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Prevalence of post traumatic stress disorder in children with mild traumatic brain injury

Published online by Cambridge University Press:  13 August 2021

P. Kallianezos ,
M. Bakola ,
K.S. Kitsou ,
C. Petropoulos ,
X. Sinopidis ,
P. Gourzis  and
E. Jelastopulu
P. Kallianezos
Affiliation:
Pediatric Surgery, General Children’s Hospital of Patras, Patras, Greece
M. Bakola
Affiliation:
Postgraduate Program Of Public Health, Medical School, University of Patras, Patras, Greece
K.S. Kitsou*
Affiliation:
Postgraduate Program Of Public Health, Medical School, University of Patras, Patras, Greece
C. Petropoulos
Affiliation:
Mathematics Department, Division Of Statistics, Probability And Operational Research, Univestity of Patras, Patras, Greece
X. Sinopidis
Affiliation:
Pediatric Surgery Clinic, University Hospital of Patras, Patras, Greece
P. Gourzis
Affiliation:
Department Of Psychiatry, School of Medicine, University of Patras, Patras, Greece
E. Jelastopulu
Affiliation:
Department Of Public Health, Medical School, University of Patras, Patras, Greece
*
*Corresponding author.

Abstract

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Introduction

Children with traumatic brain injury (TBI) are at risk for post-traumatic stress disorder (PTSD). The vast majority of TBI are of mild severity (MTBI), however, they may develop persistent neurophysiological symptoms.

Objectives

The purpose of this study was to investigate the incidence of PTSD in children with MTBI in Western Greece.

Methods

A one-year prospective study was conducted at the Children Hospital of Patras. A total of 175 children aged 6-14 years screened for risk of PTSD at one-week and one-month post-injury, completing the Child Trauma Screening Questionnaire (CTSQ). The Children’s Revised Impact of Event Scale (CRIES 13) was administered to the parents, to inquire their assessment of PTSD in the children. Statistical analysis was performed with IBM SPSS v.22.0

Results

There were 59 (33.7%) children (27.2% boys, 45.9% girls) whose screen result was at risk. At the rescreening one-month postinjury, 9.9% were still at risk. Parents assessed presence of PTSD in 19% of their children at one-week and in 3.9% at one-month post-injury. There was a positive correlation between parenting and child reporting on symptoms of PTSD in children. However, 23.4% mistakenly estimated their children did not experience stress while in fact they did and 24.2% mistakenly estimated the contrary.

Conclusions

The findings revealed the risk of PTSD even in mild TBI, justifying thus the screening to identify these children for intervention strategies. On the other hand, the rescreening demonstrated that not all at-risk children required intervention, since a natural remission in PTSD symptoms was observed one-month post-injury.

Keywords

PTSDChildrenbraininjury
Type
Abstract
Information
European Psychiatry , Volume 64 , Special Issue S1: Abstracts of the 29th European Congress of Psychiatry , April 2021 , pp. S451
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of the European Psychiatric Association
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