Psychiatric Outcome after Paediatric Mild Traumatic Brain Injury
Presenting Author(s): Dr. Jeffrey Max
, MDDate and time:
20 Mar 2020 from 14:10 to 15:10Location: Wildrose Salon C
- To enhance recognition of preinjury and postinjury psychiatric disorders in pediatric TBI;
- To understand the range of potential treatments for psychiatric disorders after pediatric TBI; and
- To appreciate risk factors for the development of postinjury psychiatric disorders in pediatric TBI.
Mild traumatic brain injury (mTBI) or concussion is one of the leading causes of morbidity in children and adolescents. Each year,
millions of youth in North America will sustain a concussion and it is well documented that a small proportion (10-30%) will take longer
than 1-3 months to recover. However, youth with refractory symptoms (i.e., “persistent post-concussion symptoms”) are challenging for
clinicians in regard to treatment and restoration of normal functioning because evidence-based treatment options are lacking. Although
assessing, diagnosing, and preventing concussions are important aspects of clinical research, more efforts are needed to refine models
that predict which individuals will develop impairments and to explore treatments for those children.
The presenter will review the evidence for psychiatric disturbances following paediatric concussion and explore biopsychosocial risk
factors for these problems. He will also review research validated treatment studies for psychiatric and behavioral problems after
- Emery CA, Barlow KM, Brooks BL, Max JE, Villavicencio-Requis A, Gnanakumar V, Robertson HL, Schneider K, Yeates KO. A
systematic review of psychiatric, psychological, and behavioural outcomes following mild traumatic brain injury in children and
adolescents. The Canadian Journal of Psychiatry, Canadian Journal of Psychiatry. 61(5), 259-269, 2016.
- Max JE, Bigler ED, Wilde EA, Landis J, Schachar RJ, Saunders A, Ewing-Cobbs L, Chapman SB, Dennis M, Hanten G, Levin HS.
Psychiatric Disorders in Children and Adolescents in the First Six Months After Mild Traumatic Brain Injury. Journal of Neuropsychiatry
and Clinical Neuroscience, 25, (3) 187-197, 2013.
- Max JE, Pardo D, Hanten G, Schachar RJ, Saunders A, Ewing-Cobbs L, Chapman SB, Dennis M, Wilde EA, Bigler ED, Thompson WK,
Yang TT, Levin HS. Psychiatric Disorders in Children and Adolescents Six to Twelve Months After Mild Traumatic Brain Injury. Journal
of Neuropsychiatry and Clinical Neuroscience. 25, (4) 272-282, 2013.
- Max JE, Friedman K, Wilde EA, Bigler ED, Hanten G, Schachar RJ, Saunders A, Dennis M, Ewing-Cobbs L, Chapman SB, Yang TT,
Levin HS. Psychiatric Disorders in Children and Adolescents Twenty-Four Months After Mild Traumatic Brain Injury. Journal of
Neuropsychiatry and Clinical Neuroscience. 27(2), 112-120, 2015.
- Lumba-Brown A, Yeates KO, Sarmiento K, et al. Diagnosis and Management of Mild Traumatic Brain Injury in Children: A Systematic
Review. JAMA pediatrics. 2018:e182847.