Please use this identifier to cite or link to this item:
https://hdl.handle.net/2440/94990
Citations | ||
Scopus | Web of Science® | Altmetric |
---|---|---|
?
|
?
|
Type: | Journal article |
Title: | Predictors of postconcussive symptoms 3 months after mild traumatic brain injury |
Author: | Ponsford, J. Cameron, P. Fitzgerald, M. Grant, M. Mikocka-Walus, A. Schönberger, M. |
Citation: | Neuropsychology, 2012; 26(3):304-313 |
Publisher: | American Psychological Association |
Issue Date: | 2012 |
ISSN: | 0894-4105 1931-1559 |
Statement of Responsibility: | Jennie Ponsford, Peter Cameron and Mark Fitzgerald, Michele Grant, Antonina Mikocka-Walus, Michael Schönberger |
Abstract: | OBJECTIVE: There is continuing controversy regarding predictors of poor outcome following mild traumatic brain injury (mTBI). This study aimed to prospectively examine the influence of preinjury factors, injury-related factors, and postinjury factors on outcome following mTBI. METHOD: Participants were 123 patients with mTBI and 100 trauma patient controls recruited and assessed in the emergency department and followed up 1 week and 3 months postinjury. Outcome was measured in terms of reported postconcussional symptoms. Measures included the ImPACT Post-Concussional Symptom Scale and cognitive concussion battery, including Attention, Verbal and Visual memory, Processing Speed and Reaction Time modules, pre- and postinjury SF-36 and MINI Psychiatric status ratings, VAS Pain Inventory, Hospital Anxiety and Depression Scale, PTSD Checklist-Specific, and Revised Social Readjustment Scale. RESULTS: Presence of mTBI predicted postconcussional symptoms 1 week postinjury, along with being female and premorbid psychiatric history, with elevated HADS anxiety a concurrent indicator. However, at 3 months, preinjury physical or psychiatric problems but not mTBI most strongly predicted continuing symptoms, with concurrent indicators including HADS anxiety, PTSD symptoms, other life stressors and pain. HADS anxiety and age predicted 3-month PCS in the mTBI group, whereas PTSD symptoms and other life stressors were most significant for the controls. Cognitive measures were not predictive of PCS at 1 week or 3 months. CONCLUSIONS: Given the evident influence of both premorbid and concurrent psychiatric problems, especially anxiety, on postinjury symptoms, managing the anxiety response in vulnerable individuals with mTBI may be important to minimize ongoing sequelae. |
Keywords: | traumatic brain injury concussion outcome assessment |
Rights: | © 2012 by the American Psychological Association |
DOI: | 10.1037/a0027888 |
Published version: | http://dx.doi.org/10.1037/a0027888 |
Appears in Collections: | Agriculture, Food and Wine publications Aurora harvest 3 |
Files in This Item:
There are no files associated with this item.
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.