Children with traumatic brain injury (TBI) requiring neurocritical care are at risk for neurocognitive, emotional, physical, and psychosocial difficulties, collectively known as Post-Intensive Care Syndrome. Our study assessed parent-reported emotional functioning and identified risk factors for emotional sequelae in the acute recovery phase. Fifty-three children between 5 and 18 years old hospitalized for TBI were assessed 1-month following discharge. Relevant injury-, child-, and family-specific variables were collected. Emotional functioning was assessed using PROMIS Parent Proxy Report Short Forms for Anxiety and Depressive Symptoms. We used Chi-square tests to evaluate differences between children with and without elevations in anxiety and depressive symptoms. Logistic regression determined predictors of elevations in symptoms among significant variables. Parents frequently endorsed moderate or worse anxiety (45.2%) and depressive (32.1%) symptoms among children. Mechanism of injury and elevated parent post-traumatic stress disorder (PTSD) symptoms were associated with elevated anxiety and depressive symptoms, while direct family involvement in the accident/injury was associated only with elevated anxiety symptoms. Results from logistic regression indicated that only elevated parent PTSD symptoms were a significant predictor for child anxiety and depressive symptoms. Anxiety and depressive symptoms are prevalent in the acute recovery phase of TBI. Consistent with previous research, elevations in anxiety and depressive symptoms were more related to psychosocial factors than injury severity. High levels of parent PTSD symptoms and their relationship with children’s internalizing symptoms highlight the need for mental health treatment for TBI patients and their families.

需要神经重症监护的创伤性脑损伤 (TBI) 儿童面临神经认知、情感、身体和社会心理困难的风险，统称为重症监护后综合症。我们的研究评估了家长报告的情绪功能，并确定了急性恢复阶段情绪后遗症的危险因素。 53 名 5 至 18 岁因 TBI 住院的儿童在出院 1 个月后接受了评估。收集了相关的伤害、儿童和家庭特定变量。使用 PROMIS 焦虑和抑郁症状家长代理报告简表评估情绪功能。我们使用卡方检验来评估焦虑和抑郁症状升高和未升高的儿童之间的差异。逻辑回归确定了重要变量中症状升高的预测因素。家长经常认可儿童出现中度或更严重的焦虑（45.2%）和抑郁（32.1%）症状。伤害机制和父母创伤后应激障碍（PTSD）症状升高与焦虑和抑郁症状升高相关，而家庭直接参与事故/伤害仅与焦虑症状升高相关。逻辑回归结果表明，只有父母 PTSD 症状升高才是儿童焦虑和抑郁症状的重要预测因素。 TBI 急性恢复期普遍存在焦虑和抑郁症状。与之前的研究一致，焦虑和抑郁症状的升高与心理社会因素的相关性大于伤害严重程度。 父母的高水平 PTSD 症状及其与儿童内化症状的关系凸显了 TBI 患者及其家人接受心理健康治疗的必要性。