Mood disorders following traumatic brain injury: Identifying the extent of the problem and the people at risk

Audrey Bowen, Vera Neumann, Mark Conner, Alan Tennant, M. Anne Chamberlain

    Research output: Contribution to journalArticlepeer-review

    Abstract

    The extent of mood disorders following traumatic brain injury (TBI), and the possible risk factors, are investigated. New data are presented from a prospective study of consecutive hospital admissions. Six months post-TBI, 99 adults completed a standardized assessment of emotional state, the Wimbledon Self-Report Scale. Cognitive performance and the impact of the injury on everyday functioning were also assessed. The rate of clinically significant mood disorders (caseness) was 38%. Of the demographic or injury characteristics, only pre-injury occupational status predicted post-injury caseness. Those unoccupied pre-injury were more likely to report mood disturbances post-injury. In contrast, post-injury occupational status was not related to caseness either for the whole group or the subgroup of those previously occupied, despite the adverse effects on occupational functioning for a significant proportion of subjects. Associations were found between emotional state and cognitive and everyday functioning 6 months post-injury. Psychosocial disabilities appeared more strongly associated to mood disorders than did physical disabilities. A significant level of unmet need has been highlighted, and possible risk factors identified, which may inform the purchase and provision of TBI rehabilitation services. Follow-up data on these subjects are available and will be reported separately.
    Original languageEnglish
    Pages (from-to)177-190
    Number of pages13
    JournalBrain Injury
    Volume12
    Issue number3
    DOIs
    Publication statusPublished - Mar 1998

    Keywords

    • Activities of Daily Living
    • Adult
    • epidemiology: Anxiety
    • complications: Brain Injuries
    • Chi-Square Distribution
    • epidemiology: Cognition Disorders
    • Comorbidity
    • epidemiology: Depressive Disorder
    • epidemiology: England
    • Female
    • Human
    • Likelihood Functions
    • Logistic Models
    • Male
    • Middle Age
    • Neuropsychological Tests
    • Prospective Studies
    • Risk Factors
    • Severity of Illness Index
    • Support, Non-U.S. Gov't
    • Trauma Severity Indices

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