The DOI matches its Crossref record; 77 of the 77 references it cites were found in a registry or an index.
Exploring emotional distress symptom clusters in young adults with childhood traumatic brain injury
Open accessAbstract
Background Depression, anxiety, and stress are persistent and co-occurring symptoms in survivors of childhood traumatic brain injury (TBI), and often impact on health-related quality of life (HRQoL). This paper explored emotional distress symptom clusters and associated factors in young adults with childhood TBI.Methods We included 54 young adults who sustained mild (n = 14), moderate (n = 27), and severe (n = 13) childhood TBI, at 20 years post-injury. The Depression Anxiety Stress Scale was administered. Cluster group membership was identified using two-step clustering and hierarchical clustering methods, and associated factors were assessed with multiple regression models.Results Two symptom cluster groups were identified, including a No Distress (n = 66%) and an Elevated Distress (n = 33%) group, with the latter showing significantly higher symptoms of depression, anxiety, and stress (all p < .001). Elevated Distress group membership was linked to tobacco use and poor sleep quality, while poor HRQoL was associated with younger age at injury and Elevated Distress group membership.Conclusions Using cluster methodology, we showed that one-third of young adults with childhood TBI had elevated emotional distress symptoms. This underscores the complex emotional profile of this subgroup and the need for assessment, analysis, and treatment methods that target a range of symptoms rather than relying on single-diagnostic protocols.
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“…al., 2012), the small sample size along with the suggested high correlation and low discriminant validity of the DASS subscales (Osman et al., 2012; Sinclair et al., 2012; Yeung et al., 2020) may have also limited our ability to identify more symptoms cluster groups since the sample potentially…”
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Paediatric traumatic brain injury: unique population and unique challenges
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Self-citationBotchway-Commey, E. N., Burton, C., Pace, C. C., Ehrenreich, J. T., Kennedy, S. M., Williams, J. S., Poulakis, Z., DPsychClin, A. M., Anderson, V. A., & Crowe, L. M. (2025) · BMC Psychology · doi:10.1186/s40359-025-03052-w
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Metadata
- Authors
- Botchway-Commey, E., Ryan, N. P., Anderson, V., & Catroppa, C.
- Affiliations
- Royal Children's Hospital (AU)
- Corresponding author
- Botchway-Commey, Edith
- Venue
- Neuropsychological Rehabilitation
- Publisher
- Informa UK Limited
- Published
- 2024-07-20
- Volume
- 35
- Issue
- 5
- Pages
- 905-929
- ISSN
- 0960-2011 (ISSN-L)
- 1464-0694
- OpenAlex
- W4400843217
- Semantic Scholar
- e60d2f2baceea99d5320b9589427e79874f3eb2d
- Cited by
- 3
- References
- 77
- Citations by year
- 2026: 1 · 2025: 2
- FWCI
- 0.71
- Type
- journal article
- Language
- en
- Open access
- green
- figshare.com
- Licence
- cc-by
- Locations
- Neuropsychological Rehabilitation (publishedVersion)
- PubMed (publishedVersion)
- Figshare (submittedVersion, cc-by)
- Funders
- Australian National Health and Medical Research Council project and Fellowship Funding
- Victorian Operational Infrastructure fund
- Topics
- Health Sciences › Medicine › Clinical Neurology › Traumatic Brain Injury Research
- Health Sciences › Medicine › Clinical Neurology › Traumatic Brain Injury and Neurovascular Disturbances
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Keywords
- pediatric traumatic brain injury, emotional distress, symptom clusters, depression, anxiety, stress, young adults, health-related quality of life, tobacco use, sleep quality, age at injury, mild traumatic brain injury
- MeSH terms
- Brain Injuries, Traumatic, Psychological Distress, Adolescent, Adult, Anxiety, Child, Depression, Female, Humans, Male, Quality of Life, Stress, Psychological, Cluster Analysis, Young Adult
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