Injured children can have long-lasting mental injuries

Amy Norton
Health Day Reporter

Monday, May 7, 2018 (HealthDay News)-If your child lands in the hospital with an accidental injury, new research should be aware of signs that you may be struggling with what happened to them. It suggests that.

Researchers say that among children treated for serious injuries at a children’s hospital, the odds of being diagnosed are mental health The following year the condition rose 63%.

Findings do not prove that the injury caused them mental health Pain, the researcher said.

However, in general, the diagnosis of a child is “stress Dr. Julie Leonard, a senior researcher at the National Children’s Hospital in Columbus, Ohio, responded to their experience. “

The largest increase is adjustment disorder, behavioral disorder, Sleeping disorder, Eating disorders And learning disabilities.

Survey results published on May 7 journal Pediatrics, Add evidence linking the physical injury of the child to the effects on mental health.

However, according to Leonard, past studies have focused primarily on head injuries. trauma In the brain.

New findings suggest that children hospitalized for other types of physical injury may be at risk, the researchers said.

The results are based on medical records of more than 2,200 children and teens hospitalized for accidental injuries nationwide between 2005 and 2015. Everything was in Medicaid, a government health insurance program for low-income Americans.

Overall, the rate of mental health diagnosis was about 96 per 1,000 children in the year before the injury. This increased to just under 157 diagnoses per 1,000 children in the year following the injury.

With head injury scald It was especially linked to a significant increase.

Children with head injuries were two to five times more likely to have a mental health diagnosis the year after the injury than in the previous year, depending on their age.

Those probabilities also increased among suffering toddlers scald.. Children under the age of 5 were more than eight times more likely to be diagnosed with mental health problems. burn Injured.

According to Leonard, there is no good way to screen for mental health problems in young children. “So we rely on our parents telling us about their behavior,” she explained.

Some children may have existing mental health problems that have been detected as their families spend more time with their health care providers after the injury, Leonard said.

In fact, that’s likely, according to Reshma Naidoo, head of cognitive neuroscience at the Nicklaus Children’s Hospital in Miami.

She pointed out that all the children who participated in the study were using Medicaid. This is an “underserved” group when it comes to healthcare. As a result, some children may have been diagnosed because their parents were in contact with the provider who “asked the right question,” Naidoo said.

In other cases, she said, trauma Injury, and being hospitalized for it, may have worsened anxiety Or other problems that the kids already had.

When burn Injury, Naidoo pointed out that recovery can be very painful and it can obviously have an impact Child sleep, Actions and thoughts.

According to Leonard, there are certain warning signs that parents can look for after a child is hospitalized for an injury.Includes them sleep Problems, academic problems, and “hypervigilance”-when children try to control everything in the environment and avoid situations that remind them of injuries.

Leonard emphasized that if children have mental health problems, it does not have to mean they are given medication.

“Most of this can be directed at parents rather than children,” she explained.

For example, according to Leonard, parents may need advice on returning their children to structured routines and “setting limits” on their children’s behavior.

According to Naidoo, parents need to understand that their children “need time to heal.” So it’s not a good idea to push your child to catch up with school or return to normal activity.

But neither is spoiled. “If you are overprotective, it may actually make your child worse,” Naidoo said. anxiety.. “

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Source: Julie Leonard, MD, MPH, Associate Director, Children’s Trauma Research Center, National Children’s Hospital, Columbus, Ohio. Reshma Naidoo, Ph.D. , Director, Cognitive Neuroscience, Nicklaus Children’s Hospital, Miami; May 7, 2018, Pediatric journal

Injured children can have long-lasting mental injuries

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