The DOI matches its Crossref record; 9 of the 9 references it cites were found in a registry or an index.
Predictors of postconcussive symptoms 3 months after mild traumatic brain injury.
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.
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Cites
Psychometric properties of the PTSD checklist (PCL)
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Mild traumatic brain injury in U.S. soldiers returning from Iraq
Hoge, C. W., McGurk, D., Thomas, J. L., Cox, A. L., Engel, C. C., & Castro, C. A. (2008) · New England Journal of Medicine · doi:10.1056/nejmoa072972 · Cited by 2,775
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The hospital anxiety and depression scale
Snaith, R. P., & Zigmond, A. S. (1986) · BMJ · doi:10.1136/bmj.292.6516.344 · Cited by 879
BELANGER, H. G., CURTISS, G., DEMERY, J. A., LEBOWITZ, B. K., & VANDERPLOEG, R. D. (2005) · Journal of the International Neuropsychological Society · doi:10.1017/s1355617705050277 · Cited by 715
Patient age and outcome following severe traumatic brain injury: an analysis of 5600 patients
Hukkelhoven, C. W. P. M., Steyerberg, E. W., Rampen, A. J. J., Farace, E., Habbema, J. D. F., Marshall, L. F., Murray, G. D., & Maas, A. I. R. (2003) · Journal of Neurosurgery · doi:10.3171/jns.2003.99.4.0666 · Cited by 641
Validity of ImPACT for measuring processing speed following sports-related concussion
Iverson, G. L., Lovell, M. R., & Collins, M. W. (2005) · Journal of Clinical and Experimental Neuropsychology · doi:10.1081/13803390490918435 · Cited by 278
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Self-citationNeuropsychological functioning following complicated vs. uncomplicated mild traumatic brain injury
Lange, R. T., Iverson, G. L., & Franzen, M. D. (2009) · Brain Injury · doi:10.1080/02699050802635281 · Cited by 93
Cited by
Systematic Review of Multivariable Prognostic Models for Mild Traumatic Brain Injury
Silverberg, N. D., Gardner, A. J., Brubacher, J. R., Panenka, W. J., Li, J. J., & Iverson, G. L. (2015) · Journal of Neurotrauma · doi:10.1089/neu.2014.3600 · Cited by 393
A review of post-concussion syndrome and psychological factors associated with concussion
Broshek, D. K., De Marco, A. P., & Freeman, J. R. (2015) · Brain Injury · doi:10.3109/02699052.2014.974674 · Cited by 379
A Multidimensional Approach to Post-concussion Symptoms in Mild Traumatic Brain Injury
Polinder, S., Cnossen, M. C., Real, R. G. L., Covic, A., Gorbunova, A., Voormolen, D. C., Master, C. L., Haagsma, J. A., Diaz-Arrastia, R., & von Steinbuechel, N. (2018) · Frontiers in Neurology · doi:10.3389/fneur.2018.01113 · Cited by 376
Wäljas, M., Iverson, G. L., Lange, R. T., Hakulinen, U., Dastidar, P., Huhtala, H., Liimatainen, S., Hartikainen, K., & Öhman, J. (2015) · Journal of Neurotrauma · doi:10.1089/neu.2014.3339 · Cited by 247
Fishbain, D. A., Pulikal, A., Lewis, J. E., & Gao, J. (2017) · Pain Medicine · doi:10.1093/pm/pnw065 · Cited by 228
Metadata
- Authors
- Ponsford, J., Cameron, P., Fitzgerald, M., Grant, M., Mikocka-Walus, A., & Schönberger, M.
- Venue
- Neuropsychology
- Published
- 2012
- Volume
- 26
- Issue
- 3
- Pages
- 304-313
- ISSN
- 0894-4105 (ISSN-L)
- 1931-1559
- OpenAlex
- W2010674539
- Cited by
- 387
- References
- 9
- FWCI
- 17.23
- Type
- journal article
- Language
- en
- Open access
- closed
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