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Title: Relationship between psychiatric disorders and 1-year psychosocial outcome following traumatic brain injury.
Epworth Authors: Ponsford, Jennie
Johnston, Lisa
Gould, Kate
Schönberger, Michael
Keywords: Mental Disorders
Psychiatric Disorders
Brain Injuries
Traumatic Brain Injury
Psychosocial Function
Hospital Anxiety and Depression Scale
Sydney Psychosocial Reintegration Scale
Glasgow Outcome Scale--Extended
Trauma Severity Indices
Monash-Epworth Rehabilitation Research Centre, Richmond, Victoria, Australia.
Issue Date: Jan-2011
Publisher: Wolters Kluwer
Citation: J Head Trauma Rehabil. 2011 Jan-Feb;26(1):79-89
Abstract: OBJECTIVE: To investigate the relationship of psychiatric functioning with psychosocial functioning at 1 year following traumatic brain injury (TBI), after controlling for relevant demographic, injury-related, and concurrent factors. DESIGN: Prospective 1-year longitudinal study. PARTICIPANTS: Participants were 122 individuals with TBI and 88 proxy informants. SETTING: Rehabilitation hospital. MAIN MEASURES: The Structured Clinical Interview for DSM-IV-TR (Diagnostic and Statistical Manual of Mental Disorders (Fourth Edition, Text Revision)) Axis I Disorders, Hospital Anxiety and Depression Scale, Sydney Psychosocial Reintegration Scale, and Glasgow Outcome Scale--Extended. RESULTS: At 1 year postinjury, occupational activities were the area of most change after TBI followed by interpersonal relationships and independent living skills, according to the Sydney Psychosocial Reintegration Scale. The majority of participants were rated as having moderate disability on the Glasgow Outcome Scale--Extended. After controlling for relevant background factors, preinjury, acute postinjury, and concurrent psychiatric disorders were significantly related to 1-year psychosocial outcome. CONCLUSION: Screening in the acute postinjury stage for presence of preinjury psychiatric history or current distress may help identify individuals who require more intensive rehabilitation and psychiatric support and more active postdischarge monitoring. Further research exploring potential causal mechanisms for these findings is required.
DOI: 10.1097/HTR.0b013e3182036799
PubMed URL:
ISSN: 0885-9701
Journal Title: The Journal of Head Trauma Rehabilitation
Type: Journal Article
Affiliated Organisations: School of Psychology and Psychiatry, Monash University, Melbourne, Victoria, Australia
Type of Clinical Study or Trial: Prospective Study
Appears in Collections:Mental Health

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