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Lower family socio-economic status and greater parental anxiety and depression were associated with overall psychosocial difficulties.Conclusions Findings indicate that as a group, children with mild TBI are characterized by elevated rates of behavioral, emotional, and social difficulties at 4-years post-injury. Parent mental health may be an untapped opportunity to support children's psychosocial development following mild TBI, with replication required in larger samples. To investigate the effect of 5 machine learning algorithms in p