Pediatric neurology · 2026
Long-Term Mental Well-Being in Pediatric Traumatic Brain Injury Survivors: A Nationwide Longitudinal Study.
СтатьяНазвание и аннотация: Перевод в очереди
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Kyösti Elina, Lindholm Päivi, Mikkonen Era, Raj Rahul, Ohtonen Pasi, Peltoniemi Outi, Skrifvars Markus B, Ala-Kokko Tero
Аннотация
BACKGROUND: The long-term mental and psychological sequelae of pediatric traumatic brain injury (TBI) are poorly studied, despite the potential for significant late-life impacts. This study investigates the long-term mental well-being of a national patient population of pediatric TBI survivors treated in intensive care.
METHODS: This longitudinal follow-up study was conducted using a nationwide cohort based on a national intensive care unit registry and questionnaire survey. We used the Achenbach System of Empirically Based Assessment questionnaires to assess behavioral and emotional functioning 11 years after pediatric TBI treated in an intensive care unit. Additional questions addressed chronic diseases, need for therapy and medication, and socioeconomic status.
RESULTS: There were 146 out of 337 (43%) responders to the Achenbach System of Empirically Based Assessment questionnaire. Out of the patients 24 (16%) had non-normal (clinical or borderline total score) scores. Psychiatric diagnoses (21% vs 3%, P = 0.008), need for therapy (33% vs 10%, P = 0.007), need for health care visits (96% vs 62%, P = 0.003), need for medication (58% vs 26%, P = 0.003), and chronic diagnoses (58% vs 31%, P = 0.020) were more prevalent in those with non-normal scores compared to those with normal scores. The proportion of females was higher among those with non-normal scores (63% vs 38%, P = 0.010). Females scored worse than males in several scales as follows: anxiety and depression (21% vs 8%, P = 0.025); withdrawal (18% vs 3%, P = 0.006); thought problems (23% vs 7%, P = 0.007); and externalizing behaviors (19% vs 7%, P = 0.032). Female sex was independently associated with one or more clinical or borderline (non-normal) scales in the Adult Self-Report or Youth Self-Report questionnaires (odds ratio 2.7; 95% confidence interval 1.2-6.2; P = 0.021) while injury severity or parental working status were not.
CONCLUSIONS: The study highlights significant long-term mental health challenges in pediatric TBI survivors, particularly among females. These findings underscore the need for targeted mental health interventions and continuous monitoring of pediatric TBI patients into adulthood.
METHODS: This longitudinal follow-up study was conducted using a nationwide cohort based on a national intensive care unit registry and questionnaire survey. We used the Achenbach System of Empirically Based Assessment questionnaires to assess behavioral and emotional functioning 11 years after pediatric TBI treated in an intensive care unit. Additional questions addressed chronic diseases, need for therapy and medication, and socioeconomic status.
RESULTS: There were 146 out of 337 (43%) responders to the Achenbach System of Empirically Based Assessment questionnaire. Out of the patients 24 (16%) had non-normal (clinical or borderline total score) scores. Psychiatric diagnoses (21% vs 3%, P = 0.008), need for therapy (33% vs 10%, P = 0.007), need for health care visits (96% vs 62%, P = 0.003), need for medication (58% vs 26%, P = 0.003), and chronic diagnoses (58% vs 31%, P = 0.020) were more prevalent in those with non-normal scores compared to those with normal scores. The proportion of females was higher among those with non-normal scores (63% vs 38%, P = 0.010). Females scored worse than males in several scales as follows: anxiety and depression (21% vs 8%, P = 0.025); withdrawal (18% vs 3%, P = 0.006); thought problems (23% vs 7%, P = 0.007); and externalizing behaviors (19% vs 7%, P = 0.032). Female sex was independently associated with one or more clinical or borderline (non-normal) scales in the Adult Self-Report or Youth Self-Report questionnaires (odds ratio 2.7; 95% confidence interval 1.2-6.2; P = 0.021) while injury severity or parental working status were not.
CONCLUSIONS: The study highlights significant long-term mental health challenges in pediatric TBI survivors, particularly among females. These findings underscore the need for targeted mental health interventions and continuous monitoring of pediatric TBI patients into adulthood.