Postconcussive Complaints, Anxiety, and Depression Related to Vocational Outcome in Minor to Severe Traumatic Brain Injury

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Abstract

Objectives: To investigate the relation of postconcussive complaints, anxiety, and depression with vocational outcome in patients with traumatic brain injury (TBI) of various severities and to assess sex differences.

Design: A prospective cross-sectional cohort study.

Setting: Level I trauma center.

Participants: Adults (N=242) with TBI of various severity.

Interventions: Not applicable.

Main Outcome Measures: Extended Glasgow Outcome Scale, return to work (RTW), Head Injury Symptom Checklist, and Hospital Anxiety and Depression Scale.

Results: In 67% of the patients, complaints were present; 22% were anxious, and 18% were depressed. The frequency of complaints increased significantly with injury severity, in contrast to anxiety and depression. Frequencies of patients with anxiety and depression (9% and 5%) were lower with complete RTW than with incomplete RTW (42% and 37%; P

Conclusions: Anxiety and depression are related to vocational outcome after TBI, with a different profile in the minor TBI category, partly due to sex differences. Archives of Physical Medicine and Rehabilitation 2013;94:867-74 (C) 2013 by the American Congress of Rehabilitation Medicine

Original languageEnglish
Pages (from-to)867-874
Number of pages8
JournalArchives of Physical Medicine and Rehabilitation
Volume94
Issue number5
DOIs
Publication statusPublished - May-2013

Keywords

  • Anxiety
  • Depression
  • Rehabilitation
  • Sex
  • Traumatic brain injuries
  • Work
  • MILD HEAD-INJURY
  • POST-CONCUSSIONAL SYNDROME
  • DSM-IV CRITERIA
  • PSYCHIATRIC-DISORDERS
  • RISK-FACTORS
  • MODERATE
  • EMPLOYMENT
  • ADULTS
  • RETURN
  • WORK

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