A comparison of adult outcomes for males compared to females following pediatric traumatic brain injury
| Autor: | Charis Scott, Audrey McKinlay, Martin R. MacFarlane, Eileen Britt, Randolph C. Grace, Tracey McLellan |
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| Rok vydání: | 2015 |
| Předmět: |
Adult
Male Aging Adolescent Substance-Related Disorders Traumatic brain injury Poison control Young Adult Injury prevention medicine Humans Young adult Child Depression (differential diagnoses) Depressive Disorder Major Sex Characteristics Depression Mental Disorders Infant medicine.disease Anxiety Disorders Substance abuse Treatment Outcome Neuropsychology and Physiological Psychology Brain Injuries Child Preschool Female Psychology Psychosocial Clinical psychology Sex characteristics |
| Zdroj: | Neuropsychology. 29:501-508 |
| ISSN: | 1931-1559 0894-4105 |
| DOI: | 10.1037/neu0000074 |
| Popis: | OBJECTIVE: To identify the association between traumatic brain injury (TBI) and internalizing and externalizing problem behaviors and determine if these apply equally to males and females. METHOD: The association between adult psychosocial functioning and childhood TBI for males and females was examined using groups with a history of childhood TBI (mild or moderate/severe) or orthopedic injury (injury age, 1-17, assessed 18-31 at >5 years postinjury), including rates of depression and anxiety disorders, substance abuse/dependence and offending behavior. Repeated-measures logistic regression was used to determine if the rates of internalizing and externalizing problem behaviors varied by group and sex. RESULTS: Overall rates of problem behaviors were significantly greater for both moderate/severe TBI (OR = 4.00) and mild TBI (OR = 3.60) groups compared with orthopedic controls. Females were significantly more likely than males to report a history of internalizing problems (OR = 2.22), whereas males were more likely than females to report externalizing problems (OR = 2.10). The sex difference in internalizing/externalizing problems was found consistently across TBI groups and controls. CONCLUSIONS: Childhood TBI is associated with psychosocial problems in adulthood, regardless of injury severity. How deficits are expressed differs between the sexes, with important implications for interventions strategies. (PsycINFO Database Record (c) 2014 APA, all rights reserved). Language: en |
| Databáze: | OpenAIRE |
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