Post-traumatic stress disorder attributed to traumatic brain injury in children - a systematic review

Afrim Iljazi1,2,3, Håkan Ashina1, Haidar Muhsen Al-Khazali1

  • 1Danish Headache Center, Department of Neurology, Rigshospitalet Glostrup, Faculty of Health and Medical Sciences, University of Copenhagen , Copenhagen, Denmark.

Brain Injury
|June 6, 2020
PubMed

Insights

Post-traumatic stress disorder (PTSD) affects 3.3% to 48.5% of pediatric patients after traumatic brain injury (TBI). Early detection of PTSD in children with TBI is crucial due to potential long-term disability.

Area of Science:

  • Pediatric neurology
  • Neuroscience
  • Psychiatry

Background:

  • Traumatic brain injury (TBI) is a significant concern in pediatric populations.
  • Post-traumatic stress disorder (PTSD) is a potential consequence of TBI, impacting long-term outcomes.
  • Understanding the prevalence of PTSD following pediatric TBI is essential for effective management.

Purpose of the Study:

  • To determine the proportion of pediatric patients who develop PTSD following TBI.
  • To synthesize existing evidence on the frequency of PTSD in children with TBI.

Main Methods:

  • A systematic review of studies was conducted using PubMed and Embase databases.
  • Two independent investigators screened titles, abstracts, and full-text articles.
  • Data extraction was performed by the investigators for relevant information.

Main Results:

  • Ten articles were included, describing six unique cohorts.
  • The reported frequency of PTSD attributed to TBI in children ranged from 3.3% to 48.5%.
  • Two studies indicated a higher incidence of PTSD in children with TBI compared to orthopedic controls.

Conclusions:

  • Methodological differences across studies limit direct comparisons of PTSD frequency.
  • Undetected PTSD in pediatric TBI patients is a public health concern due to associated long-term disability.
  • Further large-scale, prospective research is necessary to clarify the clinical course of PTSD after pediatric TBI.
Abstract