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Cited by 20Traumatic Brain Injury ResearchTraumatic Brain Injury and Neurovascular DisturbancesLong-Term Effects of COVID-19

Neurogenic and Psychogenic Acute Postconcussion Symptoms Can Be Identified After Mild Traumatic Brain Injury

Mounce, Luke T. A., Williams, W. Huw, Jones, Janelle M., Harris, Adrian, Haslam, S. Alexander, Jetten, Jolanda·2013·Journal of Head Trauma Rehabilitation
DOI 10.1097/htr.0b013e318252dd75
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Abstract

OBJECTIVES: As provenance of postconcussion symptoms after mild traumatic brain injury (mTBI) is controversial, with similar rates found in other populations, we aimed to identify postconcussion symptoms specific to mTBI compared with controls. We also compared differences between complicated and uncomplicated mTBIs. SETTING: Hospital emergency department. PARTICIPANTS: Adult individuals (34 individuals with complicated mTBI, 76 individuals with uncomplicated mTBI, and 47 orthopedic controls) who sought care in the emergency department and were consecutively recruited by post at 2 weeks postinjury. MAIN MEASURES: Rivermead Postconcussion Symptom Questionnaire. Preinjury factors were used as covariates. RESULTS: Compared with orthopedic controls, complicated mTBI group reported greater severity of headaches, dizziness, and nausea, as well as concentration difficulties, suggesting that these are neurogenic. Severity of other symptoms measured on the Rivermead Postconcussion Symptom Questionnaire was not significantly different between these groups, suggesting that these are psychogenic. Differences were evident between the 2 mTBI samples on the items of dizziness, nausea, fatigue, sleep disturbance, and concentration difficulties. CONCLUSIONS: Neurogenic and psychogenic postconcussion symptoms were identified at the acute-phase postinjury. Findings suggest that treating persons with mTBI as a homogenous sample is not prudent. This should inform prognostic models and follow-up support offered after leaving the emergency department.

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Crossref · 10.1097/htr.0b013e318252dd75

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29 of 29 references verified0 citation errors · 0 not checkable

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  • Mild traumatic brain injury (mTBI) is common and can cause a broad range of debilitating symptoms, including headaches, fatigue, irritability, sleep disturbances, depression and anxiety, and attention deficits.

    “Mild traumatic brain injury (mTBI) is common and can cause a broad range of debilitating symptoms, including headaches, fatigue, irritability, sleep disturbances, depression and anxiety, and attention deficits [61, 94, 101].”

    From Early onset senescence and cognitive impairment in a murine model of repeated mTBI (2021) · cites this paper as [101]

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Related

Authors
Mounce, L. T. A., Williams, W. H., Jones, J. M., Harris, A., Haslam, S. A., & Jetten, J.
Affiliations
The University of Queensland (AU)
ORCID
Venue
Journal of Head Trauma Rehabilitation
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
2013-09
Volume
28
Issue
5
Pages
397-405
ISSN
0885-9701 (ISSN-L)
DOI
10.1097/htr.0b013e318252dd75
OpenAlex
W1983409193
Cited by
20
References
29
Citations by year
2025: 2 · 2023: 3 · 2022: 1 · 2021: 1 · 2020: 2 · 2019: 1 · 2018: 2 · 2017: 5 · 2015: 2 · 2013: 1
FWCI
0.72
Type
journal article
Language
en
Open access
closed
Locations
  • Journal of Head Trauma Rehabilitation (publishedVersion)
  • PubMed (publishedVersion)
  • Royal Devon and Exeter Research Repository (Royal Devon and Exeter) (submittedVersion)
Topics
  • Health Sciences › Medicine › Epidemiology › Traumatic Brain Injury Research
  • Health Sciences › Medicine › Neurology › Traumatic Brain Injury and Neurovascular Disturbances
  • Health Sciences › Medicine › Neurology › Long-Term Effects of COVID-19
Keywords
mild traumatic brain injury, post-concussion symptoms, neurogenic symptoms, psychogenic symptoms, complicated mild traumatic brain injury, dizziness, nausea, headache, concentration difficulties, symptom severity, emergency department patients
MeSH terms
Adult, Brain Injuries, Dizziness, Emergency Service, Hospital, Female, Headache, Humans, Male, Nausea, Neuropsychological Tests, Prognosis, Prospective Studies, Time Factors, Cohort Studies, Glasgow Coma Scale, Injury Severity Score, Incidence, Age Distribution, Sex Distribution, Risk Assessment, Post-Concussion Syndrome

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