University of Oulu

Lotta Kinnunen, Mika Niemelä, Helinä Hakko, Jouko Miettunen, Marko Merikukka, Vesa Karttunen, Tiina Ristikari, Mika Gissler & Sami Räsänen (2018) Psychiatric diagnoses of children affected by their parents’ traumatic brain injury: the 1987 Finnish Birth Cohort study, Brain Injury, 32:7, 933-940, DOI: 10.1080/02699052.2018.1470331

Psychiatric diagnoses of children affected by their parents’ traumatic brain injury : the 1987 Finnish Birth Cohort study

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Author: Kinnunen, Lotta1,2; Niemelä, Mika3; Hakko, Helinä4;
Organizations: 1Center for Life Course Health Research, University of Oulu, Oulu, Finland
2Medical Research Center Oulu, Oulu University Hospital and University of Oulu, Oulu, Finland
3National Institute for Health and Welfare, Department of Welfare, Oulu, Finland
4Oulu University Hospital, Department of Psychiatry, Oulu, Finland
5Oulu University Hospital, Department of Neurology, Oulu, Finland
6National Institute for Health and Welfare, Information Services Department, Helsinki, Finland; Research Centre for Child Psychiatry, University of Turku, Turku, Finland
7Karolinska Institute, Department of Neurobiology, Care Sciences and Society, Division of Family Medicine, Stockholm, Sweden
Format: article
Version: accepted version
Access: open
Online Access: PDF Full Text (PDF, 0.4 MB)
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Language: English
Published: Informa, 2018
Publish Date: 2019-11-08


Objective: To investigate whether parental TBI increases the overall risk for psychiatric disorders and the risk for specific psychiatric diagnoses in the children affected by parental TBI.

Methods: The 1987 Finnish Birth Cohort (n = 59 476) were followed up through national registers from birth to the end of 2008. The diagnoses of cohort members and their parents were obtained from the Care Register of Health Care, provided by the National Institute of Health and Welfare.

Results: During the 21-year follow-up, the likelihood for psychiatric diagnoses being assessed in psychiatric care was significantly increased in males with any mental disorder (odds ratio (OR) = 1.43), substance-use-related disorders (OR = 1.71) and behavioural and emotional disorders (OR = 1.75), and in females with disorders of psychological development (OR = 1.85).

Conclusions: Children affected by parental TBI are at increased risk for psychiatric disorders: males for externalizing disorders and females for developmental disorders. Observed gender interactions in the association between parental TBI and the psychiatric disorders of children warrant further study.

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Series: Brain injury
ISSN: 0269-9052
ISSN-E: 1362-301X
ISSN-L: 0269-9052
Volume: 32
Issue: 7
Pages: 933 - 940
DOI: 10.1080/02699052.2018.1470331
Type of Publication: A1 Journal article – refereed
Field of Science: 3124 Neurology and psychiatry
Copyright information: © Taylor & Francis 2018. This is an Accepted Manuscript of an article published by Taylor & Francis in Brain Injury on 8.5.2018., available online: