Article

OBJECTIVE: To identify potentially modifiable individual and social-environmental
correlates of posttraumatic stress symptoms (PTSS) among adolescents hospitalized
for traumatic brain injury (TBI). SETTING: Four pediatric hospitals and 1 general
hospital in the United States. PARTICIPANTS:
Children ages 11 to 18 years,
hospitalized for moderate-severe TBI within the past 18 months. DESIGN: Retrospective cross-sectional analysis. MAIN MEASURES:
The University of
California at Los Angeles (UCLA) Post-traumatic Stress Disorder (PTSD) Reaction
Index and the Youth Self-Report (YSR) PTSD subscale. RESULTS: Of 147 adolescents
enrolled, 65 (44%) had severe TBI, with an average time since injury of 5.8 +/- 4
months. Of the 104 who completed the UCLA-PTSD Reaction Index, 22 (21%) reported
PTSS and 9 (8%) met clinical criteria for PTSD. Of the 143 who completed the
YSR-PTSD subscale, 23 (16%) reported PTSS and 6 (4%) met clinical criteria for
PTSD. In multivariable analyses, having a negative approach to problem solving
and depressive symptoms were both associated (P < .001) with higher levels of
PTSS based on the UCLA-PTSD Reaction Index (beta = 0.41 and beta = 0.33,
respectively) and the YSR-PTSD subscale (beta = 0.33 and beta = 0.40, respectively). CONCLUSION: Targeting negative aspects of problem solving in youths after brain injury may mitigate PTSS.

Langue : ANGLAIS