychiatr 17(1):10–18
Staton C, Vissoci J, Gong E et al (2016) Road traffic injury prevention initiatives: a systematic review and metasummary of effectiveness in low and middle income countries. PLoS One 11(1):e0144971. https://doi.org/10.1371/journal.pone.0144971
Tham SW, Fales J, Palermo TM (2015) Subjective and objective assessment of sleep in adolescents with mild traumatic brain injury. J Neurotrauma 32(11):847–852
Trenchard SO, Rust S, Bunton P (2013) A systematic review of psychosocial outcomes within 2 years of paediatric traumatic brain injury in a school-aged population. Brain Inj 27:1217–1237. https://doi.org/10.3109/02699052.2013.812240
Truss K, Godfrey C, Takagi M et al (2017) Trajectories and risk factors for post-traumatic stress symptoms following pediatric concussion. J Neurotrauma 34:2272–2279
Wade SL, Kurowski RG, Kirkwood MW et al (2015) Online problem-solving therapy after traumatic brain injury: a randomized controlled trial. Pediatrics 135(2):e487–e495. https://doi.org/10.1542/peds.2014-1386
Webb N (2015) Pharmacotherapy for pediatric traumatic brain injury. https://www.apadivisions.org/division-55/publications/tablet/2015/12/pediatric-brain-injury
Williams SE (2007) Amantadine treatment following traumatic brain injury in children. Brain Inj 21(9):885–889
Williams SE, Ris MD, Ayyangar R, Schefft BK, Berch D (1998) Recovery in pediatric brain injury: is psychostimulant medication beneficial? J Head Trauma Rehabil 13(3):73–81
World Health Organisation (2008) World report on child injury prevention (eds: Peden M, Oyegbite K, Ozanne-Smith J, et al). WHO, Geneve. http://apps.who.int/iris/bitstream/handle/10665/43851/9789241563574_eng.pdf;jsessionid=10C23D4D377A751C8C8B668FFF514648?seq
World Health Organisation. International classification of diseases, 10th edn. ICD-10. icd.who.int/browse10/2016/en#/S06.0. Accessed 7 Jan 2019
Yue JK, Burke JF, Upadhyayula PS et al (2017) Selective serotonin reuptake inhibitors for treating neurocognitive and neuropsychiatric disorders following traumatic brain injury: an evaluation of current evidence. Brain Sci 7(8):93
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Lax-Pericall, M.T. (2020). Psychiatric Consequences of Traumatic Brain Injury in Children and Adolescents. In: Taylor, E., Verhulst, F., Wong, J., Yoshida, K., Nikapota, A. (eds) Mental Health and Illness of Children and Adolescents. Mental Health and Illness Worldwide. Springer, Singapore. https://doi.org/10.1007/978-981-10-0753-8_15-1
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