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Title: Predictive and associated factors of psychiatric disorders after traumatic brain injury: a prospective study.
Epworth Authors: Gould, Kate
Ponsford, Jennie
Johnston, Lisa
Schonberger, Michael
Keywords: Brain Injuries
Neurocognitive Disorders
Psychiatric Disorders
Psychiatric Symptoms
Traumatic Brain Injury
DSM-IV-TR Axis I Disorders
Post-injury Psychiatric Disorders
Limb Injury
Predictive Factors
Monash-Epworth Rehabilitation Research Centre, Epworth HealthCare, Melbourne, Australia
Issue Date: Jul-2011
Publisher: Mary Ann Liebert
Citation: J Neurotrauma. 2011 Jul;28(7):1155-63
Abstract: Psychiatric disorders are common and often debilitating following traumatic brain injury (TBI). However, there is little consensus within the literature regarding the risk factors for post-injury psychiatric disorders. A 1-year prospective study was conducted to examine which pre-injury, injury-related, and concurrent factors were associated with experiencing a psychiatric disorder, diagnosed using the Structured Clinical Interview for DSM-IV-TR Axis I Disorders, at 1 year post-injury. Participants were 122 adults with TBI and 88 proxy informants. Psychiatric disorders were common both pre-injury (54.1%) and at 12 months post-injury (45.9%). Results of regression analyses indicated individuals without a pre-injury psychiatric disorder or psychiatric symptomatology in the acute post-injury period were less likely to have a psychiatric disorder at 12 months post-injury. These findings confirm the importance of pre-injury history for the prediction of post-injury psychiatric disorders. Limb injury also emerged as a useful early indicator of later psychiatric disorder. Post-injury psychiatric disorders were associated with concurrent unemployment, pain, poor quality of life, and use of unproductive coping skills. The clinical implications of these findings are discussed.
DOI: 10.1089/neu.2010.1528
PubMed URL:
ISSN: 0897-7151
Journal Title: Journal of Neurotrauma
Type: Journal Article
Affiliated Organisations: School of Psychology and Psychiatry, Monash University, Melbourne, Australia
Department of Rehabilitation Psychology, Institute of Psychology, University of Freiburg, Freiburg im Breisgau, Baden-W├╝rttemberg, Germany
Type of Clinical Study or Trial: Prospective Study
Appears in Collections:Mental Health

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