Predictors for Psychological Distress 2 Months After Mild Traumatic Brain Injury
Objective: To predict psychological distress at 2 months for patients with mild traumatic brain injury.Method: A prospective cohort study of 162 patients with mild traumatic brain injury (MTBI) admitted consecutively to an outpatient clinic at Haukeland University Hospital, Norway. Demographic data...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2019-06-01
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| Series: | Frontiers in Neurology |
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| Online Access: | https://www.frontiersin.org/article/10.3389/fneur.2019.00639/full |
| _version_ | 1819227730568282112 |
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| author | Eirik Vikane Kaia Frøyland Hanne Langseth Næss Jörg Aßmus Jan Sture Skouen Jan Sture Skouen |
| author_facet | Eirik Vikane Kaia Frøyland Hanne Langseth Næss Jörg Aßmus Jan Sture Skouen Jan Sture Skouen |
| author_sort | Eirik Vikane |
| collection | DOAJ |
| description | Objective: To predict psychological distress at 2 months for patients with mild traumatic brain injury.Method: A prospective cohort study of 162 patients with mild traumatic brain injury (MTBI) admitted consecutively to an outpatient clinic at Haukeland University Hospital, Norway. Demographic data were obtained from Statistics Norway and injury characteristics were obtained from the hospital records. Sick leave data from the last year before the injury were obtained from The Norwegian Labor and Welfare Service. Self-report questionnaires were used to obtain history about earlier disease and symptom profiles. The Hospital Anxiety and Depression Scale (HAD) detecting states of depression and anxiety were used as the dependent variable in a stepwise linear regression. Pre-injury factors and injury-related factors were examined as potential predictors for HAD.Results: In the first steps we observed a significant association between HAD at 2 months and education, whiplash associated disorder (WAD), and earlier sick listed with a psychiatric diagnosis. In the final step there was an association only between HAD and self-reported anxiety and WAD. There were no associations between HAD and injury-characteristics like severity at Glasgow Coma Scale or intracranial injury.Conclusion: Patients with low education, earlier psychiatric diagnosis, self-reported earlier anxiety and WAD were more likely to develop a psychological distress after a MTBI. These findings should be taken into consideration when treating patients with MTBI. |
| first_indexed | 2024-12-23T10:46:02Z |
| format | Article |
| id | doaj.art-2d40e30d6ccd4353a55b2f514861a99e |
| institution | Directory Open Access Journal |
| issn | 1664-2295 |
| language | English |
| last_indexed | 2024-12-23T10:46:02Z |
| publishDate | 2019-06-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Neurology |
| spelling | doaj.art-2d40e30d6ccd4353a55b2f514861a99e2022-12-21T17:50:01ZengFrontiers Media S.A.Frontiers in Neurology1664-22952019-06-011010.3389/fneur.2019.00639460303Predictors for Psychological Distress 2 Months After Mild Traumatic Brain InjuryEirik Vikane0Kaia Frøyland1Hanne Langseth Næss2Jörg Aßmus3Jan Sture Skouen4Jan Sture Skouen5Department of Physical Medicine and Rehabilitation, Haukeland University Hospital, Bergen, NorwayDepartment of Physical Medicine and Rehabilitation, Haukeland University Hospital, Bergen, NorwayDepartment of Physical Medicine and Rehabilitation, Haukeland University Hospital, Bergen, NorwayCentre for Clinical Research, Haukeland University Hospital, Bergen, NorwayDepartment of Physical Medicine and Rehabilitation, Haukeland University Hospital, Bergen, NorwayDepartment of Global Public Health and Primary Care, University of Bergen, Bergen, NorwayObjective: To predict psychological distress at 2 months for patients with mild traumatic brain injury.Method: A prospective cohort study of 162 patients with mild traumatic brain injury (MTBI) admitted consecutively to an outpatient clinic at Haukeland University Hospital, Norway. Demographic data were obtained from Statistics Norway and injury characteristics were obtained from the hospital records. Sick leave data from the last year before the injury were obtained from The Norwegian Labor and Welfare Service. Self-report questionnaires were used to obtain history about earlier disease and symptom profiles. The Hospital Anxiety and Depression Scale (HAD) detecting states of depression and anxiety were used as the dependent variable in a stepwise linear regression. Pre-injury factors and injury-related factors were examined as potential predictors for HAD.Results: In the first steps we observed a significant association between HAD at 2 months and education, whiplash associated disorder (WAD), and earlier sick listed with a psychiatric diagnosis. In the final step there was an association only between HAD and self-reported anxiety and WAD. There were no associations between HAD and injury-characteristics like severity at Glasgow Coma Scale or intracranial injury.Conclusion: Patients with low education, earlier psychiatric diagnosis, self-reported earlier anxiety and WAD were more likely to develop a psychological distress after a MTBI. These findings should be taken into consideration when treating patients with MTBI.https://www.frontiersin.org/article/10.3389/fneur.2019.00639/fullmild traumatic brain injurypredictorspsychological distressanxietydepressionoutcome |
| spellingShingle | Eirik Vikane Kaia Frøyland Hanne Langseth Næss Jörg Aßmus Jan Sture Skouen Jan Sture Skouen Predictors for Psychological Distress 2 Months After Mild Traumatic Brain Injury Frontiers in Neurology mild traumatic brain injury predictors psychological distress anxiety depression outcome |
| title | Predictors for Psychological Distress 2 Months After Mild Traumatic Brain Injury |
| title_full | Predictors for Psychological Distress 2 Months After Mild Traumatic Brain Injury |
| title_fullStr | Predictors for Psychological Distress 2 Months After Mild Traumatic Brain Injury |
| title_full_unstemmed | Predictors for Psychological Distress 2 Months After Mild Traumatic Brain Injury |
| title_short | Predictors for Psychological Distress 2 Months After Mild Traumatic Brain Injury |
| title_sort | predictors for psychological distress 2 months after mild traumatic brain injury |
| topic | mild traumatic brain injury predictors psychological distress anxiety depression outcome |
| url | https://www.frontiersin.org/article/10.3389/fneur.2019.00639/full |
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