Development of Psychiatric Disorders after Mild Head Trauma according to Birth History
Purpose Mild head trauma in children has been associated with an increased risk of psychiatric disorders; however, the role of perinatal factors such as birth weight remains unclear. Children born large for gestational age (LGA) may have a higher risk for psychiatric disorders due to altered brain d...
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Korean Child Neurology Society
2025-07-01
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| Series: | Annals of Child Neurology |
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| Online Access: | http://annchildneurol.org/upload/pdf/acn-2025-00843.pdf |
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| author | Ki Taek Oh Byung Ho Cha |
| author_facet | Ki Taek Oh Byung Ho Cha |
| author_sort | Ki Taek Oh |
| collection | DOAJ |
| description | Purpose Mild head trauma in children has been associated with an increased risk of psychiatric disorders; however, the role of perinatal factors such as birth weight remains unclear. Children born large for gestational age (LGA) may have a higher risk for psychiatric disorders due to altered brain development. This study examined the relationship between birth weight and psychiatric outcomes following mild head trauma. Methods We retrospectively reviewed pediatric patients (<18 years) who experienced mild head trauma (Glasgow Coma Scale scores 13–15) between January 1, 2013, and December 31, 2013. Psychiatric diagnoses were established by child psychiatrists according to Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) criteria. Birth weight categories—small for gestational age, appropriate for gestational age, and LGA—were assessed for their impact on psychiatric outcomes using logistic regression analysis. Additionally, correlation analyses examined the relationship between birth weight and body weight at the time of trauma. Results Among 178 patients, 18 (10.6%) developed psychiatric disorders, including posttraumatic stress disorder, attention-deficit/hyperactivity disorder, and adjustment disorder. Higher birth weight and LGA status were significantly associated with an increased risk of psychiatric disorders (birth weight: odds ratio [OR], 10.080; LGA: OR, 11.662; P<0.05). No significant correlation was identified between birth weight and body weight at the time of trauma (Pearson’s r=–0.091, P=0.206; Spearman’s rho=0.005, P=0.948). Conclusion LGA status and higher birth weight may increase vulnerability to psychiatric disorders following mild head trauma. Further research incorporating genetic and neuroimaging factors is needed to enhance risk assessment and facilitate early intervention. |
| format | Article |
| id | doaj-art-69c614b22911452abfb3a0bd0309747d |
| institution | DOAJ |
| issn | 2635-909X 2635-9103 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Korean Child Neurology Society |
| record_format | Article |
| series | Annals of Child Neurology |
| spelling | doaj-art-69c614b22911452abfb3a0bd0309747d2025-08-20T02:40:20ZengKorean Child Neurology SocietyAnnals of Child Neurology2635-909X2635-91032025-07-01333859210.26815/acn.2025.008431399Development of Psychiatric Disorders after Mild Head Trauma according to Birth HistoryKi Taek Oh0Byung Ho Cha1 Department of Pediatrics, Wonju Severance Christian Hospital, Yonsei University Wonju College of Medicine, Wonju, Korea Department of Pediatrics, Wonju Severance Christian Hospital, Yonsei University Wonju College of Medicine, Wonju, KoreaPurpose Mild head trauma in children has been associated with an increased risk of psychiatric disorders; however, the role of perinatal factors such as birth weight remains unclear. Children born large for gestational age (LGA) may have a higher risk for psychiatric disorders due to altered brain development. This study examined the relationship between birth weight and psychiatric outcomes following mild head trauma. Methods We retrospectively reviewed pediatric patients (<18 years) who experienced mild head trauma (Glasgow Coma Scale scores 13–15) between January 1, 2013, and December 31, 2013. Psychiatric diagnoses were established by child psychiatrists according to Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) criteria. Birth weight categories—small for gestational age, appropriate for gestational age, and LGA—were assessed for their impact on psychiatric outcomes using logistic regression analysis. Additionally, correlation analyses examined the relationship between birth weight and body weight at the time of trauma. Results Among 178 patients, 18 (10.6%) developed psychiatric disorders, including posttraumatic stress disorder, attention-deficit/hyperactivity disorder, and adjustment disorder. Higher birth weight and LGA status were significantly associated with an increased risk of psychiatric disorders (birth weight: odds ratio [OR], 10.080; LGA: OR, 11.662; P<0.05). No significant correlation was identified between birth weight and body weight at the time of trauma (Pearson’s r=–0.091, P=0.206; Spearman’s rho=0.005, P=0.948). Conclusion LGA status and higher birth weight may increase vulnerability to psychiatric disorders following mild head trauma. Further research incorporating genetic and neuroimaging factors is needed to enhance risk assessment and facilitate early intervention.http://annchildneurol.org/upload/pdf/acn-2025-00843.pdfbrain injuries, traumaticbirth weightinfant, large for gestational agemental disorderspediatrics |
| spellingShingle | Ki Taek Oh Byung Ho Cha Development of Psychiatric Disorders after Mild Head Trauma according to Birth History Annals of Child Neurology brain injuries, traumatic birth weight infant, large for gestational age mental disorders pediatrics |
| title | Development of Psychiatric Disorders after Mild Head Trauma according to Birth History |
| title_full | Development of Psychiatric Disorders after Mild Head Trauma according to Birth History |
| title_fullStr | Development of Psychiatric Disorders after Mild Head Trauma according to Birth History |
| title_full_unstemmed | Development of Psychiatric Disorders after Mild Head Trauma according to Birth History |
| title_short | Development of Psychiatric Disorders after Mild Head Trauma according to Birth History |
| title_sort | development of psychiatric disorders after mild head trauma according to birth history |
| topic | brain injuries, traumatic birth weight infant, large for gestational age mental disorders pediatrics |
| url | http://annchildneurol.org/upload/pdf/acn-2025-00843.pdf |
| work_keys_str_mv | AT kitaekoh developmentofpsychiatricdisordersaftermildheadtraumaaccordingtobirthhistory AT byunghocha developmentofpsychiatricdisordersaftermildheadtraumaaccordingtobirthhistory |