儿童和他们的父母中脑震荡后症状报告的性别和年龄相关差异
Andrew R Mayer1,2,3,4, Jessica R McQuaid1, Tracey V Wick1
1The Mind Research Network/Lovelace Biomedical and Environmental Research Institute, Albuquerque, New Mexico, USA.
Journal of neurotrauma
|September 19, 2023
概括
在儿童轻度创伤性脑损伤 (pmTBI) 后评估持续性脑震荡后症状 (PCS) 时,儿童的自我报告比父母的评级更可靠. 父母报告可能会显示偏见,特别是在女性青少年.
科学领域:
- 神经科学是一个神经科学.
- 儿科医学 儿科医学
- 心理学 心理学 心理学
背景情况:
- 儿科轻度创伤性脑损伤 (pmTBI) 越来越令人担忧,特别是当与持续的脑震荡后症状 (PCS) 相关时.
- 目前用于评估儿科PCS的方法,依赖于自我和家长的报告,可靠性和一致性有局限性,可能导致不准确.
- 了解影响PCS报告的因素,如年龄和性别,对于准确的评估至关重要.
研究的目的:
- 检查年龄和生物性别对儿童轻度创伤性脑损伤 (pmTBI) 患者持续性脑震荡后症状 (PCS) 报告的影响.
- 为了比较pmTBI患者和健康对照 (HC) 患者的PCS随着时间的推移 (追溯,1周,4个月,1年) 的自我和父母报告.
- 在pmTBI和HC组中评估PCS报告的儿童-家长协议和测试-重新测试可靠性.
主要方法:
- 该研究包括286名pmTBI患者和218名健康对照 (HC).
- 参与者及其家长在受伤后的1周,4个月和1年的时间点完成了脑震荡后症状清单.
- 统计分析评估了年龄,性别和时间对PCS报告,儿童-家长协议以及测试-重新测试可靠性的影响.
主要成果:
- 健康对照组和他们的父母报告了与其他时间点相比,事后更高的PCS.
- 对PCS的儿童-家长协议在女性青少年中最高,但仅在受伤后立即接受.
- 父母认为女青少年比男青少年有更多的症状,这表明潜在的文化偏见,而自我报告显示性别差异很小.
结论:
- 儿童的自我报告在估计儿科轻度创伤性脑损伤中的PCS负担方面似乎比父母的评级更可靠.
- 家长的评分可能受到文化偏见的影响,特别是关于症状报告中的性别差异.
- 仅仅依靠症状自我报告来诊断和预后儿科TBI需要谨慎,因为潜在的不准确性.
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